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Effects of Intravenous Atrial Natriuretic Peptide on Cardiac Sympathetic Nerve Activity in Patients with Decompensated Congestive Heart Failure

Shu Kasama, MD1, Takuji Toyama, MD1, Hisao Kumakura, MD2, Yoshiaki Takayama, MD2, Takehiro Ishikawa, MD2, Shuichi Ichikawa, MD2, Tadashi Suzuki, MD1 and Masahiko Kurabayashi, MD1

1 Department of Cardiovascular Medicine, Gunma University School of Medicine, Maebashi, Japan
2 Cardiovascular Hospital of Central Japan, Gunma, Japan



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FIGURE 1. Comparison of cardiac 123I-MIBG scintigraphic findings for total defect score (A), H/M count ratio (B), and washout rate (C) 3 wk after treatment. *P < 0.01 compared with group A; {dagger}P = 0.0001 compared with group A; {ddagger}P < 0.05 compared with group A.

 


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FIGURE 2. Representative SPECT 123I-MIBG images 3 wk after treatment for both groups.

 


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FIGURE 3. Representative anterior planar delayed 1123I-MIBG images 3 wk after treatment for both groups. In these 2 examples, delayed H/M count ratio and washout rate were 1.94 and 40%, respectively, for a patient from group A and 1.48 and 53%, respectively, for a patient from group B.

 





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