QUANTITATIVE ESTIMATION OF THE RIGHT VENTRICULAR OVERLOADING BY THALLIUM-201 MYOCARDIAL SCINTIGRAPHY

Thallium-201 myocardial scintigraphy was performed on 55 patients with various types of right ventricular overloading. The right ventricular (RV) free wall was visualized in 39 out of the 55 patients (71%). The mean values of right ventricular systolic pressure (RVSP) and pulmonary artery mean press...

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Veröffentlicht in:JAPANESE CIRCULATION JOURNAL 1982/07/20, Vol.46(7), pp.715-724
Hauptverfasser: OWADA, KENJI, MACHII, KAZUO, TSUKAHARA, YASUNORI, AWANO, NAOYUKI, KIJIMA, MIKIHIRO, MIYAZAKI, YOSHIHIRO, ONO, KAZUO, EBITANI, SUSUMU, MUROI, SHUICHI, IKEDA, KIYOHIRO, UCHIDA, TATSUMI, KARIYONE, SHIGEO
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container_issue 7
container_start_page 715
container_title JAPANESE CIRCULATION JOURNAL
container_volume 46
creator OWADA, KENJI
MACHII, KAZUO
TSUKAHARA, YASUNORI
AWANO, NAOYUKI
KIJIMA, MIKIHIRO
MIYAZAKI, YOSHIHIRO
ONO, KAZUO
EBITANI, SUSUMU
MUROI, SHUICHI
IKEDA, KIYOHIRO
UCHIDA, TATSUMI
KARIYONE, SHIGEO
description Thallium-201 myocardial scintigraphy was performed on 55 patients with various types of right ventricular overloading. The right ventricular (RV) free wall was visualized in 39 out of the 55 patients (71%). The mean values of right ventricular systolic pressure (RVSP) and pulmonary artery mean pressure (PAMP) in the visualized cases (uptakers) were 54.6±24.1 and 30.5±15.3 mmHg, respectively. These values were significantly higher than those of the non-visualized cases (non-uptakers). There were 12 RVSP-"normotensive" uptakers and 15 PAMP-"normotensive" uptakers. The RV free wall images were classified into three types according to their morphological features. Type I was predominantly seen in cases of RV pressure overloading, type II in RV volume overloading and type III in combined ventricular overloading. RVSP in the type III group was significantly higher than that in other two groups. The radioactivity ratio in RV free wall and interventricular septum (IVS), the RV/IVS uptake ratio was calculated using left anterior oblique (LAO) view images. The RV/IVS uptake ratio closely correlated with RVSP and PAMP (r = 0.88 and 0.82, respectively). In each group of RV free wall image, there were also close correlations between the RV/IVS uptake ratio and both RVSP and PAMP. Our results indicate that the RV/IVS uptake ratio can be used as a parameter for the semi-quantitative estimation of right ventricular overloading.
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The right ventricular (RV) free wall was visualized in 39 out of the 55 patients (71%). The mean values of right ventricular systolic pressure (RVSP) and pulmonary artery mean pressure (PAMP) in the visualized cases (uptakers) were 54.6±24.1 and 30.5±15.3 mmHg, respectively. These values were significantly higher than those of the non-visualized cases (non-uptakers). There were 12 RVSP-"normotensive" uptakers and 15 PAMP-"normotensive" uptakers. The RV free wall images were classified into three types according to their morphological features. Type I was predominantly seen in cases of RV pressure overloading, type II in RV volume overloading and type III in combined ventricular overloading. RVSP in the type III group was significantly higher than that in other two groups. The radioactivity ratio in RV free wall and interventricular septum (IVS), the RV/IVS uptake ratio was calculated using left anterior oblique (LAO) view images. The RV/IVS uptake ratio closely correlated with RVSP and PAMP (r = 0.88 and 0.82, respectively). In each group of RV free wall image, there were also close correlations between the RV/IVS uptake ratio and both RVSP and PAMP. 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The RV/IVS uptake ratio closely correlated with RVSP and PAMP (r = 0.88 and 0.82, respectively). In each group of RV free wall image, there were also close correlations between the RV/IVS uptake ratio and both RVSP and PAMP. 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The right ventricular (RV) free wall was visualized in 39 out of the 55 patients (71%). The mean values of right ventricular systolic pressure (RVSP) and pulmonary artery mean pressure (PAMP) in the visualized cases (uptakers) were 54.6±24.1 and 30.5±15.3 mmHg, respectively. These values were significantly higher than those of the non-visualized cases (non-uptakers). There were 12 RVSP-"normotensive" uptakers and 15 PAMP-"normotensive" uptakers. The RV free wall images were classified into three types according to their morphological features. Type I was predominantly seen in cases of RV pressure overloading, type II in RV volume overloading and type III in combined ventricular overloading. RVSP in the type III group was significantly higher than that in other two groups. The radioactivity ratio in RV free wall and interventricular septum (IVS), the RV/IVS uptake ratio was calculated using left anterior oblique (LAO) view images. The RV/IVS uptake ratio closely correlated with RVSP and PAMP (r = 0.88 and 0.82, respectively). In each group of RV free wall image, there were also close correlations between the RV/IVS uptake ratio and both RVSP and PAMP. Our results indicate that the RV/IVS uptake ratio can be used as a parameter for the semi-quantitative estimation of right ventricular overloading.</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>7097976</pmid><doi>10.1253/jcj.46.715</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0047-1828
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subjects Adolescent
Adult
Female
Heart - diagnostic imaging
Heart Defects, Congenital - diagnostic imaging
Heart Ventricles - diagnostic imaging
Humans
IVS uptake ratio
Male
Middle Aged
Radioisotopes
Radionuclide Imaging
Right ventricular overloading
Right ventricular wall image
Thallium
Thallium-201 myocardial scintigraphy
title QUANTITATIVE ESTIMATION OF THE RIGHT VENTRICULAR OVERLOADING BY THALLIUM-201 MYOCARDIAL SCINTIGRAPHY
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