[SPECT tomography with F 18-fluorodeoxyglucose in a recent myocardial infarction clinical case].

Abstract:

:We report a 50-year-old woman with a recent myocardial infarction in whom a myocardial perfusion single photon emission computed tomography (SPECT) with Thallium201 was done simultaneously with a F18-fluorodeoxyglucose (FDG) SPECT to study glucose metabolism. Myocardial infarction was located in the anteroseptal and apical regions and an echocardiography, done at the second day of evolution, showed a septo-apical hypokinesia. On the tenth day, a coronary angiography showed a critical lesion of the anterior descending coronary artery and an angioplasty with stent placement was performed on the next day. On the twelfth day, a resting, redistribution 201Tl SPECT to study viability and a FDG-SPECT with a dual head high-energy collimator camera were done. Images, acquired 45 min after injection, were analyzed visually. In anterior and medial apical sectors, discordance between flux and metabolism, considered a classical mismatch, was observed. Echocardiographic hypokinesia disappeared three month after revascularization.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

González P,Coll C,Massardo T,Sierralta P,Humeres P,Aramburú I,Brugère S,Yovanevich J,Ramírez A,Jofré J,Chamorro H,Kuntsmann S,López H

subject

Has Abstract

pub_date

2000-09-01 00:00:00

pages

1019-23

issue

9

eissn

0034-9887

issn

0717-6163

journal_volume

128

pub_type

杂志文章
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