False-positive Tl-201 SPECT studies in patients with left bundle branch block. Frequency and clinical significance.
This study reports on the frequency and clinical significance of false-positive thallium studies in the interventricular septum in patients with left bundle branch block. In a 3-year period, 93 studies were performed on patients with complete left bundle branch block and sinus rhythm. Of these, 29 had a reversible septal defect; 17 are scored false-positive although only six had angiographic proof of normal left anterior descending coronary arteries. We conclude that thallium scintigraphy is indicated in patients with left bundle branch block, but caution is justified when reversible ischemia is demonstrated scintigraphically.
Kipper
M S
MS
Department of Nuclear Medicine, North County Medi-Scan, Vista, California 92083.
Grosshans
C
C
Ashburn
W L
WL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002037:Bundle-Branch Block / Q000150:complications / Q000000981:diagnostic imaging* / Q000453:epidemiology; D005189:False Positive Reactions; D005260:Female; D006343:Heart Septal Defects / Q000150:complications / Q000000981:diagnostic imaging* / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013794:Thallium Radioisotopes; D015899:Tomography, Emission-Computed, Single-Photon
D013794:Thallium Radioisotopes