TITLE

Diagnostic Value of Thallium--201 Myocardial Imaging in Pulmonary Embolism

AUTHOR(S)
Yasuno, Masao; Kawamura, Osamu; Watanabe, Takeshi; Onodera, Tomoya
PUB. DATE
May 1983
SOURCE
Angiology;May1983, Vol. 34 Issue 5, p293
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This article discusses the diagnostic value of thallium-201 myocardial imaging in pulmonary embolism, by referring two case studies. Thallium-201 myocardial imaging is widely employed to detect myocardial necrosis or ischemia in acute coronary patients. The first case, reported here, is of a 66 year old Japanese woman suffering from of anterior chest pain and dyspnea of two hours duration and transient unconsciousness. The electrocardiogram revealed sinus tachycardia, nonspecific ST-T change at all leads, and abnormal Q wave at III and a VF. The tentative diagnosis of acute myocardial infarction was abandoned, and acute pulmonary embolism was strongly suspected, since thallium-201 imaging demonstrated right ventricular overloading with normal left ventricle. In the other case of a 45-year old Japanese man with chest pain, clinical features and the electrocardiogram suggested acute inferior myocardial infarction. Thallium-201 myocardial imaging showed that there were no perfusion defects of the left ventricle and the right ventricle was dilated with dense uptake.
ACCESSION #
16388208

 

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