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

Authors

  • MG Azam Department of Cardiology, NICVD, Dhaka, Bangladesh
  • N Ahmed Department of Cardiology, NICVD, Dhaka, Bangladesh
  • Sajal Krishna Banerjee Department of Cardiology, BSMMU, Dhaka, Bangladesh
  • Chowdhury Meshkat Ahmed Department of Cardiology, BSMMU, Dhaka, Bangladesh
  • Fazlur Rahman Department of Cardiology, BSMMU, Dhaka, Bangladesh
  • Md Mukhlesur Rahman Department of Cardiology, BSMMU, Dhaka, Bangladesh
  • Manzoor Mahmood Department of Cardiology, BSMMU, Dhaka, Bangladesh
  • Rabin F Department of Psychiatry, HFMC, Dhaka, Bangladesh
  • Minhaz Arefin Department of Cardiology, NICVD, Dhaka, Bangladesh
  • Md Mahmudul Karim Department of Cardiology, Abdul Malek Ukil Medical College, Noakhali, Bangladesh

DOI:

https://doi.org/10.3329/uhj.v18i2.62731

Keywords:

DSE, SPECT-MPI, Viable myocardium

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

 

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Published

2022-11-08

How to Cite

Azam, M., Ahmed, N. ., Banerjee, S. K. ., Ahmed, C. M. ., Rahman, F. ., Rahman, M. M. ., Mahmood, M. ., F, R. ., Arefin, M. ., & Karim, M. M. . (2022). Detection of Viable Myocardium in Patients with Myocardial Infarction (MI) with Dobutamine Stress Echocardiography (DSE) Comparing with Single Photon Emission Computed Tomography (SPECT-MPI). University Heart Journal, 18(2), 98–100. https://doi.org/10.3329/uhj.v18i2.62731

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Original Articles