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潘生丁99m锝-MIBI心肌灌注显像在老年人中的应用

The Application Scintigraphic Imaging with Dipyridamole-Tc-99m-MIBI in the Elderly

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【作者】 钱忠豪杨一峰蒋长英陈灏珠

【Author】 Qian Zhonghao, Shanghai Institute of Cardiovascular Diseases , Zhong Shan Hospital, Shanghai Medical University, Shanghai 200032

【机构】 上海市心血管病研究所上海医科大学肿瘤医院上海市心血管病研究所 上海 200032上海 200032

【摘要】 本文对32例老年患者作了潘生丁99m锝-MIBI心肌灌注显像,结果正常心肌灌注显像5例,心肌局部持续性缺损5例,应激相缺损静息相充盈20例,应激相充盈静息相缺损2例。又对其中12例作了潘生丁201铊心肌灌注显像对照,符合率为100%。结果提示,该法可替代潘生丁或运动201铊心肌灌注显像,是适用于老年人的无创性诊断方法.

【Abstract】 Thirty-two elderly subjects were investigated by dipyridamole-Tc - 99m-MIBI myocardial perfusion imaging. The results demonstrate: The myocardial perfusion was normal cither before or after dipyridamole in 5 cases. There was a constant defect at rest and after dipyridamole in 5 cases. A defect appeared after dipyridamole But not at rest in 20 cases. The rest defect disappeared or improved after dipyridamole in 2 cases. 12 cases underwent Tl-201-dipyridamole -redistribution studies, the results were coincided with Tc-99m-MIBI-studies. It is concluded that Tl-201-dipyridamole myocardial imaging can be replaced by Tc-99m-MIBI-dipyridamole. and Tl-201-exercise myocardial imaging.

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