Exercise myocardial scintigraphy with 201-thallium. Use in patients with mitral valve prolapse without associated coronary artery disease
Thirty patients with angiographically documented mitral valve prolapse but without associated coronary artery disease, underwent exercise 201thallium myocardial scintigraphy. The resting ECG demonstrated ST segment abnormalities in 15 patients (50 percent). The exercise ECGs were abnormal in two pat...
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Veröffentlicht in: | Chest 1980-01, Vol.77 (1), p.47-52 |
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creator | Greenspan, M Iskandrian, A S Mintz, G S Croll, M N Segal, B L Kimbiris, D Bemis, C E |
description | Thirty patients with angiographically documented mitral valve prolapse but without associated coronary artery disease, underwent
exercise 201thallium myocardial scintigraphy. The resting ECG demonstrated ST segment abnormalities in 15 patients (50 percent).
The exercise ECGs were abnormal in two patients (6.7 percent), normal in four (13.3 percent), and inconclusive in 24 patients
(80 percent). Two patients (6.7 percent) had abnormal exercise myocardial scintigraphy (both patients had abnormal exercise
ECGs). Two additional patients (6.7 percent) had perfusion abnormalities in the rest images that did not change with exercise.
Twenty-six patients (86.4 percent) had normal scans. We conclude that the majority of patients with mitral valve prolapse
have normal exercise 201thallium images in the absence of associated coronary artery disease and exercise electrocardiography
is of limited value in patients with mitral valve prolapse because the results are frequently (80 percent) inconclusive. |
doi_str_mv | 10.1378/chest.77.1.47 |
format | Article |
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exercise 201thallium myocardial scintigraphy. The resting ECG demonstrated ST segment abnormalities in 15 patients (50 percent).
The exercise ECGs were abnormal in two patients (6.7 percent), normal in four (13.3 percent), and inconclusive in 24 patients
(80 percent). Two patients (6.7 percent) had abnormal exercise myocardial scintigraphy (both patients had abnormal exercise
ECGs). Two additional patients (6.7 percent) had perfusion abnormalities in the rest images that did not change with exercise.
Twenty-six patients (86.4 percent) had normal scans. We conclude that the majority of patients with mitral valve prolapse
have normal exercise 201thallium images in the absence of associated coronary artery disease and exercise electrocardiography
is of limited value in patients with mitral valve prolapse because the results are frequently (80 percent) inconclusive.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.77.1.47</identifier><identifier>PMID: 7351146</identifier><language>eng</language><publisher>United States: American College of Chest Physicians</publisher><subject>Adult ; Aged ; Cardiac Catheterization ; Echocardiography ; Electrocardiography ; Female ; Heart - diagnostic imaging ; Heart Function Tests ; Humans ; Male ; Middle Aged ; Mitral Valve Prolapse - diagnostic imaging ; Physical Exertion ; Radioisotopes ; Radionuclide Imaging ; Thallium</subject><ispartof>Chest, 1980-01, Vol.77 (1), p.47-52</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7351146$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Greenspan, M</creatorcontrib><creatorcontrib>Iskandrian, A S</creatorcontrib><creatorcontrib>Mintz, G S</creatorcontrib><creatorcontrib>Croll, M N</creatorcontrib><creatorcontrib>Segal, B L</creatorcontrib><creatorcontrib>Kimbiris, D</creatorcontrib><creatorcontrib>Bemis, C E</creatorcontrib><title>Exercise myocardial scintigraphy with 201-thallium. Use in patients with mitral valve prolapse without associated coronary artery disease</title><title>Chest</title><addtitle>Chest</addtitle><description>Thirty patients with angiographically documented mitral valve prolapse but without associated coronary artery disease, underwent
exercise 201thallium myocardial scintigraphy. The resting ECG demonstrated ST segment abnormalities in 15 patients (50 percent).
The exercise ECGs were abnormal in two patients (6.7 percent), normal in four (13.3 percent), and inconclusive in 24 patients
(80 percent). Two patients (6.7 percent) had abnormal exercise myocardial scintigraphy (both patients had abnormal exercise
ECGs). Two additional patients (6.7 percent) had perfusion abnormalities in the rest images that did not change with exercise.
Twenty-six patients (86.4 percent) had normal scans. We conclude that the majority of patients with mitral valve prolapse
have normal exercise 201thallium images in the absence of associated coronary artery disease and exercise electrocardiography
is of limited value in patients with mitral valve prolapse because the results are frequently (80 percent) inconclusive.</description><subject>Adult</subject><subject>Aged</subject><subject>Cardiac Catheterization</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Heart - diagnostic imaging</subject><subject>Heart Function Tests</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mitral Valve Prolapse - diagnostic imaging</subject><subject>Physical Exertion</subject><subject>Radioisotopes</subject><subject>Radionuclide Imaging</subject><subject>Thallium</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1980</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotkUlPwzAQhS0EgrIcOSL5xC3BW-L4iCo2qRIXOEdTx22MnAXbaelP4F_j0p5GnvfZ8_wGoVtKcspl9aBbE2IuZU5zIU_QjCpOM14IfopmhFCW8VKxC3QZwhdJZ6rKc3QueUGpKGfo9-nHeG2Dwd1u0OAbCw4Hbfto1x7Gdoe3NraYEZrFFpyzU5fjz4TbHo8QreljOCCdjT7d3YDbGDz6wcGYsL00TBFDCIO2EE2D9eCHHvwOg48mlSZNh2Cu0dkKXDA3x3qFPp6fPuav2eL95W3-uMhaRcsMNGFCrpZKC6lK3ZCKSVZRoor0JS2IrCgrVGWqsiCqKYVmq2rfEtSsCg2MX6H7w7PJ4veUoqs7G7RxDnozTKGWQpUpG57AuyM4LTvT1KO3XXJdH6NLenbQW7tut9abOnQpoETz-n8nX8Pke3BS1rQWkv8BRwqC2w</recordid><startdate>19800101</startdate><enddate>19800101</enddate><creator>Greenspan, M</creator><creator>Iskandrian, A S</creator><creator>Mintz, G S</creator><creator>Croll, M N</creator><creator>Segal, B L</creator><creator>Kimbiris, D</creator><creator>Bemis, C E</creator><general>American College of Chest Physicians</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19800101</creationdate><title>Exercise myocardial scintigraphy with 201-thallium. Use in patients with mitral valve prolapse without associated coronary artery disease</title><author>Greenspan, M ; Iskandrian, A S ; Mintz, G S ; Croll, M N ; Segal, B L ; Kimbiris, D ; Bemis, C E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h916-ac0247fb9c4796cd0827281095735c407812598e86509d64c2f8812541ef5ca23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1980</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cardiac Catheterization</topic><topic>Echocardiography</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Heart - diagnostic imaging</topic><topic>Heart Function Tests</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mitral Valve Prolapse - diagnostic imaging</topic><topic>Physical Exertion</topic><topic>Radioisotopes</topic><topic>Radionuclide Imaging</topic><topic>Thallium</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Greenspan, M</creatorcontrib><creatorcontrib>Iskandrian, A S</creatorcontrib><creatorcontrib>Mintz, G S</creatorcontrib><creatorcontrib>Croll, M N</creatorcontrib><creatorcontrib>Segal, B L</creatorcontrib><creatorcontrib>Kimbiris, D</creatorcontrib><creatorcontrib>Bemis, C E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Greenspan, M</au><au>Iskandrian, A S</au><au>Mintz, G S</au><au>Croll, M N</au><au>Segal, B L</au><au>Kimbiris, D</au><au>Bemis, C E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exercise myocardial scintigraphy with 201-thallium. Use in patients with mitral valve prolapse without associated coronary artery disease</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1980-01-01</date><risdate>1980</risdate><volume>77</volume><issue>1</issue><spage>47</spage><epage>52</epage><pages>47-52</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><abstract>Thirty patients with angiographically documented mitral valve prolapse but without associated coronary artery disease, underwent
exercise 201thallium myocardial scintigraphy. The resting ECG demonstrated ST segment abnormalities in 15 patients (50 percent).
The exercise ECGs were abnormal in two patients (6.7 percent), normal in four (13.3 percent), and inconclusive in 24 patients
(80 percent). Two patients (6.7 percent) had abnormal exercise myocardial scintigraphy (both patients had abnormal exercise
ECGs). Two additional patients (6.7 percent) had perfusion abnormalities in the rest images that did not change with exercise.
Twenty-six patients (86.4 percent) had normal scans. We conclude that the majority of patients with mitral valve prolapse
have normal exercise 201thallium images in the absence of associated coronary artery disease and exercise electrocardiography
is of limited value in patients with mitral valve prolapse because the results are frequently (80 percent) inconclusive.</abstract><cop>United States</cop><pub>American College of Chest Physicians</pub><pmid>7351146</pmid><doi>10.1378/chest.77.1.47</doi><tpages>6</tpages></addata></record> |
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source | MEDLINE; Alma/SFX Local Collection |
subjects | Adult Aged Cardiac Catheterization Echocardiography Electrocardiography Female Heart - diagnostic imaging Heart Function Tests Humans Male Middle Aged Mitral Valve Prolapse - diagnostic imaging Physical Exertion Radioisotopes Radionuclide Imaging Thallium |
title | Exercise myocardial scintigraphy with 201-thallium. Use in patients with mitral valve prolapse without associated coronary artery disease |
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