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Dipyridamole 부하 심장 풀 스캔을 이용한 관동맥질환의 평가
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  • Dipyridamole 부하 심장 풀 스캔을 이용한 관동맥질환의 평가
  • Evaluation of Coronary Artery Disease with Gated Blood Pool Scan Using Dipyridamole
저자명
김광원,최정일,정병천,이재태,이규보,채성철,전재은,박의현,박희명,Kim. Gwang-Weon,Choi. Chung-Il,Chung. Byung-Cheon,Lee. Jae-Tae,Lee. Kyu-Bo,Chae. Shung-Chull
간행물명
大韓核醫學會誌
권/호정보
1991년|25권 1호|pp.27-36 (10 pages)
발행정보
대한핵의학회
파일정보
정기간행물|
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기타
이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Thirty-one patients with coronary artery disease and twenty-sir normal subjects underwent $^{99m}Tc-GBPS$ before and after coronary vasodilatation was induced by dipyridamle 0.54 mg/kg given IV over 4 min. LVEF, ${Delta}EF$ and regional wall motion by phase analysis were measured during rest and dipyridamole infusion. The results were as follows: 1) Mean LVEF of normal subjects was significantly higher than that of MI group (p=0.001), but similar to that of angina group during rest. Among MI group, mean LVEF of anterior MI group was significantly lower than that of inferior MI group during rest (p=0.024). 2) The normal subjects had a significaat increase in mean LVEF during dipyridamole infusion $(+12{pm}3.8)$, while the CAD group had no increase $(+2{pm}5.0)$ (p<0.001). If an increase of LVEF during stress is less than 5%, it suggests an abnormality. The sensitivity and specificity of LVEF changes after dipyridamole infusion were 81%, 96%, respectively. 3) With phase analysis, LV mean phase angle of normal subjects and CAD patients was $143{pm}20.5^{circ},;132{pm}20.6^{circ}$ respectively, durign rest (p=0.049). But an ncrease of LV mean phase angle during dipyridamole infusion in these two groups was not significantly different. Dipyridamole infusion did not affect standard deviation and FWHM of phase angle. 4) Regional wall motion was abnormal in 5 patients (16%) during dipyridamole infusion. 5) Side effects with dipyridamole infusion include; headache, angina pain, chest discomfirt, nausea, weakness sense. In conclusion, dipyridamole GBPS might be useful in detection and follow up of CAD.