ANALYSIS OF TISSUE DOPPLER IMAGING (TDI) AND NUCLEAR SCINTIGRAPHY
IN EVALUATION OF PATIENTS WITH ANGINA PECTORIS
M. Talirević, N. Nabil, E. Talirević, Al-Tawil Dj. and E.
for Heart and Rheumatic Diseases, Institute of Nuclear Medicine,
Clinical Center University of Sarajevo, General Hospital Sarajevo,
Sarajevo, Bosnia and Herzegovina
of the study was to determine the diagnostic value of echocardiographic
exam supplemented with the use of TDI, in patients with angina
pectoris, with the goal to indirectly identify the stenotic/insufficient
coronary blood vassal. The echocardiograpghic results were later
compared with the results of nuclear perfusion scan. Both results
were later compared with findings at coronary angiography. Total
of 19 patients was analysed. Echocardiography was performed with
an independent interpretation by three physicians blinded for
other clinical and laboratory data. After some time (not more
than ten days), a cardiac nuclear scintigraphy was performed using
conventional gamma cameras in order to identify perfusion defects.
As with echocardiography, analyses was conducted independently
by three physicians blinded for clinical and laboratory data.
Statistical analysis investigated the degree of coloration between
abnormalities discovered by TDI and perfusion scintigraphy. All
patients were subsequently subject to coronary catheterisation,
which was used as the reference method. TDI analysis proved to
be surprisingly sensitive and specific. Because of its cost and
ease in performing it is routine use should be encouraged, especially
in those patients unable to exercise.