Efficacy of biventricular pacing on myocardial glucose metabolism in a patient with heart failure using 2-deoxy-2[18F]fluoro-d-glucose positron emission tomography: a case report |
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Authors: | Okusu Yasuo Ishikawa Toshiyuki Takahashi Nobukazu Oka Takashi Sumita Shinichi Kobayashi Tsukasa Matsushita Kohei Yamakawa Youhei Uchino Kazuaki Matsubara Sho Kimura Kazuo Inoue Tomio Umemura Satoshi |
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Institution: | Second Department of Internal Medicine, Yokohama City University School of Medicine, Fukuura 3-9, Kanazawa-ku, Yokohama 236-0004. |
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Abstract: | A 61-year-old-male with dilated cardiomyopathy and congestive heart failure was treated by implantation of a biventricular pacemaker. Myocardial glucose metabolism was evaluated by positron emission tomography with 2-deoxy-218F]fluoro-d-glucose (FDG) during atrial-right ventricular pacing or atrial-biventricular pacing. Percentage uptake of FDG decreased in the lower septal area of the left ventricle during right ventricular pacing, but the decrease was improved during biventricular pacing (74.7% vs 91.6%). Biventricular pacing may improve myocardial glucose metabolism in patients with congestive heart failure. |
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