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.