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
Hauptverfasser: Greenspan, M, Iskandrian, A S, Mintz, G S, Croll, M N, Segal, B L, Kimbiris, D, Bemis, C E
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container_end_page 52
container_issue 1
container_start_page 47
container_title Chest
container_volume 77
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
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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. 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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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