High prevalence of myocardial monoclonal antimyosin antibody uptake in patients with chronic idiopathic dilated cardiomyopathy
Monoclonal antimyosin antibody studies were undertaken to assess the presence of myocardial uptake in patients with chronic idiopathic dilated cardiomyopathy. Three groups were studied: 17 patients with chronic (greater than 12 months) idiopathic dilated cardiomyopathy, 12 patients with a large, poorly contracting left ventricle not due to dilated cardiomyopathy (control patients) and 8 normal individuals. The patients in the cardiomyopathy and control groups showed a similar degree of clinical and functional impairment. Imaging was undertaken 48 h after antimyosin injection. The heart/lung ratio of antimyosin uptake was used to assess the results. The mean ratio in the cardiomyopathy group was 1.83 +/- 0.36 (range 1.40 to 2.80), a value significantly higher than that obtained in the control patients without cardiomyopathy (mean 1.46 +/- 0.04, range 1.38 to 1.50) or normal subjects (mean 1.46 +/- 0.13, range 1.31 to 1.6) (p less than 0.01). No difference in the ratio was noted between the normal subjects and control patients. Abnormal antimyosin uptake was seen in 12 (70%) of the 17 patients with cardiomyopathy and in only 1 (8%) of the 12 control patients. Positive monoclonal antimyosin antibody studies are highly prevalent in chronic idiopathic dilated cardiomyopathy.
- Research Organization:
- Hospital de la Santa Creu i Sant Pau, Barcelona (Spain)
- OSTI ID:
- 5989674
- Journal Information:
- J. Am. Coll. Cardiol.; (United States), Vol. 13:6
- Country of Publication:
- United States
- Language:
- English
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RADIOIMMUNOSCINTIGRAPHY
INDIUM ISOTOPES
MONOCLONAL ANTIBODIES
MYOCARDIUM
MYOSIN
PATIENTS
ANTIBODIES
BODY
CARDIOVASCULAR SYSTEM
COUNTING TECHNIQUES
DIAGNOSTIC TECHNIQUES
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GLOBULINS
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RADIOISOTOPE SCANNING
SCINTISCANNING
550601* - Medicine- Unsealed Radionuclides in Diagnostics