Fluorodexyglucose SPECT in acute myocardial infarction: Case report

Patricio González E.*, Claudia Coll C, Teresa Massardo V, Paulina Sierralta C, Pamela Humeres A, Ivonne Aramburú M, Solange Brugère O, Jorge Yovanovich S, Alfredo Ramírez N, Josefina Jofré M, Hernán Chamorro B, Sonia Kuntsmann F, Héctor López B

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

We report a 50-year-old woman with a recent myocardial infarction in whom a myocardial perfusion single photon emission computed tomography (SPECT) with Thallium201 was done simultaneously with a F18-fluordeoxyglucose (FDG) SPECT to study glucose metabolism. Myocardial infarction was located in the anteroseptal and apical regions and an echocardiography, done at the second day of evolution, showed a septo-apical hypokinesia. On the tenth day, a coronary angiography showed a critical lesion of the anterior descending coronary artery and an angioplasty with stent placement was performed on the next day. On the twelfth day, a resting, redistribution 201Tl SPECT to study viability and a FDG-SPECT with a dual head high-energy collimator camera were done. Images, acquired 45 min after injection, were analyzed visually. In anterior and medial apical sectors, discordance between flux and metabolism, considered a classical mismatch, was observed. Echocardiographic hypokinesia disappeared three month after revascularization.

Translated title of the contributionFluorodexyglucose SPECT in acute myocardial infarction: Case report
Original languageSpanish
Pages (from-to)1019-1023
Number of pages5
JournalRevista Medica de Chile
Volume128
Issue number9
StatePublished - Sep 2000

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