| Japanese |
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| Title | 心不全を呈した冠動脈入口部狭窄症にて123I - BMIPP / 99mTc - tetrofosmin心筋SPECTが有用であった1症例 |
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| Subtitle | 症例報告 |
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| Authors | 木下法之*, 杉原洋樹**, 中村智樹*, 伊藤一貴*, 川田公一*, 辰巳哲也*, 東秋弘*, 中川雅夫* |
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| Organization | *京都府立医科大学第二内科, **放射線科 |
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| Journal | 核医学 |
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| Volume | 34 |
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| Number | 11 |
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| Page | 1021-1026 |
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| Year/Month | 1997/11 |
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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」心不全の病因推定に123I-BMIPP/99mTc-tetrofosmin心筋SPECTが有用であった症例を経験したので報告する. 症例は, 47歳, 女性. 1995年9月より易疲労感, 労作時息切れを自覚するも放置, 12月より症状が増悪し近医にて心不全と診断され当科に紹介され入院した. 断層心エコー所見にて左室拡張および左室のびまん性壁運動低下を示した. 安静時99mTc-tetrofosmin像で前壁, 心尖部に軽度集積低下, 123I-BMIPP像で前壁, 側壁, 心尖部に高度の集積低下を認めた. 99mTc-tetrofosmin像と123I-BMIPP像が乖離を認めたことより, 心不全の病因として虚血性心疾患を推定し, 冠動脈造影にて左冠状動脈主幹部に90%狭窄を確認した. 本例は, 閉経前の中年女性であり, 梅毒, 大動脈症候群等の既往なく, 冠硬化危険因子も認めなかったことから冠動脈入口部狭窄症と診断した. |
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| Practice | 臨床医学：一般 |
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| Keywords | 123I-BMIPP, 99mTc-tetrofosmin, SPECT, Isolated coronary ostial stenosis, CHF |
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| English |
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| Title | Usefulness of 123I - BMIPP and 99mTc - Tetrofosmin Myocardial SPECT in a Congestive Heart Failure Patient with Isolated Coronary Ostial Stenosis |
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| Subtitle | Case Report |
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| Authors | Noriyuki KINOASHITA*, Hiroki SUGIHARA**, Tomoki NAKAMURA*, Kazuki ITo*, Koichi KAWATA*, Tetsuya TATSUMI*, Akihiro AZUMA*, Masao NAKAGAWA* |
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| Authors(kana) | |
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| Organization | *Second Department of Medicine, Kyoto Prefectural University of Medicine, **Department of Radiology, Kyoto Prefectural University of Medicine |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 34 |
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| Number | 11 |
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| Page | 1021-1026 |
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| Year/Month | 1997/11 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary]We reported a 47-year-old female with congestive heart failure(CHF) of unknown origin. In this case, it was suggested that 123I-BMIPP and 99mTc-tetrofosmin myocardial SPECT images were useful in the diagnosis of CHF of unknown origin. She had complained of easy fatigability and dyspnea on effort since Sep. 1995. She was admitted to our hospital because of worsening of symptoms in Dec. 1995. Slightly decreased uptake in anterior, lateral and apical walls was recognized in 99mTc-tetrofosmin SPECT images, meanwhile, 123I-BMIPP SPECT images showed markedly reduced uptake in the same areas. This discordance in the distribution between 123I-BMIPP and 99mTc-tetrofosmin myocardial SPECT suggested that CHF was not due to dilated cardiomyopathy, but ischemic myocardial disease. Coronary angiography revealed 90% stenosis at the just proximal of left coronary artery. This case was diagnosed an isolated coronary ostial stenosis with CHF, because she was menstruated middle aged woman and did not have a history of aortitis syndrome, syphilis and coronary risk factor before. |
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| Practice | Clinical medicine |
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| Keywords | 123I-BMIPP, 99mTc-tetrofosmin, SPECT, Isolated coronary ostial stenosis, CHF |
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