Tomografía SPECT con F18-fluorodeoxiglucosa en infarto reciente del miocardio. Caso clínico

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

*Autor correspondiente de este trabajo

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

2 Citas (Scopus)

Resumen

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.

Título traducido de la contribuciónFluorodexyglucose SPECT in acute myocardial infarction: Case report
Idioma originalEspañol
Páginas (desde-hasta)1019-1023
Número de páginas5
PublicaciónRevista Medica de Chile
Volumen128
N.º9
EstadoPublicada - sep 2000

Palabras clave

  • Myocardial infarction
  • Myocardial reperfusion
  • Myocardial revascularization
  • Tomography, emission-computed, single-photon

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