| Japanese |
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| Title | 心室頻拍を有した心筋梗塞症例における123I-MIBG, 201T1C1心筋シンチグラフィにて欠損像の解離が認められた症例 |
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| Subtitle | 症例報告 |
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| Authors | 西村恒彦*, 栗田隆志**, 大江透**, 林田孝平*, 植原敏勇*, 三谷勇雄*, 岡尚嗣*, 林真* |
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| Authors(kana) | |
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| Organization | *国立循環器病センター放射線診療部, **心臓内科 |
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| Journal | 核医学 |
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| Volume | 26 |
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| Number | 3 |
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| Page | 419-423 |
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| Year/Month | 1989/3 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」 心室頻拍を有する心筋梗塞症例 (69歳男性) に123I-MIBG, 201T1C1による心筋シンチグラフィを施行した. planar, SPECT像ともに201T1C1における欠損像に比し, 123I-MIBGのそれは大きく両者に解離が認められた. 同部位は, 電気生理学的検査からfractionated activityを有する領域とよく一致した. 両者の使用により, "denervated but viable myocardium" の検出が可能であり, 今後, 123I-MIBGは不整脈との関連を含めた交感神経支配の面から心筋性状が評価できる可能性が示唆された. 「I. 緒言」 心筋梗塞症例において, 心筋壊死, 虚血と交感神経機能については, 心室頻拍などの不整脈の成因について電気生理や血中カテコラミン濃度との関連からの報告が多い. |
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| Practice | 臨床医学：一般 |
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| Keywords | 123I-MIBG myocardial imaging, 201T1C1 myocardial imaging, Myocardial infarction, Ventricular tachycardia |
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| English |
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| Title | A Case of Myocardial Infarction with Ventricular Tachycardia, which had Discrepancy of Defect Size between 123I-MIBG and 102T1C1 Myocardial Imaging |
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| Subtitle | |
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| Authors | Tsunehiko NISHIMURA*, Takashi KURITA**, Tohru OHE**, Kohei HAYASHIDA*, Toshiisa UEHARA*, Isao MITANI*, Hisashi OKA*, Makoto HAYASHI* |
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| Authors(kana) | |
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| Organization | *Department of Radiology, **Department of Cardiology, National Cardiovascular Center |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 26 |
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| Number | 3 |
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| Page | 419-423 |
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| Year/Month | 1989/3 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] 123I-MIBG and 201T1C1 myocardial imaging were carried out in 69 years-old man who had anterior myocardial infarction with ventricular tachycardia. In planar and SPECT imaging, the difect size of 123I-MIBG was larger compared to that of 201T1C1. The zone of fractionated activity was corresponded with the defect of 123I-MIBG. Thus, the denervated but viable myocardium could be detected by 123I-MIBG and 201T1C1 myocardial imaging. 123I-MIBG may give a useful clinical information, since denervation may play a role in causing ventricular arrhythmia after myocardial infarction. |
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| Practice | Clinical medicine |
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| Keywords | 123I-MIBG myocardial imaging, 201T1C1 myocardial imaging, Myocardial infarction, Ventricular tachycardia |
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