Clinical Characteristies and Findings of $^{99m}Tc$-MIBI Heart SPECT in Patients with Acute Myocardial Infarction with Normal Coronary Arteriography

정상 관동맥 조영상을 갖는 급성 심근경색증 환자의 임상적 특징 및 $^{99m}Tc$-MIBI심근 SPECT 소견

  • Park, Myung-Jae (Department of Internal Medicine, Kyung Hee University, College of Medicine) ;
  • Choi, Tae-Youl (Department of Internal Medicine, Kyung Hee University, College of Medicine) ;
  • Kim, Deog-Yoon (Department of Internal Medicine, Kyung Hee University, College of Medicine) ;
  • Kang, Heung-Sun (Department of Internal Medicine, Kyung Hee University, College of Medicine) ;
  • Choue, Chung-Whee (Department of Internal Medicine, Kyung Hee University, College of Medicine) ;
  • Kim, Kwon-Sam (Department of Internal Medicine, Kyung Hee University, College of Medicine) ;
  • Kim, Kwang-Won (Department of Internal Medicine, Kyung Hee University, College of Medicine) ;
  • Kim, Myung-Shick (Department of Internal Medicine, Kyung Hee University, College of Medicine) ;
  • Song, Jung-Sang (Department of Internal Medicine, Kyung Hee University, College of Medicine) ;
  • Bae, Jong-Hoa (Department of Internal Medicine, Kyung Hee University, College of Medicine)
  • 박명재 (경희대학교 의과대학 내과학교실) ;
  • 최태열 (경희대학교 의과대학 내과학교실) ;
  • 김덕윤 (경희대학교 의과대학 내과학교실) ;
  • 강홍선 (경희대학교 의과대학 내과학교실) ;
  • 조정휘 (경희대학교 의과대학 내과학교실) ;
  • 김권삼 (경희대학교 의과대학 내과학교실) ;
  • 김광원 (경희대학교 의과대학 내과학교실) ;
  • 김명식 (경희대학교 의과대학 내과학교실) ;
  • 송정상 (경희대학교 의과대학 내과학교실) ;
  • 배종화 (경희대학교 의과대학 내과학교실)
  • Published : 1993.06.15

Abstract

Among 64 patients with acute myocardial infarction who underwent coronary angiogrphy, 7 patients (10.9%) showed normal coronary artery. Six patients were men and 1 patient was female. The mean age of patients were $31.1{\pm}3.9$ years. Among the risk factors of coronary heart disease, smoking was most probable factor in patients with acute myocardial infarction with normal coronary angiography. $^{99m}Tc$-MIBI heart SPECT performed 5 of 7 patients and showed that it could be used in diagnosis, localization, extent of infarct area in patients with acute myocardial infarction with normal coronary angiograpy. But follow up $^{99m}Tc$-MIBI heart SPECT study will be needed to define the ability of myocardial viability in this patients.

Keywords