This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Klausner, S. C. Articles by Parmley, W. W. Search for Related Content PubMed PubMed Citation Articles by Klausner, S. C. Articles by Parmley, W. W.

Circulation, Vol 56, 173-181, Copyright © 1977 by American Heart Association

ARTICLES

The application of radionuclide infarct scintigraphy to diagnose perioperative myocardial infarction following revascularization

SC Klausner, EH Botvinick, D Shames, DJ Ullyot, NH Fishman, BB Roe, PA Ebert, K Chatterjee and WW Parmley

To evaluate the application of radionuclide infarct scintigraphy to diagnose myocardial infarction after revascularization, we obtained postoperative technetium 99m pyrophosphate myocardial scintigrams, serial electrocardiograms and CPK-MB isoenzymes in ten control and 51 revascularized patients. All control patients had negative electrocardiograms and scintigrams, but eight had positive isoenzymes. Eight revascularized patients had positive electrocardiograms, images and enzymes and two had positive scintigrams and enzymes with negative electrocardiograms. Thirty-four patients with negative electorcardiograms and scintigrams had positive isoenzymes; in only seven patients were all tests negative. Our data suggest radionuclide infarct scintigraphy is a useful adjunct to the electrocardiogram in diagnosing perioperative infarction. The frequent presence of CPK-MB in postoperative patients without other evidence of infarction suggests that further studies are required to identify all factors responsible for its release.