We have described three patients with clinical evidence of myocardial sarcoidosis to illustrate the utility of thallium-201 scintigraphy in demonstrating the myocardial lesions. Both the symptomatic and asymptomatic individuals studied showed the characteristic "reverse redistribution" phenomenon. No abnormalities were seen during the exercise phase of the thallium study, but myocardial defects were detected in each patient when repeat studies were obtained at rest six hours later. Steroid therapy resolved the defects in each case. We propose thallium-201 scintigraphy of the heart as a safe and useful tool for documenting myocardial involvement in sarcoidosis and following the effects of therapy.

Adrenal Cortex Hormones↗

PubMed1989

Gastric stapling: a significant risk factor in the treatment of tricyclic antidepressant overdose.

Attention is called to prior gastric stapling as a risk factor for emesis and aspiration in those patients who are treated with single or repeated oral activated charcoal for tricyclic antidepressant overdose. When administered activated charcoal as part of the standard protocol for drug poisoning, these individuals have the potential for developing severe and repeated emesis with subsequent aspiration of this compound into the respiratory tract with development of the Acute Lung Injury syndrome.

Adult↗