Pabst H W, Dressler J, Sauer E, Sebening H
MMW Munch Med Wochenschr. 1980 Nov 14;122(46):1627-32.
149 patients with acute (n = 75) myocardial infarction and 74 post-infarctions, angiographically confirmed, were investigated by 201T1 myocardial scintigraphy and subsequent radionuclide ventriculography. Quantitative evaluation of the scintigram showed 201T1 storage defects in 92% in the acute stage in 79% in the later stage. The sensitivity of identification of the posterior wall infarction was consistently markedly less than for anterior wall infarctions and could not be increased by additional application of 99mTc methylene diphosphonate. By the combined application of myocardial scintigraphy and radionuclide ventriculography the functional effects of the infarction can be described non-invasively.
对149例急性心肌梗死患者（n = 75）和74例经血管造影证实的心肌梗死后患者进行了201Tl心肌闪烁显像及随后的放射性核素心室造影检查。闪烁显像的定量评估显示，急性期92%、后期79%存在201Tl储存缺陷。后壁梗死的识别敏感性始终明显低于前壁梗死，且额外应用99mTc亚甲基二膦酸盐也无法提高其敏感性。通过联合应用心肌闪烁显像和放射性核素心室造影，可以无创地描述梗死的功能影响。
