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Detection of myocardial ischemia before infarction, based on accumulation of labeled pyruvate

Conference · · J. Nucl. Med.; (United States)
OSTI ID:7059898

To determine whether ischemic, but not irreversibly injured myocardium, can be differentiated from normal tissue based on accumulation of labeled pyruvate, isolated hearts were perfused with buffer containing (/sup 14/C)pyruvate under conditions of normal or low flow. Fifteen minutes after the hearts were exposed to labeled material, myocardial radioactivity was fourfold greater in ischemic compared to control hearts, due to accumulation of label in sequestered lactate produced from the pyruvate. Open-chest rabbits subjected to coronary occlusion exhibited a 1.73:1 ratio of radioactivity in ischemic compared with normal myocardium 15 min after systemic injection of (/sup 14/C)pyruvate. The results obtained suggest that zones of myocardial ischemia should be detectable in vivo by positron tomography after systemic administration of (/sup 11/C)pyruvate as well.

Research Organization:
Washington Univ., St. Louis, MO
OSTI ID:
7059898
Journal Information:
J. Nucl. Med.; (United States), Journal Name: J. Nucl. Med.; (United States) Vol. 21:11; ISSN JNMEA
Country of Publication:
United States
Language:
English

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