• Clinical nuclear medicine · Feb 2007

    Gated SPECT findings revealing diastolic dysfunction in acute hypothyroidism.

    • Mehmet Aydin, Mehmet Reyhan, Aysun Sukan, A Fuat Yapar, and Ayse Aktas.
    • Department of Nuclear Medicine, Baskent University Faculty of Medicine, Ankara, Turkey. m_aydin@yahoo.com
    • Clin Nucl Med. 2007 Feb 1; 32 (2): 94-100.

    PurposeThe purpose of this study was to assess left ventricular (LV) function by gated SPECT in acute hypothyroidism.MethodsThirty-eight acute hypothyroid patients without any cardiac disease and 40 healthy controls underwent gated SPECT at rest. Fourteen patients had a second examination during thyroxine replacement therapy. Gated SPECT was performed using Tc-99m sestamibi with 16 frames per cardiac cycle. The LV end-diastolic volume (EDV), end-systolic volume (ESV), ejection fraction (EF), peak ejection rate (PER), peak filling rate (PFR), and time to peak filling (TTPF) were measured by quantitative gated SPECT (QGS). Systolic wall thickening/motion was determined in 5 myocardial segments.ResultsHypothyroid patients exhibited a decrease in PFR (222 +/- 52 EDV/s) and prolongation of TTPF (194 +/- 32 msec) as compared with controls (247 +/- 41 EDV/s and 179 +/- 17 msec, respectively; P < 0.05). During thyroxine therapy, the mean values for EDV (74 +/- 21 mL) and PFR (265 +/- 64 EDV/s) increased significantly in 14 follow-up patients (pretreatment values 67 +/- 18 mL and 219 +/- 50 EDV/s, respectively; P < 0.05). A significant difference was detected in the mean TTPF between the thyroxine group and the controls (195 +/- 35 msec vs 179 +/- 17 msec; P < 0.05). No significant differences were found in wall thickening and motion values (P > 0.05).ConclusionGated SPECT findings revealed diastolic dysfunction as indicated by a decrease in PFR and a prolongation in TTPF in patients with acute hypothyroidism.

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