cardiac viability

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Information about cardiac viability
Education

Published on January 3, 2009

Author: swagatdash

Source: authorstream.com

NORMAL 13NH3 PERFUSION SA EXCELLENT INFERIOR WALL : NORMAL 13NH3 PERFUSION SA EXCELLENT INFERIOR WALL STRESS AMMONIA VLA IMAGES ENTIRE INFERIOR WALL EXCELLENT DELINEATION : STRESS AMMONIA VLA IMAGES ENTIRE INFERIOR WALL EXCELLENT DELINEATION CARDIAC SARCOID PERFUSION DEFECT , FDG UPTAKE (INFERIOR WALL) : CARDIAC SARCOID PERFUSION DEFECT , FDG UPTAKE (INFERIOR WALL) FDG MIBI Slide 7: Perfusion Metabolism Reversible Stunning Reversible Hibernation Irreversible Scar Dysfunction Condition Should PET replace SPECT for evaluating CAD? : Should PET replace SPECT for evaluating CAD? 112 patients, male and female, obese and non obese, with varying degree of stenosis : Myocardial perfusion PET and SPECT 5 independent NM physicians, trained on both SPECT and PET read the scans CAG done within 60 days Conclusive Reports 81% SPECT 96% PET Timothy Bateman, John Friedman et al , Cedar Sinai Med; Diagnostic accuracy of rest stress ECG Rb 82 with SestaMIBI, Journal of Nuclear Cardiology 13, 1:24-33, 2006 SPECT for evaluating CAD: The Beginning of the End? : SPECT for evaluating CAD: The Beginning of the End? Conclusion: In a large population of matched pharmacological stress patients Myocardial Perfusion PET was superior to SPECT in image quality, interpretive certainty and diagnostic accuracy Timothy Bateman, John Friedman et al , Cedar Sinai Med; Diagnostic accuracy of rest stress ECG Rb 82 with SestaMIBI, Journal of Nuclear Cardiology 13, 1:24-33, 2006 ACC/AHA Recommendations for the Use of Cardiac Stress Myocardial Perfusion Positron Emission Tomography (PET) : ACC/AHA Recommendations for the Use of Cardiac Stress Myocardial Perfusion Positron Emission Tomography (PET) Recommendations for Diagnosis of Patients With an Intermediate Likelihood of CAD and/or Risk Stratification of Patients With an Intermediate or High Likelihood of CAD Class I Adenosine or dipyridamole myocardial perfusion PET in patients in whom an appropriately indicated myocardial perfusion SPECT study has been found to be equivocal for diagnostic or risk stratification purposes (Level of Evidence: B) Class IIa Adenosine or dipyridamole myocardial perfusion PET to identify the extent, severity, and location of ischemia as the initial diagnostic test in patients who are unable to exercise (Level of Evidence: B) Adenosine or dipyridamole myocardial perfusion PET to identify the extent, severity, and location of ischemia as the initial diagnostic test in patients who are able to exercise but have LBBB or an electronically-paced rhythm (Level of Evidence: B) ACC/AHA/ASNC guidelines for the clinical use of cardiac radionuclide imaging: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (ACC/AHA/ASNC Committee to revise the 1995 guidelines [trunc]. Bethesda (MD): American College of Cardiology Foundation; 2003 ACC/AHA Recommendations for the Use of Radionuclide Techniques to Assess Myocardial Viability : ACC/AHA Recommendations for the Use of Radionuclide Techniques to Assess Myocardial Viability Class I: Conditions for which there is evidence and/or general agreement that a given procedure or treatment is useful and effective LOE B: Data derived from a single randomized trial, or from nonrandomized studies

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