Abstract
The purpose of this study was to examine the longitudinal effect of gradual coronary occlusion on regional myocardial metabolism of 15-p-123I-iodophenyl pentadecanoic acid ([123I]IPPA). Adult dogs were imaged using [123I]IPPA and planar gamma imaging. A thoracotomy was performed and an ameroid constrictor of appropriate size permanently positioned on the left anterior descending coronary artery. The dogs were imaged after injection of 3–5 mCi [123I]IPPA at various times over a 2-week period. With imaging on days 7 and 14, the dogs were paced at a rate of 185. Time-activity curves were generated and t1/2 values calculated using monoexponential curve fitting. Results indicate a significant increase in t1/2 between control and 14 days after surgery in the apical wall (29±7 to 53±18 min;P<0.05). Although there was also an increased t1/2 in the lateral wall, this was not significant (27±8 to 78±99 min;P > 0.05). There was no significant change in t/12 in the septal wall (27±9 to 33±8 min;P>0.05). We conclude that [123I]IPPA is a useful indicator of
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Braunwald E, Sobel BE (1980) Coronary blood flow and myocardial ischemia. In: Braunwald E (ed) Heart disease — a textbook of cardiovascular medicine. Saunders, Toronto, pp 1292–1299
Brazier J, Hottenrott C, Buckberg G (1975) Noncoronary collateral myocardial blood flow. Ann Thorac Surg 19:426–435
Donald DE, Essex HE (1954) Pressure studies after inactivation of the major portion of the canine right ventricle. Am J Physiol 176:155–161
Dudezak R, Schmoliner R, Kletter K, Derfler DK, Frischauf H, Angelberger P, Losert U (1982) Myocardial turnover rates of I-123 heptadecanoic acid (HDA). In: Raynaud C (ed) Nuclear medicine and biology advances, book 3. Pergamon, New York, pp 2518–2521
Duwel CMB, Visser FC, Van Eenige MJ, Van der Lugt HAM, Roos JP (1987) The influence of glucose on the myocardial time-activity curve during 17-iodo-123 heptadecanoic acid scintigraphy. Nucl Med Commun 8:207–215
Fox KAA, Abendschein DR, Ambos HD, Sobel BE, Bergmann SR (1985) Efflux of metabolized and nonmetabolized fatty acid from canine myocardium implications for quantifying myocardial metabolism tomography. Circ Res 57:232–243
Hamby RI, Aintablian A, Schwartz A (1976) Reappraisal of the functional significance of the coronary collateral circulation. Am J Cardiol 38:305–309
Hansen CL, Corbett JR, Pippin JJ, Jansen DE, Kulkarni PV, Ugolini V, Henderson E, Akers M, Buja LM, Parkey RW, Willerson JT (1988) Iodine-123 phenylpentadecanoic acid and single photon emission computed tomography in identifying left ventricular regional metabolic abnormalities in patients with coronary heart disease: comparison with thallium-201 myocardial tomography. J Am Coll Cardiol 12:78–87
Kennedy PL, Corbett JR, Kulkarni PV, Wolfe CL, Jansen DE, Hansen CL, Buja LM, Parkey RW, Willerson JT (1986) Iodine-123-phenylpentadecanoic acid myocardial scintigraphy: usefulness in the identification of myocardial ischemia. Circulation 74:1007–1015
Kulkarni PV, Parkey RW (1982) A new radioiodination method utilizing organothallium intermediate: radioiodination of phenylpentadecanoic acid (PPA) for potential applications in myocardial imaging. J Nucl Med 23:105
Lerch R (1986) Effect of impaired fatty acid and oxidation on myocardial kinetics of 11C- and 123I-labeled fatty acids. Eur J Nucl Med 12 [Suppl]:S36-S38
Machulla HJ, Marsmann M, Dutschka K (1980) Biochemical concept and synthesis of a radioiodinated phenyl fatty acid for in vivo metabolic studies of the myocardium. Eur J Nucl Med 5:171–173
Miller DD, Gill JB, Livni E, Elmaleh DR, Aretz T, Boucher CA, Strauss HW (1988) Fatty acid analogue accumulation: a marker of myocyte viability in ischemic-reperfused myocardium. Circ Res 63:681–692
Miller ME (1964) The heart. In: Miller ME, Christensen GC, Evans HE (eds) Anatomy of the dog. Saunders, Philadelphia, pp 283–287
Reimer KA, Jennings RB (1986) Myocardial ischemia, hypoxia and infarction. In: Fozzard HA, Jennings RB (eds) The heart and cardiovascular system. Scientific Foundations, Raven, New York, pp 1133–1202
Reske SN, Machulla HJ, Biersack HJ, Simon H, Knopp R, Winkler C (1982a) Metabolic turnover of p-I-123 phenylpentadecanoic acid in the myocardium. In: Raynaud C (ed) Nuclear medicine and biology. Proceeding of the Third World Congress of Nuclear Medicine and Biology, Paris. Pergamon, Oxford, pp 2522–2525
Reske SW, Biersack HJ, Lackner K (1982b) Assessment of regional myocardial uptake and metabolism of omega-(p-I-123-phenyl) pentadecanoic acid with serial single-photon emission tomography. Nucl Med 21:249–253
Reske SN, Schoen S, Knust EJ (1984) Relation of myocardial blood flow and initial cardiac uptake of 15-(p-I-123-phenyl)pentadecanoic acid in the canine heart. Nucl Med 23:83–85
Reske SN, Sauer W, Machulla HJ, Knust J, Winkler C (1985) Metabolism of 15(p123Iodophenyl-) pentadecanoic acid in heart muscle and noncardiac tissues. Eur J Nucl Med 10:228–234
Reske SW, Schon S, Schmitt W, Machulla HJ, Knoop R, Winkler C (1986) Effect of myocardial perfusion and metabolic interventions on cardiac kinetics of phenylpentadecanoic acid (IPPA)I123. Eur J Nucl Med 12 [Suppl]:S27-S31
Scheel KW, Fitzgerald EM, Martin RO, Larsen RA (1979) The possible role of mechanical stresses on coronary collateral development during gradual coronary occlusion. In: Sehaper W (ed) The pathophysiology of myocardial perfusion. Elsevier/North-Holland Biomedical, New York, pp 489–578
Schelbert HR (1986) Assessment of myocardial metabolism by PET — a sophisticated dream or clinical reality? Eur J Nucl Med 12 [Suppl]:570–575
Sochor H, Ogris E, Pachinger O, Kaindle F (1986) Myocardial metabolism - a new dimension in cardiac imaging? Eur J Nucl Med 12 [Suppl]:S1
Trump BF, Cowley RA (eds) (1984) Pathophysiology of shock, anoxia and ischemia. Williams & Wilkins, Baltimore, pp 3–153
Van der Wall EE, Den Hollander W, Heidendal GAK, Westera G, Majid PA, Roos JP (1981) Dynamic myocardial scintigraphy with 123I-labeled free fatty acids in patients with myocardial infarction. Eur J Nucl Med 6:383–389
Van der Wall EE, Heidendal GAK, Den Hollander W, Westera G, Roos JP (1983a) Myocardial scintigraphy with 123I-labeled heptadecanoic acid in patients with angina pectoris. J Nucl Med 6:391–396
Van der Wall EE, Heidendal GAK, Den Hollander W, Westera G, Roos JP (1983b) Myocardial scintigraphy with 123I-labeled heptadecanoic acid in patients with unstable angina pectoris. Postgrad Med J 59 [Suppl 3]:38–40
Van der Wall EE, Kerkkamp HJJ, Lubsen J, Simoons ML, Van Rijk PP, Reiber JHC, Bom N, Roos JP, Lie KI (1985) Left ventricular performance in unstable angina: assessment with radionuclide techniques. Int J Cardiol 8:287–299
Van Eenige MJ, Visser FC, Duwel CMB, Bezemer PD, Westera G, Karreman AJP, Roos JP (1987) Analysis of myocardial time activity curves of 123I-heptadecanoic acid. 1. Curve fitting. Nucl Med 26:241–247
Vyska K, Machulla HJ, Stremmel W, Fabbender D, Knapp WH, Notohamiprodjo G, Gleichmann U, Meyer H, Knust EJ, Korfer R (1988) Regional myocardial free fatty acid extraction in normal and ischemic myocardium. Circulation 78:1218–1233
Westera G, Visser FC (1985) Myocardial uptake of radioactivity labeled free fatty acids. Eur Heart J 6 [Suppl B]:3–12
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This work was supported by the British Columbia Heart Foundation
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Hudon, M.P.J., Lyster, D.M., Jamieson, W.R.E. et al. The metabolism of 15-p-[123I]-iodophenylpentadecanoic acid in a surgically induced canine model of regional ischemia. Eur J Nucl Med 16, 199–204 (1990). https://doi.org/10.1007/BF00842769
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DOI: https://doi.org/10.1007/BF00842769