Myocardial scintigraphy with 201Tl. Pt. 2

This review article deals with the clinical application of myocardial scintigraphy, its originally proposed and modified strategies, and the indications such as the selection of high risk patients, prognostic evaluations, therapy control, silent myocardial ischemia and heart transplantation problems. The sensitivity and specificity of the method is described considering various problems of a suspected coronary heart disease in comparison to documented coronary heart disease. Comparative evaluations are made between nuclear cardiology and other medical diagnostic examinations. The authors consider positron emission tomography the most applicable method for myocardial scintigraphy in the future and the study of myocardial metabolism to be in the stage of routine clinical applicability. (orig.)