Japanese
TitleKr-81mによる右室駆出率モニタリング - nuclear cardiac single probeとKr-81mによるfirst pass transient study -
Subtitle短報
Authors右納隆*,†, 渡辺佐知郎*, 石黒源之*, 杉下総吉*, 安江隆夫**, 大橋宏重**, 森田則彦**, 小田寛**, 後藤明***, 水谷豪利***, 三宅浩***
Authors(kana)
Organization*県立岐阜病院循環器科, **第一内科, ***放射線科, †現:岐阜大学医学部第二病理学教室研究生
Journal核医学
Volume24
Number3
Page303-307
Year/Month1987/3
Article報告
Publisher日本核医学会
Abstract「I. 緒言」従来左心系に比較し右心系の血行動態の評価は, その複雑な幾何学的形態より心血管造影法や超音波法では困難な面もあったが, この点RIによる方法は有利である. Kr-81mは短半減期13秒で, かつ肺胞より気道系に99%以上排出されるため, 左心系にはほとんど到達せず, 右心系の動態を観察するのに適当と思われる. 最近優れた81Rb-81mKr generatorが供給可能となり反復投与が可能となった. われわれはかかるKr-81mの性質を利用しKr-81mの急速また持続注入によって右心機能評価を臨床的に検討してきたので, その術式を含め報告する. 今回は, 特にKr-81mとnuclear cardiac single probe(single probe)を用いbedsideで右室駆出率(right ventricular ejection fraction:RVEF)を測定する方法の妥当性を検討した.
Practice臨床医学:一般
KeywordsRight ventricular function, Kr-81m, Nuclear cardiac single probe.
English
TitleMonitoring of RV Function by the Nuclear Cardiac Single Probe and Kr-81m - First Pass Transient Study -
SubtitleShort Communications
AuthorsTakashi UNO*, Sachiro WATANABE*, Motoyuki ISHIGURO*, Nobuyoshi SUGISHITA*, Takao YASUE**, Hiroshige OHASHI**, Norihiko MORITA**, Hiroshi ODA**, Akira GOTO***, Taketoshi MIZUTANI***, Hiroshi MIYAKE***
Authors(kana)
Organization*Division of Cardiology, **Department of First Internal Medicine, ***Department of Radiology, Prefectural Gifu Hospital
JournalThe Japanese Journal of nuclear medicine
Volume24
Number3
Page303-307
Year/Month1987/3
ArticleReport
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary]We develop the new method of monitoring right ventricular (RV) ejection fraction by single probe and Kr-81m. Kr-81m is eliminated almost entirely by the lung without reaching the left ventricle. This makes possible monitoring RV ejection fraction without left heart activity and with low background activity. Kr-81m was injected serially as a bolus (2-3 ml) of 5 % glucose solution eluting a rubidium-krypton generator. RV ejection fraction was calculated from the first pass time-activity curve after correcting for background. RV ejection fraction by omniscope showed a good agreement with camera-RV ejection fraction And simultaneous display of RV time-activity curve with ECG and phonocardiogram was done. The effect of sublingual nitroglycerin on RV ejection fraction by omniscope was also monitored. This new method is potentially useful in the coronary care unit and intensive care unit, where a rapid estimation of RV ejection fraction is needed.
PracticeClinical medicine
KeywordsRight ventricular function, Kr-81m, Nuclear cardiac single probe.

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