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Sidchg64.rar[New radio-isotope methods for an early diagnosis of the S-1 segment syndrome in acute myocardial infarct].
Recently a new method, technetium-99m-tetrofosmin scintigraphy, has been developed for an early diagnosis of ischemia. In this method, the redistribution of the tracer in the ischemic myocardium is evaluated quantitatively using the myocardial uptake, and the perfusion of the ischemic myocardium is evaluated qualitatively using the washout pattern. S-1 segment syndrome is considered to be a form of myocardial ischemia caused by an insufficient blood supply to the subendocardium due to coronary artery spasm, and is characterized by chest pain and a defect on the electrocardiogram. The diagnosis of this syndrome can be made with certainty only by coronary angiography. We therefore performed S-1 segment scintigraphy (99m-TTF) in 12 patients with acute myocardial infarction and compared its findings with those of coronary angiography, to establish criteria for an early diagnosis of S-1 segment syndrome. Results were as follows: 1. In 12 patients with acute myocardial infarction, S-1 segment scintigraphy showed that 9 patients had abnormal tracer uptake, and coronary angiography showed that 9 patients had coronary artery stenoses of more than 50% in the same area as on S-1 segment scintigraphy. 2. The sensitivity and specificity of the method was 100% and 96.3% respectively. These results indicate that 99m-TTF is a useful, non-invasive method for the early diagnosis of the S-1 segment syndrome.The Obama administration is preparing to release a report showing a major jump in the amount of land held in federal hands.
The Interior Department is expected to release the report later this week and say it will show that the federal government owns 28 percent of the land in the United States, up from 15 percent in 2008, according to congressional officials who spoke on the condition of anonymity because they were not authorized to discuss the issue.
The report is