99mTc-MIBI stress-rest myocardial perfusion scintigraphy in patients with complete left bundle branch block

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dc.contributor.authorEllmann, A.en_ZA
dc.contributor.authorVan Heerden, P. D. R.en_ZA
dc.contributor.authorVan Heerden, B. B.en_ZA
dc.contributor.authorKlopper, J. F.en_ZA
dc.date.accessioned2011-05-15T16:15:55Z
dc.date.available2011-05-15T16:15:55Z
dc.date.issued2001
dc.descriptionCITATION: Ellmann, A. et al. 2001. 99mTc-MIBI stress-rest myocardial perfusion scintigraphy in patients with complete left bundle branch block. Cardiovascular Journal of Africa, 12(5).
dc.description.abstractBackground. Patients with complete left bundle branch block (LBBB) often show a false-positive ischaemic pattern in the interventricular septum on thallium-201 (201Tl) stress-rest myocardial perfusion scintigraphy. Equivocal results have been reported with technetium-99m labelled hexakis-methoxyisobutyl isonitrile (99mTc-MIBI) in such patients. The aim of this retrospective study was to determine the effect of LBBB on the septal uptake of 99mTc-MIBI during stress-rest single photon emission computed tomography (SPECT) scintigraphy. Methods. We studied 75 consecutive patients with LBBB, referred for 99mTc-MIBI stress-rest SPECT. Studies were evaluated by visual analysis using a semi-quantitative grading technique. In all patients with abnormal septal segments, the presence or absence of ischaemic heart disease was confirmed either clinically or by means of angiographical examination. Results. Forty-three patients (57.3%) had completely normal studies. Only 15 (20%) had septal abnormalities (11 with reversible and 4 with fixed defects), while 17 patients (22.7%) had abnormal segments in areas other than the interventricular septum. Except for 1 patient lost to follow-up, ischaemic heart disease was confirmed in all the patients with septal changes. Conclusion. We conclude that 99mTc-MIBI is more specific than 201Tl for identifying ischaemic heart disease in the presence of LBBB.
dc.description.versionArticle
dc.description.versionPublisher's version
dc.format.extent5 pages
dc.identifier.citationEllmann, A. et al. 2001. 99mTc-MIBI stress-rest myocardial perfusion scintigraphy in patients with complete left bundle branch block. Cardiovascular Journal of Africa, 12(5).
dc.identifier.issn1996-3467 (online)
dc.identifier.issn1995-1892 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/13548
dc.language.isoen
dc.rights.holderAuthors retain copyright
dc.subjectmethoxy isobutyl isonitrile technetium tc 99men_ZA
dc.title99mTc-MIBI stress-rest myocardial perfusion scintigraphy in patients with complete left bundle branch blocken_ZA
dc.typeArticle
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