The diagnosis of the location and size of old myocardial infarction was made by the map and various indices obtained from the map were correlated with coronary arteriography, left ventriculography, and
201T1 myocardial scintigraphy. Diseased coronary arteries were presumed from Q30, Q40 area and/or peak voltage map and left ventricular wall motion was estimated from subtraction map. There were significant correlations between ejection fraction and ΣR in anterolateral MI (r = 0.51, p < 0.001) and between ejection fraction and nQ30 in anterolateral (r = -0.47, p < 0.001) and inferoposterior (r = -0.63, p < 0.01) MI. Negative correlation was observed between myocardial uptake ratio (MUR) and nQ30 (r = -0.69, p < 0.001) and positive correlation between MUR and ΣR (r = 0.50, p < 0.01) in anterolateral MI. Those cases which could not be diagnosed by either ECG or
201T1 scintigraphy were correctly diagnosed by the map and it proved to have an excellent diagnostic accuracy for myocardial infraction.
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