| Japanese |
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| Title | 99mTc-PYPおよび201Tl-Clのdual isotope SPECTにより確診し得た右室梗塞の一例 |
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| Subtitle | ≪症例報告≫ |
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| Authors | 安達進*, 矢島隆司*, 杉本圭市*, 宮原康弘*, 村松靖次**, 廣江道昭***, 丸茂文昭*** |
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| Organization | *北信総合病院内科, **放射線科, ***東京医科歯科大学第二内科 |
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| Journal | 核医学 |
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| Volume | 28 |
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| Number | 2 |
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| Page | 185-189 |
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| Year/Month | 1991/2 |
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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」症例: 56歳, 男性, 現病歴:平成元年6月1日18時30分前胸部痛が生じ, 19時に救急車で来院した. 心電図上, II, III, aVFでSTの上昇, 白血球数8,600/mm3で急性心筋梗塞(下壁)と診断した. 血行動態は右房圧11mmHg, 右室圧24/5(13)mmHg, 肺動脈楔入圧10mmHgであり, 心エコー上も右室の拡大所見が得られ, 右室梗塞の合併が示唆された. 第6病日に99mTc-PYPおよび201Tl-Clを使用したdual isotope SPECTを施行したところ, 左室下壁に集積する99mTc-PYP像と連続的に右室側にも集積がみられ, 右室梗塞と確診した. 生前に左室梗塞に合併する右室梗塞を直接的に診断することは困難と考えられていたが, 今回, dual isotope SPECTにより本症と容易に確診し得た症例を経験したので報告する. |
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| Practice | 臨床医学：一般 |
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| Keywords | dual isotope SPECT, Acute inferior infarction, Right ventricular infarction. |
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| English |
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| Title | Right Ventricular Infarction Following Acute Inferior Myocardial Infarction Confirmed by Dual Isotope Single Photon Emission Computed Tomography (SPECT) of [99mTc] pyrophosphate and [201Tl] chloride |
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| Subtitle | - Case Report - |
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| Authors | Susumu ADACHI*, Takashi YAJIMA*, Keiichi SUGIMOTO*, Yasuhiro MIYAHARA*, Yasuji MURAMATSU**, Michiaki HIROE***, Fumiaki MARUMO*** |
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| Authors(kana) | |
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| Organization | *Department of Medicine, Hokushin General Hospital, **Department of Radiology, Hokushin General Hospital, ***The Second Department of Medicine, Tokyo Medical and Dental University |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 28 |
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| Number | 2 |
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| Page | 185-189 |
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| Year/Month | 1991/2 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] A 56-year-old man, complaining of severe substernal chest pain, was admitted. In this patient, right ventricular infarction following by acute inferior myocardia infarction was suggested by serial enzymes, electrocardiogram, echocardiogram, and hemodynamic data, but it was not confirmed. A dual isotope SPECT with 99mTc-pyrophosphate and 201Tl-Cl was performed and color-coded tomograms were obtained. It showed a characteristic image of right ventricular infarction, especially in the short axis view right ventricular infarction looked like shape of a tongue which protruded from left ventricle. We conclude that though the diagnosis of right ventricular infarction is difficult, a dual isotope SPECT is a useful method because it shows a characteristic image. |
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| Practice | Clinical medicine |
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| Keywords | dual isotope SPECT, Acute inferior infarction, Right ventricular infarction. |
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