PMID- 19039555 OWN - NLM STAT- MEDLINE DCOM- 20090114 LR - 20161124 IS - 0914-7187 (Print) IS - 0914-7187 (Linking) VI - 22 IP - 9 DP - 2008 Nov TI - 123I-BMIPP delayed scintigraphic imaging in patients with chronic heart failure. PG - 769-75 LID - 10.1007/s12149-008-0180-x [doi] AB - OBJECTIVE: The objective of the present study was to clarify the ability of 123I-beta-methyl-iodophenylpentadecanoic acid (123I-BMIPP) to evaluate the heart-to-mediastinum (H/M) ratio and myocardial global washout rate (WR) in patients with chronic heart failure (CHF). METHODS: The severity of CHF was evaluated on the basis of the New York Heart Association (NYHA) classification. Twenty patients with CHF (13 with idiopathic dilated cardiomyopathy and 7 with ischemic cardiomyopathy) and 11 age-matched controls underwent myocardial radionuclide imaging. Scintigraphic images were obtained from each participant at the early (30 min following radio-isotope injection) and late (4 h) phases using 123I-BMIPP. The H/M ratio and WR were calculated from planar images. Concentrations of plasma brain natriuretic peptide (BNP) were measured prior to the scintigraphic study. RESULTS: The 123I-BMIPP uptake of early H/M and global WR did not significantly differ among groups, but uptake of delayed H/M was significantly lower in patients with NYHA class III than in controls (control 2.47 +/- 0.39; class III 1.78 +/- 0.28, P < 0.05). The uptake of delayed H/M and global WR correlated with plasma log BNP in all participants (r = -0.38, P < 0.05; 0.43, P < 0.05, respectively). CONCLUSIONS: These data suggest that 123I-BMIPP uptake of delayed H/M enhances the image of CHF severity. The myocardial WR of 123I-BMIPP also effectively depicted the severity of CHF. FAU - Kida, Keisuke AU - Kida K AD - Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, 2-16-1 Sugao, Kawasaki, Kanagawa, 216-8511, Japan. FAU - Akashi, Yoshihiro J AU - Akashi YJ FAU - Yoneyama, Kihei AU - Yoneyama K FAU - Shimokawa, Mitsuhiro AU - Shimokawa M FAU - Musha, Haruki AU - Musha H LA - eng PT - Journal Article DEP - 20081128 PL - Japan TA - Ann Nucl Med JT - Annals of nuclear medicine JID - 8913398 RN - 0 (Fatty Acids) RN - 0 (Iodobenzenes) RN - 0 (Radiopharmaceuticals) RN - 0J7USQ749M (iodofiltic acid) SB - IM MH - Aged MH - Chronic Disease MH - *Fatty Acids MH - Female MH - Heart Failure/*diagnostic imaging MH - Humans MH - *Iodobenzenes MH - Male MH - Radionuclide Imaging MH - Radiopharmaceuticals MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Time Factors EDAT- 2008/11/29 09:00 MHDA- 2009/01/15 09:00 CRDT- 2008/11/29 09:00 PHST- 2007/11/25 00:00 [received] PHST- 2008/06/04 00:00 [accepted] PHST- 2008/11/29 09:00 [pubmed] PHST- 2009/01/15 09:00 [medline] PHST- 2008/11/29 09:00 [entrez] AID - 10.1007/s12149-008-0180-x [doi] PST - ppublish SO - Ann Nucl Med. 2008 Nov;22(9):769-75. doi: 10.1007/s12149-008-0180-x. Epub 2008 Nov 28.