Corallo S, Belli C, Banfi F, Spinelli-Ressi F, Castagnone M, Selvini A
G Ital Cardiol. 1976;6(8):1333-44.
21 patients with acute myocardial infarction (A.M.I.) were studied by echocardiography (Echo) and 131CS myocardial scintigraphy (M.S.). Some months after discharge from Hospital (mean value = 10 months), the echocardiograms and myocardial scintigrams were taken again. M.S. resulted modified in 13 patients (62%); in 7 of these there was a reduction of the "cold" area due to M.I.; in 6 an extension with scintigraphic pattern of left ventricular aneurysm was shown. Echo showed in the first group of 7, with normal ventricular cavity (L.V.C.), dimension and good movement of the walls affected by A.M.I. In the second group of 6, L.V.C. dilatation (mean value = 5,6 cm) and reduction of L.V. walls movements gave noticeable results. In the patients (8 = 38%) with unchanged M.S., Echo showed an L.V.C. dimensions increase and L.V. wall movement reduction. The most important results of the present study is the sensitivity of the M.S. and Echo to picking up left ventricular aneurysm by means of non-invasive techniques. The Authors emphasize the availability of Echo and M.S. in the follow up of M.I.
对21例急性心肌梗死（A.M.I.）患者进行了超声心动图（Echo）和131CS心肌闪烁显像（M.S.）检查。在出院数月后（平均值 = 10个月），再次进行超声心动图和心肌闪烁显像检查。结果显示，13例患者（62%）的M.S.出现改变；其中7例因心肌梗死导致的“冷”区缩小；6例显示有左心室室壁瘤的闪烁显像模式扩展。在第一组7例心室腔（L.V.C.）正常、受急性心肌梗死影响的室壁尺寸及运动良好的患者中，Echo显示正常。在第二组6例患者中，L.V.C.扩张（平均值 = 5.6 cm）且左心室壁运动减弱，结果显著。在M.S.未改变的患者（8例 = 38%）中，Echo显示L.V.C.尺寸增加且左心室壁运动减弱。本研究最重要的结果是M.S.和Echo通过非侵入性技术检测左心室室壁瘤的敏感性。作者强调了Echo和M.S.在心肌梗死随访中的可用性。
