Relation of left ventricular perfusion and wall motion with metabolic activity in persistent defects on thallium-201 tomography in healed myocardial infarction

Myocardial viability in persistent thallium (TI)-201 defect is a controversial subject. To assess metabolic activity in segments with persistent defect, stress TI-201 tomography and positron emission tomography using nitrogen-13 ammonia and fluorine-18 2-fluoro-deoxyglucose (FDG) were performed in 2...

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Published inThe American journal of cardiology Vol. 62; no. 4; pp. 202 - 208
Main Authors Tamaki, Nagara, Yonekura, Yoshiharu, Yamashita, Keiji, Senda, Michio, Saji, Hideo, Hashimoto, Tetsuo, Fudo, Tetsuro, Kambara, Hirofumi, Kawai, Chuichi, Ban, Toshihiko, Konishi, Junji
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.08.1988
Elsevier
Subjects
Aged
Ammonia
Biological and medical sciences
Cardiology. Vascular system
Coronary Circulation
Coronary heart disease
Deoxyglucose - analogs & derivatives
Exercise Test
Female
Fluorodeoxyglucose F18
Heart
Heart - diagnostic imaging
Humans
Male
Medical sciences
Middle Aged
Myocardial Contraction
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - physiopathology
Myocardium - metabolism
Nitrogen Radioisotopes
Thallium Radioisotopes
Tomography, Emission-Computed
Radionuclide study
Human
Infarct
Radiodiagnosis
Scar
Cardiovascular disease
Coronary vessel
Coronary heart disease
Left ventricle
Left ventriculography
Perfusion
Myocardium
Hemodynamics
Left ventricle performance
Positron emission tomography
Dyskinesia
Online AccessGet full text
ISSN0002-9149
1879-1913
DOI10.1016/0002-9149(88)90212-3

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Abstract Myocardial viability in persistent thallium (TI)-201 defect is a controversial subject. To assess metabolic activity in segments with persistent defect, stress TI-201 tomography and positron emission tomography using nitrogen-13 ammonia and fluorine-18 2-fluoro-deoxyglucose (FDG) were performed in 28 patients with healed myocardial infarction. The segments with TI-201 perfusion defect in electrocardiogram-determined infarcted areas were selected for assessment. Stress perfusion defect was detected in 61 segments by TI-201 tomography. Twenty-two patients (36%) showed transient defects with redistribution (group 1) and 39 showed persistent defects (group 2). Increase in FDG uptake was observed in 95% in group 1. Among group 2 patients, 15 segments (38%) showed an increase in FDG uptake (group 2A) while the remaining 24 (62%) did not have an increased uptake (group 2B). The decrease in nitrogen-13 ammonia perfusion was more severe in group 2B (−23 ± 7%) than in group 2A (−13 ±9%) (p <0.005) and group 1 (−10 ± 4%) (p <0.001). In addition, wall motion scores tended to be lower in group 2B (0.21 ± 0.71), compared with group 2A (0.67 ± 0.70) (p = 0.05) and group 1 (0.77 ± 0.60) (p 0.01). These data indicate that metabolic viability was observed in approximately 40% of the segments with persistent TI-201 defect. Preservation of regional perfusion and wall motion in these areas was similar to that in areas with transient TI-201 defect.
AbstractList Myocardial viability in persistent thallium (TI)-201 defect is a controversial subject. To assess metabolic activity in segments with persistent defect, stress TI-201 tomography and positron emission tomography using nitrogen-13 ammonia and fluorine-18 2-fluoro-deoxyglucose (FDG) were performed in 28 patients with healed myocardial infarction. The segments with TI-201 perfusion defect in electrocardiogram-determined infarcted areas were selected for assessment. Stress perfusion defect was detected in 61 segments by TI-201 tomography. Twenty-two patients (36%) showed transient defects with redistribution (group 1) and 39 showed persistent defects (group 2). Increase in FDG uptake was observed in 95% in group 1. Among group 2 patients, 15 segments (38%) showed an increase in FDG uptake (group 2A) while the remaining 24 (62%) did not have an increased uptake (group 2B). The decrease in nitrogen-13 ammonia perfusion was more severe in group 2B (-23 +/- 7%) than in group 2A (-13 +/- 9%) (p less than 0.005) and group 1 (-10 +/- 4%) (p less than 0.001). In addition, wall motion scores tended to be lower in group 2B (0.21 +/- 0.71), compared with group 2A (0.67 +/- 0.70) (p = 0.05) and group 1 (0.77 +/- 0.60) (p less than 0.01). These data indicate that metabolic viability was observed in approximately 40% of the segments with persistent TI-201 defect. Preservation of regional perfusion and wall motion in these areas was similar to that in areas with transient TI-201 defect.Myocardial viability in persistent thallium (TI)-201 defect is a controversial subject. To assess metabolic activity in segments with persistent defect, stress TI-201 tomography and positron emission tomography using nitrogen-13 ammonia and fluorine-18 2-fluoro-deoxyglucose (FDG) were performed in 28 patients with healed myocardial infarction. The segments with TI-201 perfusion defect in electrocardiogram-determined infarcted areas were selected for assessment. Stress perfusion defect was detected in 61 segments by TI-201 tomography. Twenty-two patients (36%) showed transient defects with redistribution (group 1) and 39 showed persistent defects (group 2). Increase in FDG uptake was observed in 95% in group 1. Among group 2 patients, 15 segments (38%) showed an increase in FDG uptake (group 2A) while the remaining 24 (62%) did not have an increased uptake (group 2B). The decrease in nitrogen-13 ammonia perfusion was more severe in group 2B (-23 +/- 7%) than in group 2A (-13 +/- 9%) (p less than 0.005) and group 1 (-10 +/- 4%) (p less than 0.001). In addition, wall motion scores tended to be lower in group 2B (0.21 +/- 0.71), compared with group 2A (0.67 +/- 0.70) (p = 0.05) and group 1 (0.77 +/- 0.60) (p less than 0.01). These data indicate that metabolic viability was observed in approximately 40% of the segments with persistent TI-201 defect. Preservation of regional perfusion and wall motion in these areas was similar to that in areas with transient TI-201 defect.
Myocardial viability in persistent thallium (TI)-201 defect is a controversial subject. To assess metabolic activity in segments with persistent defect, stress TI-201 tomography and positron emission tomography using nitrogen-13 ammonia and fluorine-18 2-fluoro-deoxyglucose (FDG) were performed in 28 patients with healed myocardial infarction. The segments with TI-201 perfusion defect in electrocardiogram-determined infarcted areas were selected for assessment. Stress perfusion defect was detected in 61 segments by TI-201 tomography. Twenty-two patients (36%) showed transient defects with redistribution (group 1) and 39 showed persistent defects (group 2). Increase in FDG uptake was observed in 95% in group 1. Among group 2 patients, 15 segments (38%) showed an increase in FDG uptake (group 2A) while the remaining 24 (62%) did not have an increased uptake (group 2B). The decrease in nitrogen-13 ammonia perfusion was more severe in group 2B (-23 +/- 7%) than in group 2A (-13 +/- 9%) (p less than 0.005) and group 1 (-10 +/- 4%) (p less than 0.001). In addition, wall motion scores tended to be lower in group 2B (0.21 +/- 0.71), compared with group 2A (0.67 +/- 0.70) (p = 0.05) and group 1 (0.77 +/- 0.60) (p less than 0.01). These data indicate that metabolic viability was observed in approximately 40% of the segments with persistent TI-201 defect. Preservation of regional perfusion and wall motion in these areas was similar to that in areas with transient TI-201 defect.
Myocardial viability in persistent thallium (TI)-201 defect is a controversial subject. To assess metabolic activity in segments with persistent defect, stress TI-201 tomography and positron emission tomography using nitrogen-13 ammonia and fluorine-18 2-fluoro-deoxyglucose (FDG) were performed in 28 patients with healed myocardial infarction. The segments with TI-201 perfusion defect in electrocardiogram-determined infarcted areas were selected for assessment. Stress perfusion defect was detected in 61 segments by TI-201 tomography. Twenty-two patients (36%) showed transient defects with redistribution (group 1) and 39 showed persistent defects (group 2). Increase in FDG uptake was observed in 95% in group 1. Among group 2 patients, 15 segments (38%) showed an increase in FDG uptake (group 2A) while the remaining 24 (62%) did not have an increased uptake (group 2B). The decrease in nitrogen-13 ammonia perfusion was more severe in group 2B (−23 ± 7%) than in group 2A (−13 ±9%) (p <0.005) and group 1 (−10 ± 4%) (p <0.001). In addition, wall motion scores tended to be lower in group 2B (0.21 ± 0.71), compared with group 2A (0.67 ± 0.70) (p = 0.05) and group 1 (0.77 ± 0.60) (p 0.01). These data indicate that metabolic viability was observed in approximately 40% of the segments with persistent TI-201 defect. Preservation of regional perfusion and wall motion in these areas was similar to that in areas with transient TI-201 defect.
Author Kawai, Chuichi
Konishi, Junji
Yamashita, Keiji
Ban, Toshihiko
Yonekura, Yoshiharu
Kambara, Hirofumi
Tamaki, Nagara
Hashimoto, Tetsuo
Saji, Hideo
Fudo, Tetsuro
Senda, Michio
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Issue 4
Keywords Radionuclide study
Human
Infarct
Radiodiagnosis
Scar
Cardiovascular disease
Coronary vessel
Coronary heart disease
Left ventricle
Left ventriculography
Perfusion
Myocardium
Hemodynamics
Left ventricle performance
Positron emission tomography
Dyskinesia
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Snippet Myocardial viability in persistent thallium (TI)-201 defect is a controversial subject. To assess metabolic activity in segments with persistent defect, stress...
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pubmed
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StartPage 202
SubjectTerms Aged
Ammonia
Biological and medical sciences
Cardiology. Vascular system
Coronary Circulation
Coronary heart disease
Deoxyglucose - analogs & derivatives
Exercise Test
Female
Fluorodeoxyglucose F18
Heart
Heart - diagnostic imaging
Humans
Male
Medical sciences
Middle Aged
Myocardial Contraction
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - physiopathology
Myocardium - metabolism
Nitrogen Radioisotopes
Thallium Radioisotopes
Tomography, Emission-Computed
Title Relation of left ventricular perfusion and wall motion with metabolic activity in persistent defects on thallium-201 tomography in healed myocardial infarction
URI https://dx.doi.org/10.1016/0002-9149(88)90212-3
https://www.ncbi.nlm.nih.gov/pubmed/3261123
https://www.proquest.com/docview/78327224
Volume 62
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