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Applications of Myocardial Perfusion Imaging in Special Populations

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Nuclear Cardiology and Correlative Imaging

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Abstract

The continuous and dramatic growth in the field of nuclear cardiology over the past two decades has accounted for its central role in the clinical evaluation of patients with known or suspected coronary artery disease (CAD). The development of gated single photon emission tomography (SPECT) has facilitated the expansion of nuclear cardiology studies from the evaluation of myocardial perfusion alone to the evaluation of both perfusion and ventricular function data in a single study.

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References

  1. Berman DS, German G. Clinical applications of nuclear cardiology. In Berman DS, Germano G (Eds). Clinical Gated Cardiac SPECT. Armonk, NY: Futura Publications; 1999: 1 –63.

    Google Scholar 

  2. Gibbons RJ, Balady GJ, Beasley JW, et al. ACC/AHA guidelines for exercise testing: Executive summary. J Am Coll Cardiol. 1997; 96: 345 –354.

    CAS  Google Scholar 

  3. American Heart Association. Heart and Stroke Statistical Update 2003. Dallas: American Heart Association; 2003: 1 –46.

    Google Scholar 

  4. Miller TD, Roger VL, Milavetz JJ, et al. Assessment of the exercise electrocardiogram in women versus men using tomographic myocardial perfusion imaging as the reference standard. Am J Cardiol. 2001; 87: 868 –873.

    Article  PubMed  CAS  Google Scholar 

  5. Kwok Y, Kim C, Grady D, et al. Analysis of exercise testing to detect coronary artery disease in women. Am J Cardiol. 1999;83:660–666.

    Article  PubMed  CAS  Google Scholar 

  6. Morise AP, Dalal JN, Duval RD. Value of a simple measure of estrogen status for improving the diagnosis of coronary artery disease in women. Am J Med. 1993; 94: 491 –496.

    Article  PubMed  CAS  Google Scholar 

  7. Heller GV, Fossati AT. Detection of coronary artery disease in women. In Zaret B, Beller G (Eds). Nuclear Cardiology: State of the Art and Future Directions2nd ed. St. Louis: Mosby; 1999: 298 –311.

    Google Scholar 

  8. Travin MI, Duca MD, Kline GM, et al. Relation of gender to physician use of test results and to the prognostic value of stress technetium 99m sestamibi myocardial single-photon emission computed tomography scintigraphy. Am Heart J. 1997; 134: 73 –82.

    Article  PubMed  CAS  Google Scholar 

  9. Hachamovitch R, Berman DS, Kiat H, et al. Effective risk stratification using exercise myocardial perfusion SPECT in women: gender-related differences in prognostic nuclear testing. J Am Coll Cardiol. 1996; 28: 34 –44.

    Article  PubMed  CAS  Google Scholar 

  10. Taillefer R, DePuey EG, Udelson JE, et al. Comparative diagnostic accuracy of 201Tl and 99mTc sestamibi SPECT imaging (perfusion and ECG-gated SPECT) in detecting coronary artery disease in women. J Am Coll Cardiol. 1997; 29: 69 –77.

    Article  PubMed  CAS  Google Scholar 

  11. Marwick T, Shaw LJ, Lauer MS, et al. The noninvasive prediction of cardiac mortality in men and women with known or suspected coronary artery disease. Economics of Noninvasive Diagnosis (END) Study Group: END Trial. Am J Med. 1999; 106: 172 –178.

    Article  PubMed  CAS  Google Scholar 

  12. Cacciabaudo JM, Hachamovitch R. Stress myocardial perfusion SPECT in women: Is it the cornerstone of the noninvasive evaluation? J Nucl Med. 1998; 39: 758 –759.

    Google Scholar 

  13. Gibbons RJ, Chatterjee K, Daley J, et al. ACC/AHA/ACP-ASIM Guidelines for the management of patients with chronic stable angina: executive summary and recommendations. J Am Coll Cardiol. 1999; 33: 2092 –2097.

    Article  PubMed  CAS  Google Scholar 

  14. Mieres JH, Shaw LJ, Hendel RC, et al. Consensus statement of the American Society of Nuclear Cardiology: the role of myocardial perfusion imaging in the clinical evaluation of coronary artery disease in women. J Nucl Cardiol. 2003; 10: 95 –101.

    Article  PubMed  Google Scholar 

  15. Chou TC. Left bundle branch block in electrocardiography. In Chou TC (ed). Electrocardiography in Clinical Practice, Adult and Pediatric, 4th ed. Philadelphia: WB Saunders Company; 1996: 75 –87.

    Google Scholar 

  16. Depuey EG, Krawczynska EG, Robbins WL. Thallium-201 SPECT in coronary artery disease patients with left bundle branch block. J Nucl Med. 1988; 29: 1479 –1485.

    PubMed  CAS  Google Scholar 

  17. Burns RJ, Galligan L, Wright LM, et al. Improved specificity of myocardial thallium-201 single photon emission computed tomography in patients with left bundle branch block by dipyridamole. Am J Cardiol. 1991; 68: 504 –508.

    Article  PubMed  CAS  Google Scholar 

  18. Depuey EG. Artifacts in SPECT in cardiac SPECT imaging. In Depuey EG, Garcia EV, Berman DS (Eds). Cardiac SPECT Imaging2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2001: 231 –262.

    Google Scholar 

  19. Hirzel HO, Senn M, Nuesch K, et al. Thallium-201 scintigraphy in complete left bundle branch block. Am J Cardiol. 1984; 53: 764 –769.

    Article  PubMed  CAS  Google Scholar 

  20. O’Keefe HH, Bateman TM, Silveotri R. Safety and diagnostic accuracy of adenosine 99mTl scintigraphy in patients unable to exercise and those with left bundle branch block. Am Heart J. 1992; 124: 614 –621.

    Article  PubMed  Google Scholar 

  21. Ebersole DG, Heironimu J, Toney MO. Comparison of exercise and adenosine Technetium 99m sestamibi myocardial scintigraphy for diagnosis of coronary artery disease in patients with left bundle branch block. Am J Cardiol. 1993; 71: 450 –453.

    Article  PubMed  CAS  Google Scholar 

  22. Rockett JF, Wood WC, Mouinuddin M, et al. Intravenous dipyridamole thallium-201 SPECT imaging in patients with left bundle branch block. Clin Nucl Med. 1990; 15: 401 –407.

    Article  PubMed  CAS  Google Scholar 

  23. Larcos G, Brown ML, Gibbons RF. Role of dipyridamole thallium-201 imaging in left bundle branch block. Am J Cardiol. 1991; 68: 1097 –1098.

    Article  PubMed  CAS  Google Scholar 

  24. Grundy SM, Benjamin IJ, Burke GL, et al. Diabetes mellitus: A major risk factor for cardiovascular disease: a joint editorial statement by the American Diabetes Association; the National Heart, Lung, and Blood Institute; the Juvenile Diabetes Foundation International; the National Institute of Diabetes and Digestive and Kidney Disease and the American Heart Association. Circulation. 1999; 100: 1134 –1146.

    PubMed  CAS  Google Scholar 

  25. Hachamovitch R, Hayes S, Friedman JD, et al. Determinants of risk and its temporal variation in patients with normal stress myocardial perfusion scans: what is the warranty period of a normal? J Am Coll Cardiol. 2003; 41: 1329 –1340.

    Article  PubMed  Google Scholar 

  26. Kang X, Berman DS, Lewin H, et al. Comparative ability of myocardial perfusion single-photon emission computed tomography to detect coronary artery disease in patients with and without diabetes mellitus. Am Heart J. 1999; 137: 949 –957.

    Article  PubMed  CAS  Google Scholar 

  27. Giri S, Shaw LJ, Murthy DR, et al. Impact of diabetes on the risk stratification using stress single-photon emission computed tomography myocardial perfusion imaging in patients with symptoms suggestive of coronary artery disease. Circulation. 2002; 105: 32 –40.

    Article  PubMed  Google Scholar 

  28. Kang X, Berman DS, Lewin HC, et al. Incremental prognostic value of myocardial perfusion single photon emission computed tomography in patients with diabetes mellitus. Am Heart J. 1999; 138: 1025 –1032.

    Article  PubMed  CAS  Google Scholar 

  29. Wackers FT, Zaret BL. Editorial: Detection of myocardial ischemia in patients with diabetes mellitus. Circulation. 2002; 105: 5 –7.

    PubMed  Google Scholar 

  30. Raisinghani A, Blanchard D, DeMaria AN. Role of cardiac ultrasound in heart failure. J Nucl Cardiol. 2002; 9: S53 –S59.

    Article  Google Scholar 

  31. Udelson JE, Shafer CD, Carrio I. Radionuclide imaging in heart failure: assessing etiology and outcomes and implications for management. J Nucl Cardiol. 2002; 9: S40 –S52.

    Article  Google Scholar 

  32. Hunt SA, Baker DW, Chin MH, et al. ACC/AHA Guidelines for the evaluation and management of chronic heart failure in the adult: executive summary. J Am Coll Cardiol. 2001; 38: 2101 –2113.

    Article  PubMed  CAS  Google Scholar 

  33. Bounos EP, Mark DB, Pollock BG, et al. Surgical survival benefits for coronary artery disease patients with left ventricular dysfunction. Circulation. 1988; 78: I151 –I157.

    Google Scholar 

  34. Alderman EL, Fisher LD, Litwin P, et al. Results of coronary artery surgery in patients with poor left ventricular function (CASS). Circulation. 1983; 68: 785 –795.

    Article  PubMed  CAS  Google Scholar 

  35. Danias PG, Ahlberg AW, Clark III BA, et al. Combined assessment of myocardial perfusion and ventricular function with exercise technetium-99m sestamibi gated single-photon emission tomography imaging to differentiate ischemic and nonischemic dilated cardiomyopathies. Am J Cardiol. 1998; 82: 1253 –1258.

    Article  PubMed  CAS  Google Scholar 

  36. Greenland P, Abrams J, Aurigemmi GP, et al. Prevention Conference V. Beyond secondary prevention: identifying the high-risk patient for primary prevention: noninvasive burden. Circulation. 2000; 101: E12 –E15.

    Google Scholar 

  37. Ritfkin RD, Hood WB Jr. Bayesian analyses of electrocardiographic exercise stress testing. N Engl J Med. 1977; 297: 681 –686.

    Article  Google Scholar 

  38. Bruce RA, De Rouen TA, Hossack KF. Value of maximal exercise tests in risk assessment of primary coronary heart disease events in healthy men. Am J Cardiol. 1980; 46: 371 –378.

    Article  PubMed  CAS  Google Scholar 

  39. Froelicher VF, Maron D. Exercise testing and ancillary techniques to screen for coronary heart disease. Prog Cardiovasc Dis. 1981; 24: 261 –274.

    Article  PubMed  CAS  Google Scholar 

  40. Froelicher VF. Special applications: screening apparently healthy individuals. In Froelicher VF (Ed). Manual of Exercise Testing, 2nd ed. St. Louis: Mosby; 1994: 160 –176.

    Google Scholar 

  41. Froelicher VF, Thompson AJ, Wolthius R, et al. Angiographic findings in asymptomatic aircrew-men with electrocardiographic abnormalities. Am J Cardiol. 1997; 39: 32 –39.

    Article  Google Scholar 

  42. Blumenthal RS, Becker DM, Moy TF, et al. Exercise thallium tomography predicts future clinically manifest coronary heart disease in a high-risk asymptomatic population. Circulation. 1996; 93: 915 –923.

    PubMed  CAS  Google Scholar 

  43. Zaret BL, Beller GA. Wintergreen Panel Summaries Panel III: Risk assessment in stable patients. J Nucl Cardiol. 1999; 6: 93 –155.

    Article  Google Scholar 

  44. Vita JA, Treasure CB, Yeung AC, et al. Patients with evidence of coronary endothelial dysfunction as assessed by acetylcholine infusion demonstrate marked increase in sensitivity to constrictor effects of catecholamines. Circulation. 1992; 85: 1390 –1397.

    PubMed  CAS  Google Scholar 

  45. Ritchie JL, Bateman TN, Bonow RO, et al. ACC/AHA Task Force Report: Guideline for clinical use of cardiac radionuclide imaging. J Am Coll Cardiol. 1995; 25: 521 –547.

    Article  PubMed  CAS  Google Scholar 

  46. Hachamovitch R, Berman DS, Kiat H, et al. Exercise myocardial perfusion SPECT in patients without known coronary artery disease: incremental prognostic value and impact on subsequent patient management. Circulation. 1996; 93: 905 –914.

    PubMed  CAS  Google Scholar 

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Authors
  1. Jennifer H. Mieres
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  2. Jean M. Cacciabaudo
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  3. Mikhail Levin
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Editor information

Editors and Affiliations

  1. Department of Medicine, Federal University of Paraná Medical School, 80050-010, Curitiba, Paraná, Brazil

    João V. Vitola MD, PhD (Associate Professor, Director) (Associate Professor, Director)

  2. Quanta Medicina Nuclear, 80050-010, Curitiba, Paraná, Brazil

    João V. Vitola MD, PhD (Associate Professor, Director) (Associate Professor, Director)

  3. Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, 37232, Nashville, TN, USA

    Dominique Delbeke MD, PhD (Professor and Director of Nuclear Medicine and PET) (Professor and Director of Nuclear Medicine and PET)

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Mieres, J.H., Cacciabaudo, J.M., Levin, M. (2004). Applications of Myocardial Perfusion Imaging in Special Populations. In: Vitola, J.V., Delbeke, D. (eds) Nuclear Cardiology and Correlative Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2038-1_12

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  • DOI: https://doi.org/10.1007/978-1-4612-2038-1_12

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-20707-0

  • Online ISBN: 978-1-4612-2038-1

  • eBook Packages: Springer Book Archive

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