title: ECG gated thallium 201 myocardial images: value in detecting multivessel disease in patients on anti anginal therapy 1-3 months after myocardial infarction.
abstract: ECG gated 201Tl scintigraphy was compared to non gated images for detecting 2-3 vessel disease 1-3 months after a first uncomplicated myocardial infarction. In all, 111 patients on anti anginal treatment underwent coronary arteriography and stress thallium imaging; 39 showed single vessel disease (SVD), and 72 multivessel disease (MVD). Sensitivity of black and white analog images was 82% for SVD and 8% for MVD. Sensitivity of computerized colored static images was 87% for SVD and 33% for MVD. For gated images, sensitivity was 100% and 92% in patients with SVD and MVD respectively. Specificity for detecting MVD was 95% for black and white images, 77% for computerized colored static images, and 69% for ECG gated images. Thus, ECG gated exercise 201TL scintigraphy is useful for predicting the extent of coronary artery disease 1-3 months after myocardial infarction in patients on anti anginal therapy.
authors.affiliation: Laboratoire d'Explorations Cardiovasculaires, Hôpital de Bicêtre, Kremlin-Bicêtre, France.
authors.forename: H
authors.initials: H
authors.lastname: Valette
authors.forename: M H
authors.initials: MH
authors.lastname: Bourguignon
authors.forename: D
authors.initials: D
authors.lastname: Le Guludec
authors.forename: P
authors.initials: P
authors.lastname: Merlet
authors.forename: P J
authors.initials: PJ
authors.lastname: Dove
authors.forename: J P
authors.initials: JP
authors.lastname: Kiger
authors.forename: M
authors.initials: M
authors.lastname: Slama
authors.forename: G
authors.initials: G
authors.lastname: Motté
authors.forename: C
authors.initials: C
authors.lastname: Raynaud
authors.forename: A
authors.initials: A
authors.lastname: Syrota
mesh_terms: D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000503:physiopathology; D003116:Color; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000503:physiopathology; D004562:Electrocardiography; D005069:Evaluation Studies as Topic; D005080:Exercise Test; D005260:Female; D006801:Humans; D007090:Image Interpretation, Computer-Assisted / Q000379:methods; D007091:Image Processing, Computer-Assisted / Q000379:methods; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D011237:Predictive Value of Tests; D011379:Prognosis; D011877:Radionuclide Imaging; D013794:Thallium Radioisotopes; D013997:Time Factors
chemical_list: D013794:Thallium Radioisotopes