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Thallium-201 Myocardial Imaging as a Selection Method for the Coronary Care Unit

  • Frans J. Th. Wackers
  • K. I. Lie
  • Ellinor Busemann Sokole
  • Gerard Samson
  • Jan B. van der Schoot
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 9)

Abstract

In many patients admitted to the coronary care unit, the diagnosis of acute myocardial infarction is evident at the time of arrival at the hospital. However, among the patients referred to a coronary care unit a significant number has complaints which are determined later not to be caused by acute coronary artery insufficiency. In many of these patients, the history and the initial electrocardiogram will provide sufficient information to recognize the noncar-diac etiology of the complaints. Nevertheless, a substantial group of patients still remains in whom initial evaluation provides a questionable history and a nondiagnostic electrocardiogram : in these patients admission and further observation for at least 24 hours in the coronary care unit seems unavoidable to rule out acute myocardial infarction or ischemia. In order to maximize efficient management and use of the coronary care unit, early and proper characterization of patients in whom the diagnosis remains in question is essential.

Keywords

Acute Myocardial Infarction Acute Myocardial Infarct Unstable Angina Stable Angina Previous Myocardial Infarction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Wackers FJTh, Busemann Sokole E, Samson G, van der Schoot JB, Lie KI, Liem KL, Wellens HJJ: Value and limitations of thallium-201 scintigraphy in the acute phase of myocardial infarction. N Engl J Med 295:1–5, 1976.PubMedCrossRefGoogle Scholar
  2. 2.
    Wackers FJTh, Lie KI, Liem KL, Busemann Sokole E, Samson G, vander Schoot JB, Durrer D: Thallium-201 scintigraphy in unstable angina pectoris. Circulation 57:738–741, 1978.PubMedGoogle Scholar
  3. 3.
    Wackers FJTh, Lie KI, Liem KL, Busemann Sokole E, Samson G, van der Schoot J, Durrer D: Potential value of thallium-201 scintigraphy as a means of selecting patients for the coronary care unit. Br Heart J 41:111–117, 1979.PubMedCrossRefGoogle Scholar
  4. 4.
    Behar S, Schor S, Kariv I, Barell V, Modan B: Evaluation of electrocardiogram in emergency room as a decision making tool. Chest 71:486–491, 1977.PubMedCrossRefGoogle Scholar
  5. 5.
    Lie KI: Personal communication, 1979.Google Scholar
  6. 6.
    Haft JI, Platt RN, Wilson JL, Sturman MF: The value of thallium imaging in early diagnosis of acute myocardial infarction. (abstract) Clin. Res 27:563A, 1979.Google Scholar
  7. 7.
    Pohost GM, Zir LM, Moore RM, McKusick KA, Guiney TE, Beller SA: Differentiation of transiently ischemic from infarcted myocardium by serial imaging after a single dose of thallium-201. Circulation 55:294–302, 1977.PubMedGoogle Scholar
  8. 8.
    Pond M, Rehn T, Burow R, Pitt B: Early detection of myocardial infarction by serial thallium-201 imaging, (abstract) Circulation 56,suppl II, 111:230, 1977.Google Scholar

Copyright information

© Martinus Nijhoff Publishers bv. The Hague 1980

Authors and Affiliations

  • Frans J. Th. Wackers
  • K. I. Lie
  • Ellinor Busemann Sokole
  • Gerard Samson
  • Jan B. van der Schoot

There are no affiliations available

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