ROLE OF GATED SPECT USING TC 99 SESTAMIBI IN EARLY DETECTION OF SUBCLINICAL HCV RELATED CIRRHOTIC CARDIOMYOPATHY

  • Marwa Gaber Department Internal Medicine, Medical Research Institute, Alexandria University, Egypt
  • Gamal Amin Department Internal Medicine, Medical Research Institute, Alexandria University, Egypt
  • Moataz Zaki Department Internal Medicine, Medical Research Institute, Alexandria University, Egypt
  • Ahmed Abdelaty Department Cardiology department, Alexandria university, Egypt
  • Gehan Magdy Department Cardiology department, Alexandria university, Egypt
Keywords: Gated SPECT, Cirrhotic cardiomyopathy, HCV�

Abstract

Background: HCV is one of the health priority in Egypt due to its high
prevalence. Cirrhotic cardiomyopathy in manifest stage can affect the
patient’s prognosis. This study aimed to evaluate the ability of gated
SPECT in detection of early HCV related cirrhotic cardiomyopathy
Methods: We studied forty Child A HCV cirrhotic patients with no other
cardiac risk factors by conventional echocardiography and Tc99 sestamibi
gated SPECT and twenty normal persons as controls.
Results: the studied group showed blunted response to stress no ischemic
changes and normal right ventricular measures.
Conclusions: HCV had an early effect on the heart in the form of
chronotropic impairment with stress.

Published
2019-12-01
Section
Articles