Comparison of measurement of left ventricular ejection fraction by Tc-99m sestamibi first-pass angiography with electron beam computed tomography in patients with anterior wall acute myocardial infarction

The goal of this study was to compare measurements of left ventricular (LV) ejection fraction (EF) by first-pass radionuclide angiography (“first-pass angiography”) using technetium-99m (Tc-99m) sestamibi with those by contrast-enhanced electron beam computed tomography (“electron beam tomography”)...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of cardiology 1999-04, Vol.83 (7), p.1022-1026
Main Authors: Gerber, Thomas C, Behrenbeck, Thomas, Allison, Thomas, Mullan, Brian P, Rumberger, John A, Gibbons, Raymond J
Format: Article
Language:English
Subjects:
Cardiology
Female
Heart - diagnostic imaging
Heart attacks
Humans
Image Processing, Computer-Assisted
Male
Middle Aged
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - physiopathology
Stroke Volume
Technetium Tc 99m Sestamibi
Tomography
Tomography, X-Ray Computed
Ultrasonic imaging
Ventricular Function, Left
Ventriculography, First-Pass
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The goal of this study was to compare measurements of left ventricular (LV) ejection fraction (EF) by first-pass radionuclide angiography (“first-pass angiography”) using technetium-99m (Tc-99m) sestamibi with those by contrast-enhanced electron beam computed tomography (“electron beam tomography”) as a reference technique in patients with an anterior wall acute myocardial infarction (AMI). Twenty-five patients with first Q-wave anterior wall AMI underwent paired electron beam tomographic and first-pass angiographic studies (mean, 1 day apart). Fourteen patients had 2 sets of measurements of the LVEF obtained by both methods (separated by at least 6 weeks), for a total of 39 paired measurements. LVEF by electron beam tomography was calculated from absolute systolic and diastolic LV chamber volumes. LV volumes by electron beam tomography were 199 ± 51 ml at end-diastole and 111 ± 42 ml at end-systole. Mean LVEF was 45 ± 11% by first-pass tomography and 46 ± 9% by electron beam tomography. The linear correlation coefficient between both methods was 0.82 (p
ISSN:0002-9149
1879-1913
DOI:10.1016/S0002-9149(99)00008-9