REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL

Background: Introduction: Planar Equilibrium Radionuclide Angiocardiography (ERNA) is a non-invasive, reproducible and non-operator dependent Nuclear Medicine gamma camera-based technique of assessing cardiac function. Aim: To determine the common indications and findings from ERNA in a tertiary hos...

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Autores principales:	Yunusa GH, More SS
Formato:	article
Lenguaje:	EN
Publicado:	Ntec Specialist 2019
Materias:	erna indications lv function lvef Medicine (General) R5-920 Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/c0d7a6851f0c441995597cbdb9015e91
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spelling	oai:doaj.org-article:c0d7a6851f0c441995597cbdb9015e912021-11-16T11:40:47ZREFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL2006-47722714-242610.36020/kjms.2019.1302.012https://doaj.org/article/c0d7a6851f0c441995597cbdb9015e912019-01-01T00:00:00Zhttps://kjmsmedicaljournal.com/wp-content/uploads/2020/02/4.-KJMS-Vol.-13-No.-2.pdfhttps://doaj.org/toc/2006-4772https://doaj.org/toc/2714-2426Background: Introduction: Planar Equilibrium Radionuclide Angiocardiography (ERNA) is a non-invasive, reproducible and non-operator dependent Nuclear Medicine gamma camera-based technique of assessing cardiac function. Aim: To determine the common indications and findings from ERNA in a tertiary hospital in Cape Town, South Africa. Methods: The use of this database was approved by the Human Research Ethics Committee of the faculty of Health Sciences, University of Cape Town. All ERNAs conducted within a six-month period (January to June 2014), processed and reported by the authors were reviewed. The ERNAs were performed on an e.Cam dual head gamma camera (Siemens Medical Solutions, Erlangen, Germany) fitted with Low Energy High Resolution (LEHR) collimators 99m after intravenous administration of stannous pyrophosphate and Tc-pertechnetate. ECG-gated cardiac blood pool images were acquired. Images were reviewed and processed on a Siemens workstation. Cardiac morphology, size, contraction pattern, left ventricular wall motion and ejection fraction were assessed. Results: Of the 351 ERNAs of patients reviewed, 283 (80.6%) were females while 68 (19.4%) were males with a mean age of 48.3 ± 12.6 years and age range of 29 to 71 years. Indications for ERNA requests were chemotherapy 303 (86.3%), pre-operative evaluation 37 (10.5%) and ischaemic heart disease 9 (2.6%). LV size was dilated in 24 (6.8%) of the patients. Normal LV wall motion was recorded in 303 (86.3%) patients, while hypokinesia, akinesia and dyskinesia were recorded in 12.8%, 0.3% and 0.6% of the LVs respectively. Normal LVEF was recorded in 301 (85.8%) of the patients while mild, moderate and severe LV dysfunction were recorded in 12.8%, 0.8% and 0.6% of the patients respectively. Conclusion: ERNA is a frequently requested nuclear medicine examination for assessment of cardiac function in patients undergoing cardiotoxic chemotherapyYunusa GHMore SSNtec Specialistarticleernaindicationslv functionlvefMedicine (General)R5-920DentistryRK1-715ENKanem Journal of Medical Sciences, Vol 13, Iss 2, Pp 71-76 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	erna indications lv function lvef Medicine (General) R5-920 Dentistry RK1-715
spellingShingle	erna indications lv function lvef Medicine (General) R5-920 Dentistry RK1-715 Yunusa GH More SS REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL
description	Background: Introduction: Planar Equilibrium Radionuclide Angiocardiography (ERNA) is a non-invasive, reproducible and non-operator dependent Nuclear Medicine gamma camera-based technique of assessing cardiac function. Aim: To determine the common indications and findings from ERNA in a tertiary hospital in Cape Town, South Africa. Methods: The use of this database was approved by the Human Research Ethics Committee of the faculty of Health Sciences, University of Cape Town. All ERNAs conducted within a six-month period (January to June 2014), processed and reported by the authors were reviewed. The ERNAs were performed on an e.Cam dual head gamma camera (Siemens Medical Solutions, Erlangen, Germany) fitted with Low Energy High Resolution (LEHR) collimators 99m after intravenous administration of stannous pyrophosphate and Tc-pertechnetate. ECG-gated cardiac blood pool images were acquired. Images were reviewed and processed on a Siemens workstation. Cardiac morphology, size, contraction pattern, left ventricular wall motion and ejection fraction were assessed. Results: Of the 351 ERNAs of patients reviewed, 283 (80.6%) were females while 68 (19.4%) were males with a mean age of 48.3 ± 12.6 years and age range of 29 to 71 years. Indications for ERNA requests were chemotherapy 303 (86.3%), pre-operative evaluation 37 (10.5%) and ischaemic heart disease 9 (2.6%). LV size was dilated in 24 (6.8%) of the patients. Normal LV wall motion was recorded in 303 (86.3%) patients, while hypokinesia, akinesia and dyskinesia were recorded in 12.8%, 0.3% and 0.6% of the LVs respectively. Normal LVEF was recorded in 301 (85.8%) of the patients while mild, moderate and severe LV dysfunction were recorded in 12.8%, 0.8% and 0.6% of the patients respectively. Conclusion: ERNA is a frequently requested nuclear medicine examination for assessment of cardiac function in patients undergoing cardiotoxic chemotherapy
format	article
author	Yunusa GH More SS
author_facet	Yunusa GH More SS
author_sort	Yunusa GH
title	REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL
title_short	REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL
title_full	REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL
title_fullStr	REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL
title_full_unstemmed	REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL
title_sort	referral pattern and findings following planar equilibrium radionuclide angiocardiography in a tertiary hospital
publisher	Ntec Specialist
publishDate	2019
url	https://doaj.org/article/c0d7a6851f0c441995597cbdb9015e91
work_keys_str_mv	AT yunusagh referralpatternandfindingsfollowingplanarequilibriumradionuclideangiocardiographyinatertiaryhospital AT moress referralpatternandfindingsfollowingplanarequilibriumradionuclideangiocardiographyinatertiaryhospital
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REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL

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