| Japanese |
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| Title | 動脈硬化性病変を有する症例におけるDipyridamole負荷心筋シンチグラフィの有用性 |
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| Subtitle | 原著 |
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| Authors | 外山卓二*, 西村恒彦*, 植原敏勇*, 下永田剛*, 林田孝平*, 濱田星紀*, 広瀬義晃*, 神長達郎*, 伊藤彰**, 野々木宏**, 土師一夫** |
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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 | 29 |
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| Number | 3 |
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| Page | 359-365 |
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| Year/Month | 1992/3 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」動脈硬化性血管病変のため十分な運動負荷を行えない症例に対し, 虚血性心疾患(IHD)の有無を確認するためにDipyridamole負荷心筋シンチグラフィ(DIP-Tl)を行い, その有用性を検討した. 対象は閉塞性動脈硬化症36例, 腹部大動脈瘤31例, 胸部大動脈瘤24例, 解離性大動脈瘤12例の合計103例である. IHDの既往はそれぞれに20例, 10例, 7例, 4例の合計41例(40%)に認めた. IHDの既往のある41例中, 27例(66%)に心筋シンチ陽性を呈し, 特にAAA(65%), ASO(80%)に多く認めた. IHDの既往のない62例中, 12例(19%)に心筋シンチ陽性を呈し, 特にAAA(39%)に多く認めた. また心筋シンチ陽性の38%と陰性でもIHDの既往のある症例を加えると, 全症例中51%にIHDを合併していることが示された. これらの動脈硬化性病変におけるIHDの合併率は高く, DIP-Tlはその検出に有用であると考えられた. |
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| Practice | 臨床医学：一般 |
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| Keywords | Dipyridamole, Thallium myocardial scintigraphy, Atherosclerotic vascular disease, Ischemic heart disease. |
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| English |
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| Title | Usefulness of 201Tl Myocardial Scintigraphy after Dipyridamole Infusion in Patients with Atherosclerotic Vascular Disease |
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| Subtitle | Original Articles |
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| Authors | Takuji TOYAMA*, Tsunehiko NISHIMURA*, Toshiisa UEHARA*, Tsuyoshi SHIMONAGATA*, Kohei HAYASHIDA*, Seiki HAMADA*, Yoshiaki HIROSE*, Tatsuro KAMINAGA*, Akira ITO**, Hiroshi NONOGI**, Kazuo HAZE** |
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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 | 29 |
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| Number | 3 |
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| Page | 359-365 |
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| Year/Month | 1992/3 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary]To determine the utility for detecting ischemic heart disease (IHD), Dipyridamole thallium myocardial images (DIP-Tl) have been performed in the 103 patients with atherosclerotic vascular disease who can't exercise fully. Of 103 patients, there were 36 patients with arteriosclerosis obliterans (ASO), 31 patients with aneurysm of the abdominal aorta (AAA), 24 patients with aneurysm of the thoracic aorta (TAA) and 12 patients with dissecting aortic aneurysm (DAA). Clinical evidence of IHD was found in 20 patients with ASO, 10 with AAA, 7 with TAA and 4 with DAA respectively. Positive evidence of DIP-Tl was identified in 66% of 41 patients who had clinical evidence of IHD, and particularly in the patients with AAA (80%) and ASO (65%). On the other hand, in the patients without clinical evidence of IHD, positive evidence of DIP-Tl was identified in 19% of 62 patients and particularly in the patients with AAA (39%). In all patients, the percentage of the positive DIP-TI ratio was 38%. And, when the 38% patients of the positive DIP-Tl were added to the patients of the negative DIP-Tl who had clinical evidence of IHD, almost half patients (51%) were considered to be complicated with IHD. This study suggests that the atherosclerotic vascular disease is highly complicated with IHD and DIP-Tl is useful to detect IHD. |
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| Practice | Clinical medicine |
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| Keywords | Dipyridamole, Thallium myocardial scintigraphy, Atherosclerotic vascular disease, Ischemic heart disease. |
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