Tc-99m Myocardial Perfusion SPECT Findings of Angina Patients Showing Normal Coronary Angiography
Korean Circulation Journal
; : 366-372, 1998.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-179353
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
Tc-99m myocardial perfusion imaging agents have recently found wide spread use as detecting agents of coronary diseases. Unfortunately, false positive results are not infrequent.METHODS:
We analyzed Tc-99m myocardial perfusion SPECT (Tc-SPECT) findings in angina patients showing normal coronary angiography. Seventy patients who underwent myocardial SPECT wihin one month of coronary angiography which revealed no significant stenosis were studied.RESULTS:
Forty six (65.7%) patients showed perfusion defects on Tc-SPECT. Eighteen were due to soft tissue attenuation, thirteen were due to technical problems such as low count rate, six were associated with intraventricular conduction abnormalities, four with coronary spasms, three with old infarctions, and one with slow coronary flow.CONCLUSION:
Photon attenuation and inadequate count rates were the main causes of false positive results on myocardial SPECT imaging with Tc-99m agents. However, pathological conditions such as conduction disturbance, coronary spasm or slow coronary flow were also associated with positive SPECT findings in patients with normal coronary angiograms.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Perfusion
/
Spasm
/
Tomography, Emission-Computed, Single-Photon
/
Coronary Angiography
/
Constriction, Pathologic
/
Coronary Disease
/
Myocardial Perfusion Imaging
/
Infarction
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Circulation Journal
Year:
1998
Document type:
Article