The role of gated myocardial perfusion scintigraphy (GMPS) in myocarditis: a case report and review of the literature Correspondence to:

Javadi, Hamid and Jallalat, Sara and Pourbehi, Gholamreza and Semnani, Shahriar and Mogharrabi, Mehdi and Nabipour, Iraj and Ravanbod, Mohammadreza and Amini, Abdullatif and Assad, Majid (2011) The role of gated myocardial perfusion scintigraphy (GMPS) in myocarditis: a case report and review of the literature Correspondence to:. Nuclear Medicine Review, 14 (2). pp. 112-115.

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Abstract

Acute myocarditis is one of the most challenging diagnoses and treatments in cardiology. The acute viral myocarditis diagnosis is usually based on high suspicion, history taking, and physical examination. Likewise, the use of chest radiography, electrocardiography (ECG), and echocardiography is helpful in making a final diagnosis, but all are non-specific. In addition, in imaging query, magnetic resonance imaging (MRI) depicts some degree of cardiac inflammation in the course of myocarditis. Myocardial perfusion imaging (MPI) has also been shown to be useful in diagnosis, and this noninvasive technique diminishes the need for myocardial biopsy. The current study presents the diagnostic and prognostic role of MPI in a 25-year-old patient with suspected myocarditis. The patient underwent gated-technetium- 99m-lablled, methoxyisobutyl isonitrile, single photon emission computed tomography (Gated 99mTc-MIBI SPECT) that showed nonheterogeneous absorption with remarkable decreased radiotracer uptake in the myocardium in both stress and rest phases. In addition, the gated mode demonstrated decreased wall motion and thickening of the myocardium with a sum motion score (SMS) of 28, a sum thickening score (STS) of 15, and a measured LVEF of 34%. The study concludes that 99mTC-MIBI SPECT imaging is a useful modality in the preparation of supplementary diagnostic and prognostic information in viral myocarditis.

Item Type: Article
Additional Information: indexer:mehran zakizadeh
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Divisions: Faculty of Medicin
Depositing User: Unnamed user with username karvarz1
Date Deposited: 17 Jul 2016 03:11
Last Modified: 17 Jul 2016 03:11
URI: http://eprints.bpums.ac.ir/id/eprint/4459

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