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Gallium-67 uptake by the heart

1983; Elsevier BV; Volume: 13; Issue: 2 Linguagem: Inglês

10.1016/s0001-2998(83)80011-7

1558-4623

Raymond Taillefer, Daniel Dionne,

Pericarditis and Cardiac Tamponade

From the Hbpital Saint-Luc, Montrbal, Canada and Universitb de Montrbal, Montrbal, Canada. Address reprint requests to Dr. Raymond Taillefer, Division o f Nuclear Medicine, Hbpital Saint-Luc, 1058 StDenis, Montrbal, Canada, H2X 3J4. 9 1983 by Grune & Stratton, Inc. 0001-2998/83/1302~9011 $01.0(9/0 moderate hepatojugular reflux was noted. Apart from distant heart sounds, the cardiopulmonary examination was otherwise normal. Pertinent laboratory data included increased erythrocyte sedimentation rate (49 mm/hr) and elevated WBC with predominant lymphocytosis. The electrocardiogram showed sinus tachycardia, and nonspecific abnormalities of the STsegment and T-wave. On chest roentgenogram, the heart size was moderately enlarged and echocardiography revealed pericardial effusion. Gallium-67-citrate scintigraphy of the chest demonstrated a significant diffuse cardiac uptake at 48 and 96 hr after intravenous injection of 5.0mCi (185 MBq) (Fig. 1). Pericardiocentesis removed 300 cc of exudate; the culture of which was