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. 1978 Aug;40(8):870–873. doi: 10.1136/hrt.40.8.870

Clinical value of delayed thallium-201 myocardial imaging in suspected acute myocardial infarction.

J H McKillop, J G Turner, H W Gray, R G Bessent, W R Greig
PMCID: PMC483501  PMID: 687488

Abstract

Fifty patients with acute chest pain had thallium-201 myocardial imaging performed three to six days after emergency admission to hospital. The image was abnormal in 20 out of 22 patients with acute transmural myocardial infarcts but in only 1 of 5 with acute subendocardial infarcts. Indistinguishable scan abnormalities caused by old infarcts were seen in 7 patients, and caused by myocardial ischaemia in 1 patient. A single thallium-201 myocardial scan some days after the onset of symptoms appears to be of little value in the clinical assessment of patients with suspected acute myocardial infarction.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bradley-Moore P. R., Lebowitz E., Greene M. W., Atkins H. L., Ansari A. N. Thallium-201 for medical use. II: Biologic behavior. J Nucl Med. 1975 Feb;16(2):156–160. [PubMed] [Google Scholar]
  2. Holman B. L., Lesch M., Zweiman F. G., Temte J., Lown B., Gorlin R. Detection and sizing of acute myocardial infarcts with 99mTc (Sn) tetracycline. N Engl J Med. 1974 Jul 25;291(4):159–163. doi: 10.1056/NEJM197407252910401. [DOI] [PubMed] [Google Scholar]
  3. Mason J. W., Myers R. W., Alderman E. L., Stinson E. B., Goris M. L., Kriss J. P. Technetium-99m pyrophosphate myocardial uptake in patients with stable angina pectoris. Am J Cardiol. 1977 Jul;40(1):1–5. doi: 10.1016/0002-9149(77)90091-1. [DOI] [PubMed] [Google Scholar]
  4. McGuinness J. B., Begg T. B., Semple T. First electrocardiogram in recent myocardial infarction. Br Med J. 1976 Aug 21;2(6033):449–451. doi: 10.1136/bmj.2.6033.449. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. McNeilly R. H., Pemberton J. Duration of last attack in 998 fatal cases of coronary artery disease and its relation to possible cardiac resuscitation. Br Med J. 1968 Jul 20;3(5611):139–142. doi: 10.1136/bmj.3.5611.139. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Nishiyama H., Sodd V. J., Adolph R. J., Saenger E. L., Lewis J. T., Gabel M. Intercomparison of myocardial imaging agents: 201Ti, 129Cs, 43K, and 81Rb. J Nucl Med. 1976 Oct;17(10):880–889. [PubMed] [Google Scholar]
  7. Parkey R. W., Bonte F. J., Buja L. M., Stokely E. M., Willerson J. T. Myocardial infarct imaging with technetium-99m phosphates. Semin Nucl Med. 1977 Jan;7(1):15–28. doi: 10.1016/s0001-2998(77)80004-4. [DOI] [PubMed] [Google Scholar]
  8. Rossman D. J., Rouleau J., Strauss H. W., Pitt B. Detection and size estimation of acute myocardial infarction using 99Tc-glucoheptonate. J Nucl Med. 1975 Nov;16(11):980–985. [PubMed] [Google Scholar]
  9. Soin J. S., Cox J. D., Youker J. E., Swartz H. M. Cardiac localization of 99mTc-(Sn)-pyrophosphate following irradiation of the chest. Radiology. 1977 Jul;124(1):165–168. doi: 10.1148/124.1.165. [DOI] [PubMed] [Google Scholar]
  10. Strauss H. W., Harrison K., Langan J. K., Lebowitz E., Pitt B. Thallium-201 for myocardial imaging. Relation of thallium-201 to regional myocardial perfusion. Circulation. 1975 Apr;51(4):641–645. doi: 10.1161/01.cir.51.4.641. [DOI] [PubMed] [Google Scholar]
  11. Willerson J. T., Parkey R. W., Bonte F. J., Meyer S. L., Atkins J. M., Stokley E. M. Technetium stannous pyrophosphate myocardial scintigrams in patients with chest pain of varying etiology. Circulation. 1975 Jun;51(6):1046–1052. doi: 10.1161/01.cir.51.6.1046. [DOI] [PubMed] [Google Scholar]

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