This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Leppo, J. Articles by Scheuer, J. Search for Related Content PubMed PubMed Citation Articles by Leppo, J. Articles by Scheuer, J.

Circulation, Vol 59, 714-721, Copyright © 1979 by American Heart Association

ARTICLES

Thallium-201 myocardial scintigraphy in patients with triple-vessel disease and ischemic exercise stress tests

J Leppo, T Yipintsoi, R Blankstein, R Bontemps, LM Freeman, L Zohman and J Scheuer

Thirty patients with triple-vessel coronary artery disease proven by angiography, symptomatic angina and a positive ECG stress test were evaluated with thallium-201 (201TI) scintigraphy. Twenty patients also had aortocoronary saphenous vein bypass surgery; 15 of them had repeat noninvasive evaluation. Seventy percent of these patients showed ischemia by 201TI scintigraphy, of which one-half returned to normal after surgery. Postoperative reversion of the ECG stress test together with 201TI stress/reperfusion imaging correlated well with the completeness of surgical revascularization. We could not explain the prevalence (80%) of infarcts detected by 201TI in this group, of which 76% could be anatomically correlated to epicardial scars. The positivity of infarcts by 201TI exceeded that predicted by previous history of infarction, Q waves on resting ECG or ventriculographic akinesis. These observations suggest that 201TI scintigraphy is a useful noninvasive tool in the follow-up and understanding of patients with coronary heart disease. These conclusions also support the concept that 201TI stress imaging need not have the identical connotation as the ECG stress test.

This article has been cited by other articles:

				J.-F. Baron, O. Mundler, M. Bertrand, E. Vicaut, E. Barre, G. Godet, C. M. Samama, P. Coriat, E. Kieffer, and P. Viars Dipyridamole-Thallium Scintigraphy and Gated Radionuclide Angiography to Assess Cardiac Risk before Abdominal Aortic Surgery N. Engl. J. Med., March 10, 1994; 330(10): 663 - 669. [Abstract] [Full Text]

				T. S. Kotler and G. A. Diamond Exercise Thallium-201 Scintigraphy in the Diagnosis and Prognosis of Coronary Artery Disease Ann Intern Med, November 1, 1990; 113(9): 684 - 702. [Abstract] [PDF]

				S. Kaul, J. B. Newell, D. A. Chesler, G. M. Pohost, R. D. Okada, T. E. Guiney, and C. A. Boucher Value of Computer Analysis of Exercise Thallium Images in the Noninvasive Detection of Coronary Artery Disease JAMA, January 24, 1986; 255(4): 508 - 511. [Abstract] [PDF]