Schmoliner R, Dudczak R, Kronik G, Mösslacher H, Kletter K, Frischauf H
Rofo. 1980 Jun;132(6):710-3. doi: 10.1055/s-2008-1056648.
The results of biphasic 201thallium scintigraphy after dipyridamole i.v. could neither prove nor exclude the presence of small focal lesions in the myocardium of 17 patients with mitral valve diseases. The frequent finding of a decrease in activity in the anterolateral myocardium is probably due to a relative increase in activity in the region of the inferior wall with superimposed areas of the papillary muscle and right ventricular myocardium. If the right ventricle is visualized in stress- or redistribution images, an increase in mean pulmonary artery pressure can be accepted. According to Cohen's criteria, a grade 2 or 3 virtually proves the existence of pulmonary hypertension, a grade 1 makes this finding rather probable. The possibility of pulmonary hypertension can not be excluded if the right ventricular myocardium is not visualized.
静脉注射双嘧达莫后进行双相铊-201心肌闪烁显像的结果，既不能证实也不能排除17例二尖瓣疾病患者心肌中存在小的局灶性病变。在前外侧心肌中频繁发现活性降低，可能是由于下壁区域活性相对增加，叠加有乳头肌和右心室心肌区域。如果在负荷或再分布图像中右心室显影，则平均肺动脉压升高可以被接受。根据科恩标准，2级或3级几乎可证实存在肺动脉高压，1级则很可能有此发现。如果右心室心肌未显影，则不能排除肺动脉高压的可能性。
