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January 1, 2000Clinical CardiologyOpen Access

Dipyridamole‐Induced reversible Thallium‐201 defect in patients with vasospastic angina and nearly normal coronary arteries

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Key result

Dipyridamole thallium-201 scintigraphy detects microvascular dysfunction in ~69% of vasospastic angina patients with normal coronaries.

  • n=16

Why the study?

Does dipyridamole thallium-201 scintigraphy reveal microvascular dysfunction in patients with vasospastic angina and normal coronary arteries?

Population

16 patients with vasospastic angina and normal coronary arteries

Design

Cross-sectional

Authors

HFHideki FujitaNihon UniversityHYHiroshi YamabeKansai Electric Power (Japan)MYMitsuhiro YokoyamaHyogo University of Health Sciences

Discussion

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Overview

Suggests microvascular dysfunction in vasospastic angina; hypothesis-generating and should not yet change practice.

Study Design

Type

Observational (n=16)

Structured PICO

Does dipyridamole thallium-201 scintigraphy reveal microvascular dysfunction in patients with vasospastic angina and normal coronary arteries?

P
Population
16 patients with vasospastic angina and nearly normal coronary arteries who underwent dipyridamole and exercise thallium-201 scintigraphy.
E
Exposure
Dipyridamole and exercise thallium-201 (201Tl) scintigraphy and provocative coronary angiography with acetylcholine
O
Outcome
Reversible perfusion defects on thallium-201 scintigraphy and ST segment changessurrogate

In patients with vasospastic angina and normal coronary arteries, reversible perfusion defects on dipyridamole scintigraphy suggest microvascular dysfunction contributes to abnormal perfusion.

Cite This Study

Fujita et al. (2000) conducted an observational in Vasospastic angina and nearly normal coronary arteries (n=16). Dipyridamole thallium-201 scintigraphy was evaluated on Reversible thallium-201 defects. Dipyridamole thallium-201 scintigraphy demonstrated reversible defects in 11 of 16 patients with vasospastic angina and normal coronary arteries, indicating microvascular dysfunction.

synapsesocial.com/papers/6aa601494dd50f8a0764bd6bhttps://doi.org/10.1002/clc.4960230106
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