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May 1, 1995Nuclear Medicine Communications

Myocardial metabolism of 123I-BMIPP in patients with hypertrophic cardiomyopathy

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Key result

Patients with hypertrophic cardiomyopathy demonstrated a significantly higher 3-hour myocardial washout rate of 123I-BMIPP compared to healthy controls (26.3% vs 18.3%, P<0.05).

Why the study?

Does myocardial metabolism of free fatty acids, assessed by 123I-BMIPP SPET, differ between patients with hypertrophic cardiomyopathy and healthy controls?

Population

9 patients with hypertrophic cardiomyopathy (HCM) and 8 healthy volunteers

Comparison

Single-photon emission tomography with… vs Healthy volunteers

Design

Case-control

Follow-up

3 hours

Authors

SCS. L. CHENTracer Technologies (United States)TUToshiisa UeharaYale UniversityTMTakakazu MorozumiOkayama Psychiatric Medical Center

Discussion

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Implication

Suggests altered fatty acid metabolism in HCM; hypothesis-generating for 123I-BMIPP imaging utility.

Study Design

Type

Case-Control (n=17)

Structured PICO

Does myocardial metabolism of free fatty acids, assessed by 123I-BMIPP SPET, differ between patients with hypertrophic cardiomyopathy and healthy controls?

P
Population
17 participants, including 9 patients with hypertrophic cardiomyopathy and 8 healthy volunteers, who underwent SPET imaging.
E
Exposure
Single-photon emission tomography (SPET) with 123I-15-(p-iodophenyl)-3-R,S-methylpentadecanoic acid (BMIPP) and 201Tl
C
Comparator
Healthy volunteers
O
Outcome
Relative regional uptake (RRU) and 3-hour washout rate of 123I-BMIPP and 201Tlsurrogate

Main Result

Absolute Event Rate: 26.3% vs 18.3%

p-value: p=<0.05

Patients with hypertrophic cardiomyopathy exhibit inhomogeneous uptake and accelerated washout of the free fatty acid analogue 123I-BMIPP compared to healthy controls, indicating altered myocardial metabolism.

Cite This Study

CHEN et al. (1995) conducted a case-control in Hypertrophic cardiomyopathy (n=17). Hypertrophic cardiomyopathy vs. Healthy volunteers was evaluated on 3-hour washout rate of 123I-BMIPP (p=<0.05). Patients with hypertrophic cardiomyopathy demonstrated a significantly higher 3-hour myocardial washout rate of 123I-BMIPP compared to healthy controls (26.3% vs 18.3%, P<0.05).

synapsesocial.com/papers/6a23a00a9ed8aa0626a02dc6https://doi.org/10.1097/00006231-199505000-00004

Topics

Hypertrophic cardiomyopathy
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Discrepancies between myocardial perfusion and free fatty acid metabolism in patients with hypertrophic cardiomyopathy1993 · 25 citations
  2. 2Clinical Value of Iodine-123 Beta-Methyliodophenyl Pentadecanoic Acid (BMIPP) Myocardial Single Photon Emission Computed Tomography for Predicting Cardiac Death Among Patients With Chronic Heart Failure2003 · 9 citations
  3. 3Assessment of myocardial fatty acid metabolic abnormalities in patients with idiopathic dilated cardiomyopathy using <sup>123</sup>I BMIPP SPECT: correlation with clinicopathological findings and clinical course1999 · 78 citations
  4. 4Myocardial Metabolic Abnormalities in Hypertrophic Cardiomyopathy Assessed by Iodine-123-Labeled Beta-Methyl-Branched Fatty Acid Myocardial Scintigraphy and its Relation to Exercise-Induced lschemia1998 · 33 citations
  5. 5Cardiac Dysfunction and Long-Term Prognosis in Patients with Nonobstructive Hypertrophic Cardiomyopathy and Abnormal &lt;sup&gt;123&lt;/sup&gt;I-15- (&lt;i&gt;p&lt;/i&gt;-Iodophenyl)-3&lt;i&gt;(R,S)&lt;/i&gt;-Methylpentadecanoic Acid Myocardial Scintigraphy2000 · 14 citations