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ECG gated thallium 201 myocardial images: Value in detecting multivessel disease in patients on anti anginal therapy 1–3 months after myocardial infarction

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Abstract

ECG gated201T1 scintigraphy was compared to non gated images for detecting 2–3 vessel disease 1–3 months after a first uncomplicated myocardial infarction. In all, 111 patients on anti anginal treatment underwent coronary arteriography and stress thallium imaging; 39 showed single vessel disease (SVD), and 72 multivessel disease (MVD). Sensitivity of black and white analog images was 82% for SVD and 8% for MVD. Sensitivity of computerized colored static images was 87% for SVD and 33% for MVD. For gated images, sensitivity was 100% and 92% in patients with SVD and MVD respectively. Specificity for detecting MVD was 95% for black and white images, 77% for computerized colored static images, and 69% for ECG gated images. Thus, ECG gated exercise201TL scintigraphy is useful for predicting the extent of coronary artery disease 1-3 months after myocardial infarction in patients on anti anginal therapy.

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Author notes

  1. Héric Valette

    Present address: , 78 rue du G1 Leclerc, F-94275, Le Kremlin-Biĉetre, Cedex, France

Authors and Affiliations

  1. Laboratoire d’Explorations Cardiovasculaires, Hôpital de Bicetre, Kremlin-Bicêtre, Cedex, France

    Héric Valette

  2. Departement de Biologie, CEA Hôpital d’Orsay, Orsay, France

    Michel H. Bourguignon, Pascal Merlet, Claude Raynaud & Andre Syrota

  3. Service de Cardiologie, Hôpital de Bligny, Briis-s/Forges, France

    Dominique Le Guludec, Patrick J. Dove & Jean-Pierre Kiger

  4. Service de Cardiologie, Hôpital Antoine Béclère, Clamart, France

    Michel Slama & Gilbert Motte

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  1. Héric Valette
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  2. Michel H. Bourguignon
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  3. Dominique Le Guludec
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  4. Pascal Merlet
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  5. Patrick J. Dove
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  6. Jean-Pierre Kiger
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  7. Michel Slama
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  8. Gilbert Motte
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  9. Claude Raynaud
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  10. Andre Syrota
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Valette, H., Bourguignon, M.H., Le Guludec, D. et al. ECG gated thallium 201 myocardial images: Value in detecting multivessel disease in patients on anti anginal therapy 1–3 months after myocardial infarction. Eur J Nucl Med 13, 551–556 (1988). https://doi.org/10.1007/BF02574766

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  • DOI: https://doi.org/10.1007/BF02574766

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