Mesh : 3-Iodobenzylguanidine / pharmacokinetics Aged CD36 Antigens / blood Endocardium Fatty Acids / pharmacokinetics Heart / diagnostic imaging Humans Iodine Radioisotopes / pharmacokinetics Iodobenzenes / pharmacokinetics Male Myocardial Infarction / complications diagnostic imaging Myocardium / metabolism Organophosphorus Compounds / pharmacokinetics Organotechnetium Compounds / pharmacokinetics Radionuclide Imaging Radiopharmaceuticals / pharmacokinetics

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Abstract:
This patient was a 70-year-old man had acute subendocardial infarction in the inferior wall. 123I-BMIPP myocardial scintigraphy showed no accumulation in the myocardium. 123I-MIBG myocardial scintigraphy on the early and delay images and 99mTc-tetrofosmin myocardial scintigraphy at rest showed slightly decreased accumulation of the tracer in the apical region and in middle inferior wall of the left ventricle, indicating subendocardial infracted area. In the examinations of CD36 in platelets and monocytes, the patient had negative CD36 in platelets and monocytes, and type I CD36 deficiency was diagnosed. We supposed that no 123I-BMIPP accumulation may be related closely to type I CD36 deficiency.
摘要:
该患者是一名70岁的男子,下壁有急性心内膜下梗死。123I-BMIPP心肌闪烁显像显示心肌中没有积累。123I-MIBG心肌闪烁显像在早期和延迟图像和99mTc-tetrofosmin心肌闪烁显像在休息时显示示踪剂在心尖区域和左心室中下壁的积累略有减少,指示心内膜下梗死区。在血小板和单核细胞中CD36的检查中,患者的血小板和单核细胞CD36阴性,诊断为I型CD36缺乏症。我们认为没有123I-BMIPP的积累可能与I型CD36缺乏密切相关。
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