| Japanese |
|---|
| Title | 安静時再分布が経皮的冠動脈形成術 (PTCA) の適応に有用であった急性心筋梗塞の1例 |
|---|
| Subtitle | 症例報告 |
|---|
| Authors | 千葉博*, 西村恒彦*, 三谷勇雄*, 松尾剛志*, 植原敏勇*, 林田孝平*, 住吉徹哉**, 土師一夫** |
|---|
| Authors(kana) | |
|---|
| Organization | *国立循環器病センター放射線診療部, **心臓内科 |
|---|
| Journal | 核医学 |
|---|
| Volume | 25 |
|---|
| Number | 4 |
|---|
| Page | 331-337 |
|---|
| Year/Month | 1988/4 |
|---|
| Article | 報告 |
|---|
| Publisher | 日本核医学会 |
|---|
| Abstract | 「要旨」安静時再分布シンチグラムがPTCAの適応決定に有用であった急性心筋梗塞症例を経験した. 症例は72歳, 女性. 左前下行枝#7の99%狭窄に対しPTCRを行い90%となるも, 急性期左室造影では前壁のdyskinesisを認めた. その後, 梗塞後狭心症を頻発したためPTCAの適応を決定する目的で安静時再分布シンチグラムを行ったところ, 前壁の広範なタリウム欠損と, 同部位への明瞭な再分布所見を認めた. PTCA後, 左室壁運動は著明に改善した. PTCA後のタリウムシンチグラムでは欠損部の縮小過程を経時的に観察し得た. 安静時再分布シンチグラムは, 心筋梗塞急性期の心筋のviabilityの評価と, PTCA後の治療効果の判定に有用であった. |
|---|
| Practice | 臨床医学：一般 |
|---|
| Keywords | Rest-redistribution thallium scan, Nontransmural myocardial infarction, Viable muscle, PTCA. |
|---|
| English |
|---|
| Title | Usefulness of Rest-redistribution Thallium Scan for the Indication of PTCA in an Interesting Case with Acute Myocardial Infarction |
|---|
| Subtitle | Case Report |
|---|
| Authors | Hiroshi CHIBA*, Tsunehiko NISHIMURA*, Isao MITANI*, Takeshi MATSUO*, Toshiisa UEHARA*, Kohei HAYASHIDA*, Tetsuya SUMIYOSHI**, Kazuo HAZE** |
|---|
| Authors(kana) | |
|---|
| Organization | *Department of Diagnostic Radiology, **Department of Cardiology, National Cardiovascular Center |
|---|
| Journal | The Japanese Journal of nuclear medicine |
|---|
| Volume | 25 |
|---|
| Number | 4 |
|---|
| Page | 331-337 |
|---|
| Year/Month | 1988/4 |
|---|
| Article | Report |
|---|
| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
|---|
| Abstract | [Summary] A 72-year-old woman with acute myocardial infarction was received coronary thrombolytic therapy. After percutaneous transluminal coronary recanalization (PTCR) , the stenosis of LAD became from 99% to 90%. Left ventriculogram showed dyskinesis of anterior wall in acute phase. After PTCR, she complained of postinfarctional angina. Thus, in order to evaluate the viability of anterior wall, serial thallium scintigraphy was performed at rest, which showed perfusion defect and redistribution of anterior wall. After percutaneous transluminal coronary angioplasty (PTCA) , anterior wall motion became almost normal. The perfusion defect of anterior wall was also gradually disappeared. The serial thallium scintigraphy at rest is an useful method not only to evaluate the viability of myocardium in acute myocardial infarction, but also to follow the effect of PTCA. |
|---|
| Practice | Clinical medicine |
|---|
| Keywords | Rest-redistribution thallium scan, Nontransmural myocardial infarction, Viable muscle, PTCA. |
|---|