RESUMO
Determining the severity of coronary heart disease is of great importance to the cardiologist. There is a very good correlation between the severity of coronary heart disease and perfusion abnormalities to the myocardium as determined by radioisotope studies. We present our experience with forty (40) cases of ischemic heart disease diagnosed with sestamibi and its correlation with the obstruction of the coronary arteries by angiography. There is good correlation between the sestamibi findings and the coronary artery angiography obstructions and our findings concur with those published in the literature, which is between 75-85 per cent
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Angiografia Coronária , Circulação Coronária , Isquemia Miocárdica , Compostos Radiofarmacêuticos , Infarto do Miocárdio , Isquemia Miocárdica/fisiopatologia , Isquemia Miocárdica , Reações Falso-PositivasRESUMO
Determining the severity of coronary heart disease is of great importance to the cardiologist. There is a very good correlation between the severity of coronary heart disease and perfusion abnormalities to the myocardium as determined by radioisotope studies. We present our experience with forty (40) cases of ischemic heart disease diagnosed with sestamibi and its correlation with the obstruction of the coronary arteries by angiography. There is good correlation between the sestamibi findings and the coronary artery angiography obstructions and our findings concur with those published in the literature, which is between 75-85%.
Assuntos
Angiografia Coronária , Circulação Coronária , Isquemia Miocárdica/diagnóstico por imagem , Adulto , Idoso , Reações Falso-Positivas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/diagnóstico por imagem , Isquemia Miocárdica/fisiopatologia , Cintilografia , Compostos Radiofarmacêuticos , Fatores de Risco , Tecnécio Tc 99m SestamibiRESUMO
47 transesophageal echocardiograms (TEE) were performed on 43 patients (27 men and 20 women) in 30 months. The average age was 52.1 +/- 24.3 years. The most frequent indications for the procedure were: search for the source of emboli in 15 patients, suspected endocarditis and valvulopathies in 11. The main findings were intracavitary thrombi in 9 and vegetations in 8. The findings on TEE changed the medical management in 22 patients, confirmed suspected diagnosis in 15, and added nothing new in 10. Hypotension occurred in only one patient and resolved when the transducer was withdrawn. Comparing their results with those found in the literature the authors found that the indications were similar. TEE is an easy, safe and trustworthy study in selected patients
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Cardiopatias , Ecocardiografia Transesofagiana , PanamáRESUMO
47 transesophageal echocardiograms (TEE) were performed on 43 patients (27 men and 20 women) in 30 months. The average age was 52.1 +/- 24.3 years. The most frequent indications for the procedure were: search for the source of emboli in 15 patients, suspected endocarditis and valvulopathies in 11. The main findings were intracavitary thrombi in 9 and vegetations in 8. The findings on TEE changed the medical management in 22 patients, confirmed suspected diagnosis in 15, and added nothing new in 10. Hypotension occurred in only one patient and resolved when the transducer was withdrawn. Comparing their results with those found in the literature the authors found that the indications were similar. TEE is an easy, safe and trustworthy study in selected patients.
Assuntos
Ecocardiografia Transesofagiana/estatística & dados numéricos , Cardiopatias/diagnóstico por imagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , PanamáRESUMO
The clinical record of 5 patients are studied. They were hospitalized in Santo Tomás Hospital with history of chronic and massive intoxication with inhaled and ingested cocaine. They all had cardiomegaly: in one, of grade I; in three, of grade III. The echocardiography mode B showed global cardiomegaly with dilatation of cavities and ejection fraction of 20% or below.
Assuntos
Cardiomiopatia Dilatada/etiologia , Cocaína , Transtornos Relacionados ao Uso de Substâncias/complicações , Adulto , Cardiomiopatia Dilatada/diagnóstico , Doença Crônica , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Transtornos Relacionados ao Uso de Substâncias/diagnósticoRESUMO
The clinical record of 5 patients are studied. They were hospitalized in Santo Tomás Hospital with history of chronic and massive intoxication with inhaled and ingested cocaine. They all had cardiomegaly: in one, of grade I; in three, of grade III. The echocardiography mode B showed global cardiomegaly with dilatation of cavities and ejection fraction of 20% or below