Display options
Cite
Depuey EG, Mathur V, Hall RJ, et al. Infarct-induced wall motion abnormalities in aortocoronary bypass patients: Correlation with electrocardiographic, enzymatic, and scintigraphic diagnostic criteria. Cardiovasc Dis. 1980;7(4):382-396
Depuey, E. G., Mathur, V., Hall, R. J., & Burdine, J. A. (1980). Infarct-induced wall motion abnormalities in aortocoronary bypass patients: Correlation with electrocardiographic, enzymatic, and scintigraphic diagnostic criteria. Cardiovascular diseases, 7(4), 382-396.
Depuey, E Gordon, et al. "Infarct-induced wall motion abnormalities in aortocoronary bypass patients: Correlation with electrocardiographic, enzymatic, and scintigraphic diagnostic criteria." Cardiovascular diseases vol. 7,4 (1980): 382-396.
Depuey EG, Mathur V, Hall RJ, Burdine JA. Infarct-induced wall motion abnormalities in aortocoronary bypass patients: Correlation with electrocardiographic, enzymatic, and scintigraphic diagnostic criteria. Cardiovasc Dis. 1980 Dec;7(4):382-396. PMID: 15216241; PMCID: PMC287881.
Copy Download .nbib Format: NLM
Share it on

Cardiovasc Dis. 1980 Dec;7(4):382-396.

Infarct-induced wall motion abnormalities in aortocoronary bypass patients: Correlation with electrocardiographic, enzymatic, and scintigraphic diagnostic criteria.

Cardiovascular diseases

E Gordon Depuey, Virendra Mathur, Robert J. Hall, John A. Burdine

Affiliations

  1. Nuclear Medicine Service, Baylor College of Medicine, St. Luke's Episcopal-Texas Children's Hospitals, and the Texas Heart Institute, Houston, Texas.

PMID: 15216241 PMCID: PMC287881

Abstract

Gated isotope ventriculograms performed 7 to 12 days postoperatively in 50 aortocoronary bypass patients with perioperative myocardial infarction (POMI) were compared with preoperative contrast ventriculograms. The diagnosis of POMI was based on serial electrocardiograms (EKGs), cardiac enzyme studies, and (99m)Tc-pyrophosphate (PYP) scintigraphy. Seven patients exhibited no new regional wall motion abnormalities. Nine had new areas of localized hypokinesis. The remaining 34 demonstrated localized akinesis or dyskinesis; 12 of these also exhibited a greater than 20% decrease in ejection fraction. The severity of the postoperative wall motion abnormality was paralleled by the intensity of PYP accumulation but not necessarily by the degree of cardiac enzyme elevation. Because they occurred in only 62% of patients, new Q waves were considered an insensitive indicator of POMI. Our study revealed that POMI frequently produces significant changes in left ventricular kinetics. Of the standard techniques utilized, the PYP scan had the greatest predictive value.

References

  1. J Nucl Med. 1979 Jul;20(7):711-4 - PubMed
  2. Am J Cardiol. 1974 Feb;33(2):215-20 - PubMed
  3. Circulation. 1973 Jul;48(1):135-40 - PubMed
  4. Circulation. 1977 Dec;56(6):1024-8 - PubMed
  5. Am J Cardiol. 1977 Nov;40(5):665-72 - PubMed
  6. Am Heart J. 1977 Aug;94(2):146-53 - PubMed
  7. N Engl J Med. 1974 Feb 14;290(7):349-53 - PubMed
  8. Ann Thorac Surg. 1976 Apr;21(4):311-7 - PubMed
  9. J Nucl Med. 1977 Aug;18(8):770-5 - PubMed
  10. Circulation. 1979 Apr;59(4):721-30 - PubMed
  11. Circulation. 1975 Nov;52(5):909-15 - PubMed
  12. Circulation. 1978 Feb;57(2):320-6 - PubMed
  13. Circulation. 1974 Sep;50(3):540-6 - PubMed
  14. Am J Cardiol. 1976 Oct;38(4):407-15 - PubMed
  15. Am J Cardiol. 1976 Apr;37(5):732-5 - PubMed
  16. Circulation. 1978 Dec;58(6):1143-53 - PubMed
  17. Circulation. 1977 Jan;55(1):61-6 - PubMed
  18. Am J Cardiol. 1979 Feb;43(2):186-92 - PubMed
  19. Annu Rev Med. 1977;28:271-89 - PubMed
  20. Arch Surg. 1971 Jul;103(1):66-8 - PubMed
  21. Circulation. 1975 Dec;52(6):1037-44 - PubMed
  22. Circulation. 1977 Aug;56(2):173-81 - PubMed
  23. J Thorac Cardiovasc Surg. 1976 Jun;71(6):934-7 - PubMed
  24. Mayo Clin Proc. 1975 Jul;50(7):379-86 - PubMed
  25. Am Heart J. 1978 Apr;95(4):429-40 - PubMed
  26. Am J Cardiol. 1977 Jan;39(1):43-9 - PubMed
  27. Circulation. 1973 Jan;47(1):58-64 - PubMed
  28. Am Heart J. 1976 Nov;92(5):584-8 - PubMed
  29. Circulation. 1976 Mar;53(3):422-8 - PubMed
  30. Circulation. 1977 Jan;55(1):173-8 - PubMed
  31. Br Heart J. 1975 Aug;37(8):795-803 - PubMed

Publication Types