ABSTRACT
Introducción: El índice de excentricidad (IE) obtenido con SPECT miocárdico permite evaluación de esfericidad ventricular izquierda en remodelación patológica. Objetivo: conocer IE en adultos con diversas condiciones cardíacas. Método: Grupo I: Controles (n=44) con >2 factores de riesgo cardiovascular exceptuando Diabetes Mellitus (DM); Grupo II: DM 2 (n=41). Ambos grupos asintomáticos sin enfermedad coronaria conocida. Grupo III: Con alteración de motilidad segmentaria y/o infarto de miocardio (n=64). Grupo IV: Dilatados (n=21) con alteraciones de motilidad difusa o miocardiopatías. Se utilizó Sestamibi-Tc99m y procesamiento QGS. (IE esfera valor
Background: The Eccentricity Index (EI) obtained with myocardial SPECT allows adequate assessment of left ventricular shape in pathological myocardial remodeling. Aim: To compare EIs in adults with different cardiac conditions. Methods: 170 patients were studied. Group I (n=44) were control subjects with >2 cardiovascular risk factors not including Diabetes Mellitus (DM); Group II (n=41) had type II DM. Patients in both groups were asymptomatic without known coronary artery disease or wall motion abnormalities. Group III (n=64) had seg-mental wall motion abnormality and/or myocardial infarction; Group IV (n=21) included patients with dilated ventricles and diffuse abnormal wall motion. We used gated 99mTc Sestamibi SPECT and QGS processing (EI sphere