PROGNOSIS AND DIAGNOSTIC WORK-UP IN PATIENTS ADMITTED FOR, BUT WITHOUT, MYOCARDIAL-INFARCTION - THE VALUE OF NUCLEAR-MEDICINE EXAMINATIONS

被引：9

作者：

LAUNBJERG, J ^{[1
]}

FRUERGAARD, P ^{[1
]}

JORGENSEN, FB ^{[1
]}

MADSEN, JK ^{[1
]}

HESSE, B ^{[1
]}

机构：

[1] HILLEROD HOSP,DEPT CLIN PHYSIOL,DK-3400 HILLEROD,DENMARK

来源：

CLINICAL PHYSIOLOGY | 1990年 / 10卷 / 03期

关键词：

!sup]201[!/sup]thallium myocardial perfusion scintigraphy; ischaemic heart disease; oesophageal motility disorder; oesophageal radionuclide transit; pulmonary embolism;

D O I：

10.1111/j.1475-097X.1990.tb00096.x

中图分类号：

Q4 [生理学];

学科分类号：

071003 ;

摘要：

Summary. Patients admitted for acute myocardial infarction that is not confirmed (non‐AMI) have a prognosis only slightly better than that of patients with confirmed infarction. In a prospective, prognostic study of 158 patients with non‐AMI the combination of exercise ECG and transient defects demonstrated at 201thallium scintigraphy identified low‐ and high‐risk groups better than either examination alone. The purpose of a new, still ongoing study of non‐AMI patients is to establish a relevant, cost‐effective examination programme in order to arrive at a positive diagnosis in each non‐AMI patient. Preliminary results of lung perfusion/ventilation scintigraphy suggest a rather low frequency of pulmonary embolism. Preliminary data of oesophageal scintigraphy suggest that about 25% of the non‐AMI patients have abnormal mean transit times. The clinical significance of these data are discussed. Copyright © 1990, Wiley Blackwell. All rights reserved

引用

页码：273 / 277

页数：5

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