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Relationship between various parameters derived from 123I-labelled beta-methyl-branched fatty acid whole-body scintigraphy and left ventricular ejection fraction in patients with ischaemic heart disease.

Abstract
Heart uptake and clearance of 123I-15-(p-iodophenyl)-3(R,S)-methyl- pentadecanoic acid (BMIPP) by whole-body scintigraphy in relation to left ventricular ejection fraction (LVEF) was evaluated in 34 patients with ischaemic heart disease. At 45 and 210 min after injection, anterior whole-body images were obtained. In each patient, multigated blood pool scintigraphy was also performed, and LVEF was calculated. The percentage heart uptake of BMIPP did not have a significant correlation with LVEF (R = -0.299, NS). In contrast, there was a positive correlation between LVEF measured by multigated blood pool scintigraphy and BMIPP count density of the heart (R = 0.467, P = 0.005). Myocardial BMIPP washout rate also positively correlated with LVEF (R = 0.472, P = 0.005). In addition to these observations, there was a positive correlation between the BMIPP count density of the heart and myocardial BMIPP washout rate (R = 0.0543, P = 0.001). Thus, the BMIPP count density of the heart and myocardial BMIPP washout rate derived from BMIPP whole-body scintigraphy directly correlated with LVEF. However, the correlations between these parameters and LVEF were not strong enough to allow left ventricular dysfunction to be assessed precisely.
AuthorsI Matsunari, T Saga, J Taki, Y Akashi, T Wakasugi, J I Hirai, T Aoyama, M Matoba, T Nishikawa, K Ichiyanagi
JournalNuclear medicine communications (Nucl Med Commun) Vol. 15 Issue 9 Pg. 685-9 (Sep 1994) ISSN: 0143-3636 [Print] England
PMID7816380 (Publication Type: Clinical Trial, Journal Article)
Chemical References
  • Fatty Acids
  • Iodine Radioisotopes
  • Iodobenzenes
  • iodofiltic acid
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Fatty Acids
  • Female
  • Humans
  • Iodine Radioisotopes
  • Iodobenzenes (pharmacokinetics)
  • Male
  • Middle Aged
  • Myocardial Infarction (diagnostic imaging, physiopathology)
  • Myocardial Ischemia (diagnostic imaging, physiopathology)
  • Myocardium (metabolism)
  • Regression Analysis
  • Tomography, Emission-Computed
  • Ventricular Function, Left

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