PMID- 2787595 OWN - NLM STAT- MEDLINE DCOM- 19890825 LR - 20190622 IS - 0002-9149 (Print) IS - 0002-9149 (Linking) VI - 64 IP - 4 DP - 1989 Jul 18 TI - Radionuclide imaging of myocardial perfusion and viability in assessment of acute myocardial infarction. PG - 9B-16B AB - Technical advances in radionuclide imaging have important implications for the management of patients with acute myocardial infarction. Single-photon emission computerized tomography with thallium 201 (TI-201) offers greater accuracy than planar imaging in detecting, localizing and sizing myocardial perfusion defects. Use of single-photon emission computerized tomography with TI-201 should allow for a more accurate assessment of prognosis after myocardial infarction. A new radiopharmaceutical, technetium 99-m methoxyisobutyl isonitrile, provides a number of advantages over TI-201, including higher quality images, lack of redistribution, and the ability to assess first-pass ventricular function. Applications of TI-201 and technetium 99-m methoxyisobutyl isonitrile include assessment of arterial patency and myocardial salvage immediately after thrombolytic therapy, detection of resting ischemia after thrombolytic therapy, targeting of subsets of patients for further intervention, and predischarge assessment to predict the future course of patients after an acute myocardial infarction. FAU - Berman, D S AU - Berman DS AD - Nuclear Cardiology, Cedars-Sinai Medical Center, Los Angeles, California 90048. FAU - Kiat, H AU - Kiat H FAU - Maddahi, J AU - Maddahi J FAU - Shah, P K AU - Shah PK LA - eng GR - 17661/PHS HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Cardiol JT - The American journal of cardiology JID - 0207277 RN - 0 (Fibrinolytic Agents) RN - 0 (Nitriles) RN - 0 (Organometallic Compounds) RN - 0 (Thallium Radioisotopes) RN - 7440-26-8 (Technetium) RN - 971Z4W1S09 (Technetium Tc 99m Sestamibi) SB - IM MH - *Coronary Circulation MH - Fibrinolytic Agents/therapeutic use MH - Humans MH - Myocardial Infarction/*diagnostic imaging/physiopathology MH - Myocardial Reperfusion MH - *Nitriles MH - *Organometallic Compounds MH - *Technetium MH - Technetium Tc 99m Sestamibi MH - *Thallium Radioisotopes MH - Tomography, Emission-Computed MH - Vascular Patency/drug effects EDAT- 1989/07/18 00:00 MHDA- 1989/07/18 00:01 CRDT- 1989/07/18 00:00 PHST- 1989/07/18 00:00 [pubmed] PHST- 1989/07/18 00:01 [medline] PHST- 1989/07/18 00:00 [entrez] AID - S0002-9149(89)80003-7 [pii] AID - 10.1016/s0002-9149(89)80003-7 [doi] PST - ppublish SO - Am J Cardiol. 1989 Jul 18;64(4):9B-16B. doi: 10.1016/s0002-9149(89)80003-7.