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Myocardial Perfusion Imaging: Detection of Coronary Artery Disease and Miscellaneous Clinical Applications

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Nuclear Cardiology and Correlative Imaging

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Abstract

Several options exist for investigating myocardial ischemia, including exercise testing, stress echocardiography, nuclear perfusion imaging, and coronary angiography. Nuclear perfusion imaging is one of the most sensitive and specific methods for the noninvasive evaluation of myocardial ischemia. The standard criteria to define ischemia on rest/stress MPI is the presence of a stress-induced perfusion defect that reverses on the resting study. Other findings on MPI, associated with extensive coronary artery disease (CAD), include transient ischemic dilatation of the left ventricle (TID) and increased poststress pulmonary accumulation of the perfusion radiopharmaceuticals. (See Case 5.5.)

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  1. João V. Vitola
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  2. Dominique Delbeke
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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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Vitola, J.V., Delbeke, D., Smith, C.A., Neto, C.C.P., Martin, W.H., Habibian, M.R. (2004). Myocardial Perfusion Imaging: Detection of Coronary Artery Disease and Miscellaneous Clinical Applications. 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_5

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  • DOI: https://doi.org/10.1007/978-1-4612-2038-1_5

  • 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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