Abstract |
Using global time-activity curves, the phase and amplitude at fundamental frequency were calculated, and emptying patterns of the right and left ventricles (RV,LV) were evaluated by phase difference [D(phase) = RV phase minus LV phase] and RV/LV amplitude ratio [ R(amp)]. In 21 subjects with normal cardiac function, D(phase) was minimal (mean 2.2 +/- 6.1 degrees), regardless of heart rate, and R(amp) was distributed from 0.31 to 0.92 (mean 0.57 +/- 0.20). In 19 patients of ventricular septal defect (VSD), R(amp) remained within the normal range, whereas D(phase) became larger in proportion to the ratio of pulmonary-to-systemic blood flow, Qp/Qs (p less than 0.001). Especially, cases with Qp/Qs over 2.0 showed a significant RV phase lag. By contrast, nine patients with patent ductus arteriosus (PDA), showed no RV phase lag, but--particularly in cases with Qp/Qs greater than 2.0--R(amp) was smaller than normal (p less than 0.001). Thus this method is valuable for pathophysiologic investigation of diseases with L-to-R shunt, and can help in the noninvasive differential diagnosis between VSD and PDA.
|
Authors | K Takeda |
Journal | Journal of nuclear medicine : official publication, Society of Nuclear Medicine
(J Nucl Med)
Vol. 24
Issue 9
Pg. 829-34
(Sep 1983)
ISSN: 0161-5505 [Print] United States |
PMID | 6224918
(Publication Type: Journal Article)
|
Chemical References |
- Serum Albumin
- Technetium Tc 99m Aggregated Albumin
- Technetium
|
Topics |
- Adolescent
- Adult
- Child
- Child, Preschool
- Ductus Arteriosus, Patent
(physiopathology)
- Erythrocytes
- Fourier Analysis
- Heart Septal Defects
(physiopathology)
- Heart Septal Defects, Ventricular
(physiopathology)
- Heart Ventricles
(physiopathology)
- Humans
- Infant
- Middle Aged
- Serum Albumin
- Technetium
- Technetium Tc 99m Aggregated Albumin
|