Location of myocardium at risk in comparison between single photon emission computed tomography, magnetic resonance imaging and electrocardiography

Joey F. A. Ubachs, A. Gorgels, E. Hedstrom, H. Arheden, R. Selvester, S. Knippenberg, G. Wagner, H. Engblom
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Abstract

The aim of the present study was to test the hypothesis that perfusion SPECT, estimation of regional wall thickening using MRI and the distribution of ST changes on the admission ECG display similar localization of the MaR in patients with reperfused first-time MI. Eleven patients with first-time MI with ST-elevation underwent percutaneous coronary intervention (PCI), SPECT imaging within 3 hours of the PCI and Cardiac MRI the day after admission. All images were presented in polar plots and compared with polar plots generated from the initial ECG's, based upon ST-changes. Comparison of the displays reveals similarity of location of myocardium at risk by all three methods in 73% of the patients, between SPECT and ECG in 91% of the patients, and between SPECT and wall thickening by MRI in 73% of the patient.
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单光子发射计算机断层扫描、磁共振成像和心电图对危险心肌位置的比较
本研究的目的是验证灌注SPECT、MRI对区域壁增厚的估计以及入院心电图上ST段变化的分布在再灌注的首次心肌梗死患者中显示相似的MaR定位的假设。11例首次心肌梗死伴ST段抬高的患者接受了经皮冠状动脉介入治疗(PCI),在PCI后3小时内进行了SPECT成像,并在入院后第二天进行了心脏MRI。所有图像均以极坐标图呈现,并与基于st线变化的初始ECG生成的极坐标图进行比较。对比显示,73%的患者在所有三种方法中有危险的心肌位置相似,91%的患者在SPECT和ECG之间相似,73%的患者在SPECT和MRI壁增厚之间相似。
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