Friedman M L, Cantor R E
J Nucl Med. 1979 Jul;20(7):720-3.
Gated heart scintigrams and angiocardiograms were performed on 138 patients with coronary artery disease. Scintigraphy detected 61 of 64 left-ventricular aneurysms demonstrated by angiography. The scintigram correctly identified all 54 apical and anteroapical aneurysms and one inferior aneurysm, but missed one of six anterior and two of three posterobasal aneurysms. In 74 patients with angiograms negative for aneurysm, the scintigram was also negative in 72, with two false positives. Overall accuracy of gated heart scintigraphy for the detection of aneurysm was 96% (133/138). Cardiac surgery was performed on 76 patients, and the angiographic findings were confirmed in all cases. Scintigraphic findings were confirmed in 74 of 76 patients. Among ten patients scintigraphed before and after aneurysmectomy, problems were first recognized by the scintigram in three cases. Gated heart scintigraphy is recommended as a screening procedure for suspected left-ventricular aneurysm because of its high reliability in the apical and anterior portions of the heart, where most of the aneurysms occur.
对138例冠心病患者进行了门控心脏闪烁扫描和心血管造影。闪烁扫描检测出血管造影显示的64例左心室室壁瘤中的61例。闪烁扫描正确识别出所有54例心尖和前心尖室壁瘤以及1例下壁室壁瘤，但漏诊了6例前壁室壁瘤中的1例以及3例后基底室壁瘤中的2例。在74例血管造影未发现室壁瘤的患者中，闪烁扫描结果也为阴性的有72例，2例假阳性。门控心脏闪烁扫描检测室壁瘤的总体准确率为96%（133/138）。76例患者接受了心脏手术，所有病例的血管造影结果均得到证实。76例患者中有74例的闪烁扫描结果得到证实。在10例接受室壁瘤切除术前和术后进行闪烁扫描的患者中，有3例问题首先通过闪烁扫描被发现。由于门控心脏闪烁扫描在心脏心尖和前部（大多数室壁瘤发生的部位）具有较高的可靠性，因此推荐将其作为疑似左心室室壁瘤的筛查方法。
