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Myocardial imaging with 134m Cesium. Comparison of scintigraphic and cineradiographic results
Author(s) -
Eybel C. E.,
Turner D. A.,
Rayudu G. V. S.,
Fordham E. W.,
Friedman A. M.,
Messer J. V.
Publication year - 1979
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960020305
Subject(s) - medicine , cineangiography , myocardial infarction , cardiology , perfusion , myocardial imaging , collateral circulation , artery , coronary arteries , nuclear medicine , radiology
Thirty‐four patients had noninvasive myocardial perfusion imaging at rest using 134m Cs. The results were compared with the results of coronary cineangiography and left ventriculography. All 21 patients who had abnormal left ventriculograms had corresponding myocardial imaging defects. This group included 14 patients with electrocardiographic evidence of either an old inferior, anteroseptal, anterior, or anterolateral myocardial infarction. Thirteen patients had normal left ventriculograms: this group included 6 patients with 75% or greater obstruction of one or more coronary arteries and 7 patients with normal or insignificantly diseased vessels. Only 2 of these patients had abnormal myocardial images: both had severe obstruction of the proximal left anterior descending artery without collateral filling of this vessel. In the resting patient who has 134m Cs myocardial imaging, we concluded that we primarily are visualizing varying degrees of scarred myocardium rather than reversibly ischemic myocardium.

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