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[Diagnosis using nuclear medicine of anterior descending artery stenosis in patients with left bundle branch block]. / Diagnóstico de lesão obstrutiva da artéria coronária descendente anterior em pacientes com bloqueio de ramo esquerdo através da medicina nuclear.
Smanio, P E; Martins, L R; Tazima, S; Meneghelo, R; Thom, A; Sousa, J E.
Afiliação
  • Smanio PE; Instituto Dante Pazzanese de Cardiologia, São Paulo.
Arq Bras Cardiol ; 65(5): 423-5, 1995 Nov.
Article em Pt | MEDLINE | ID: mdl-8729860
PURPOSE: To evaluate septal perfusion and contractility in patients with left bundle branch block (LBBB). METHODS: Twenty patients were submitted to myocardial scintigraphy with Tecnecium-99m isontrile after exercise and dipyridamole infusion. The septal contractility was observed during the radionuclide ventriculography. All patients were submitted to coronariography. RESULTS: Twenty patients were studied and 17 (85%) had a normal left anterior descending (LAD) artery. Nine (53%) patients had abnormalities in septal perfusion after the exercise and 2 (12%) after dipyridamole infusion. All patients had abnormalities in septal contractility during the radionuclide ventriculography. CONCLUSION: The myocardial scintigraphy after dipyridamole infusion showed better specificity in the diagnosis of a LAD lesion. The radionuclide ventriculography was an efficient method to evaluate the septal contraction abnormalities in patients with LBBB.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bloqueio de Ramo / Tecnécio Tc 99m Sestamibi / Compostos Radiofarmacêuticos / Doença das Coronárias Tipo de estudo: Diagnostic_studies / Observational_studies / Risk_factors_studies Limite: Humans / Middle aged Idioma: Pt Revista: Arq Bras Cardiol Ano de publicação: 1995 Tipo de documento: Article País de publicação: Brasil
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bloqueio de Ramo / Tecnécio Tc 99m Sestamibi / Compostos Radiofarmacêuticos / Doença das Coronárias Tipo de estudo: Diagnostic_studies / Observational_studies / Risk_factors_studies Limite: Humans / Middle aged Idioma: Pt Revista: Arq Bras Cardiol Ano de publicação: 1995 Tipo de documento: Article País de publicação: Brasil