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[Myocardial 99mTc-pyrophosphate scintigraphy in acute heart infarct].

Torstein Hole, T Rokkones

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Abstract

50 consecutive patients hospitalized because of suspected myocardial infarction were examined by 99mTc-pyrophosphate scintigraphy. The scans were interpreted blind by one of the authors. There were positive results in 17 of 21 patients with myocardial infarction (sensitivity 0.81). However, scintigraphy was also positive in 13 patients with no evidence of myocardial infarction as assessed by ECG and enzyme criteria (specificity 0.55). We conclude that, in our hospital, 99mTc-pyrophosphate myocardial scintigraphy did not contribute valuable information to the routine diagnosis of myocardial infarction.

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What this paper is about

50 consecutive patients hospitalized because of suspected myocardial infarction were examined by 99mTc-pyrophosphate scintigraphy. The scans were interpreted blind by one of the authors. There were positive results in 17 of 21 patients with myocardial infarction (sensitivity 0.81). However, scintigraphy was also positive in 13 patients with no evidence of myocardial infarction as assessed by ECG and enzyme criteria (specificity 0.55). We conclude that, in our hospital, 99mTc-pyrophosphate myocardial scintigraphy did not contribute valuable information to the routine diagnosis of myocardial infarction.

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Available abstract

50 consecutive patients hospitalized because of suspected myocardial infarction were examined by 99mTc-pyrophosphate scintigraphy. The scans were interpreted blind by one of the authors. There were positive results in 17 of 21 patients with myocardial infarction (sensitivity 0.81). However, scintigraphy was also positive in 13 patients with no evidence of myocardial infarction as assessed by ECG and enzyme criteria (specificity 0.55). We conclude that, in our hospital, 99mTc-pyrophosphate myocardial scintigraphy did not contribute valuable information to the routine diagnosis of myocardial infarction.

Key concepts: Myocardial infarction, Medicine, Scintigraphy, Pyrophosphate, Cardiology, Internal medicine, Technetium, Radiology

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[Myocardial 99mTc-pyrophosphate scintigraphy in acute heart infarct]. — Research Paper | ScholarLens