Comparison between Myocardial Perfusion and Function in Rest State in Coronary Artery Disease - Dipyridamole $^{99m}Tc-MIBI$ SPECT and Rest Gated Blood Pool Scan -

관상동맥질환에서 휴식기의 심근관류 정도와 휴식기 심기능 변화의 비교 - Dipyridamole 부하 $^{99m}Tc-MIBI$ SPECT와 휴식기 Gated Blood Pool Scan -

  • Choi, Chang-Woon (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, Dong-Soo (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Kim, Sang-Eun (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Bae, Sang-Kyun (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Yang, Hyung-In (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Chung, June-Key (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, Myoung-Mook (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, Myung-Chul (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Park, Young-Bae (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Seo, Jung-Don (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, Young-Woo (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Koh, Chang-Soon (Department of Internal Medicine, College of Medicine, Seoul National University)
  • 최창운 (서울대학교 의과대학 내과학교실) ;
  • 이동수 (서울대학교 의과대학 내과학교실) ;
  • 김상은 (서울대학교 의과대학 내과학교실) ;
  • 배상균 (서울대학교 의과대학 내과학교실) ;
  • 양형인 (서울대학교 의과대학 내과학교실) ;
  • 정준기 (서울대학교 의과대학 내과학교실) ;
  • 이명묵 (서울대학교 의과대학 내과학교실) ;
  • 이명철 (서울대학교 의과대학 내과학교실) ;
  • 박영배 (서울대학교 의과대학 내과학교실) ;
  • 서정돈 (서울대학교 의과대학 내과학교실) ;
  • 이영우 (서울대학교 의과대학 내과학교실) ;
  • 고창순 (서울대학교 의과대학 내과학교실)
  • Published : 1992.12.31

Abstract

Rest gated blood pool scan (Rest GBP scan) and dipyridamole $^{99m}Tc-MIBI$ SPECT were Performed in 34 patients with or suspected coronary artery disease. Both studies were performed within $2\sim32$ days (mean 8.1 days). A significant correlation was present between left ventricular ejection fraction (r= -0.7356, p<0.001) and peak ejection rate and peak filling rate in rest GBP scan and perfusion defect in MIBI SPECT. And there were acceptable correlations (0.05$26.2{\pm}10.8%$, severe hypokinesia, akinesia or dyskinesia in 16 regions: $78.2{\pm}23.7$, p<0.001). These data indicate there is a significant coupling between the degree of myocardial perfusion and the myocardial functional change in coronary artery disease.

Keywords