Detection of Viable Myocardium in Patients with Myocardial Infarction (MI) with Dobutamine Stress Echocardiography (DSE) Comparing with Single Photon Emission Computed Tomography (SPECT-MPI)

M. Azam, N. Ahmed, S. Banerjee, C. M. Ahmed, F. Rahman, M. M. Rahman, M. Mahmood, Rabin F, Minhazul Arefin, Md Mahmudul Karim
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Abstract

Aims and objectives: To evaluate the role of Dobutamine Stress Echocardiography (DSE) in detecting viable myocardium in patients with myocardial infarction comparing with Single Photon Emission Computed Tomography (SPECT-MPI). Methodology: It was a prospective study, conducted over sixty one patients of MI in Bangabondhu SK Mujib Medical University (BSMMU). Serial DSE, SPECT-MPI and CAG were done and compared. Result: With DSE viable myocardium was found in 71.1% of territory supplied by LAD, 58.3% of territory supplied by LCX and 65.9% of territory supplied by RCA. With SPECT-MPI viable myocardium was found in 68.2% of territory supplied by LAD, 66.7% of territory supplied by LCX and 65.1% of territory supplied by RCA. Comparing two methods there was no significant difference between DSE and SPECT-MPI in determining viable myocardium (p>0.05). Conclusion: DSE is effective in detecting viable myocardium in patients with MI, which is comparable to SPECT-MPI. University Heart Journal 2022; 18(2): 98-100  
多巴酚丁胺应激超声心动图(DSE)检测心肌梗死(MI)患者存活心肌与单光子发射计算机断层扫描(SPECT-MPI)的比较
目的:评价多巴酚丁胺应激超声心动图(DSE)与单光子发射计算机断层扫描(SPECT-MPI)在检测心肌梗死患者存活心肌中的作用。方法:这是一项前瞻性研究,在Bangabondhu SK Mujib医科大学(BSMMU)对61名心肌梗死患者进行了研究。连续DSE、SPECT-MPI和CAG进行比较。结果:DSE患者在LAD供血区71.1%、LCX供血区58.3%、RCA供血区65.9%存在存活心肌。SPECT-MPI在68.2%的LAD供血区、66.7%的LCX供血区和65.1%的RCA供血区发现存活心肌。两种方法比较,DSE与SPECT-MPI对存活心肌的测定差异无统计学意义(p>0.05)。结论:DSE检测心肌梗死患者存活心肌的效果与SPECT-MPI相当。大学心脏杂志2022;18 (2): 98 - 100
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