PMID: 420104Mar 1, 1979

Krypton-81m in the physiologic assessment of coronary arterial stenosis in man

The American Journal of Cardiology
A P SelwynG Forse

Abstract

Fifteen patients with frequent anginal chest pain underwent diagnostic cardiac catheterization. After coronary arteriography a specially designed cardiac catheter was seated in the aortic root, permitting the continuous infusion of krypton-81m into the right and left aortic sinuses. A gamma camera, areas of interest and a visual display unit were used to record images and the regional myocardial equilibrium of activity before, during and after a standarized atrial pacing test. The unique physical properties of krypton-81m allowed the continuous imaging and recording of moment to moment changes in regional myocardial perfusion. This investigation revealed that when the coronary arteriogram was normal or revealed lumonal stenosis of less than 50 percent, regional myocardial perfusion was uniform at rest and during stress. Two patients with a previous history of myocardial infarction had defects of regional perfusion at rest and during stress. Krypton scintigraphy demonstrated reversible regional defects in myocardial perfusion during stress in seven patients with greater than 70 percent stenosis of one or more coronary arteries. Alterations in regional myocardial perfusion occurred within 30 seconds of the start of atrial pacing ...Continue Reading

Citations

Feb 27, 1982·British Medical Journal·K Fox
Jun 1, 1986·British Heart Journal·S C Webb, P A Poole-Wilson
Feb 1, 1983·The British Journal of Radiology·R Steiner
Feb 1, 1982·Clinical Cardiology·S M CobbeP A Poole-Wilson

Related Concepts

Angina Pectoris
Cardiac Pacing, Artificial
Coronary Heart Disease
Sinus Node Artery
Electrocardiographic Recorders
Cardiac Catheterization Procedures
Krypton
Myocardial Infarction
Radioisotopes
Coronary Angiography

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