[Myocardial scintigraphy. Clinical use and consequence in a non-invasive cardiological department].
BACKGROUND
Myocardial perfusion imaging (MPI) is increasingly used for the diagnosis of ischaemic heart disease. The method is particularly applied as a gate keeper before coronary angiography (CAG) in patients with intermediate probability for ischaemic heart disease. This study aimed to analyse the clinical use of MPI in a university hospital without invasive cardiological laboratory.


METHODS
In the period 01.01.2002 to 31.12.2003, 259 patients (141 women, 118 men) were referred to MPI from our department of cardiology.


RESULTS
Normal MPI was seen in 111 patients (43%), whereas reversible ischaemia was seen in 88 patients (34%) and led to referral of 52 patients (59%) to CAG. 17 patients (19%) continued clinical control, and 19 cases (22%) were closed. Correlating results between MPI and all performed CAGs were found in 42 patients (61%), and divergent results were seen in 27 (39%) patients.


CONCLUSIONS
Referral to CAG is primarily based on the combination of the results of MPI and the clinical symptoms of ischaemic heart disease.
Dümcke
Christine E Winkler
CE
H:S Hvidovre Hospital, Klinisk Fysiologisk/Nuklearmedicinsk Afdeling. christine.duemcke@hh.hosp.dk
Graff
Jesper
J
Rasmussen
Søren Poul Lind
SP
Madsen
Jan Lysgård
JL
Møller
Søren
S
D000328:Adult; D000368:Aged; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D012017:Referral and Consultation; D012189:Retrospective Studies