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Physicians Guide

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Information about Physicians Guide
Health & Medicine

Published on January 12, 2009

Author: utmedschool

Source: slideshare.net

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The Century Health Study will compare outcomes over a five year follow-up of patients randomized to either PET guided treatment and intense lifestyle-pharmacologic management or Standard Care guided by conventional SPECT imaging. Our goal is to demonstrate that definitive accurate non-invasive perfusion imaging is a reliable guide to invasive procedures integrated with intense lifestyle support and pharmacologic treatment to LDL and HDL goals in clinical practice
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Physician Guide The Weatherhead PET Center For Preventing and Re- a five year follow-up of patients randomized to either versing Atherosclerosis is undertaking the CENTURY PET guided treatment and intense lifestyle-pharmaco- HEALTH STUDY, a prospective randomized clinical logic management or Standard Care guided by conven- trial to help clarify two important issues in cardiovascu- tional SPECT imaging. Our goal is to demonstrate that lar medicine: definitive accurate non-invasive perfusion imaging is a reliable guide to invasive procedures integrated with 1. Is PET (positron emission tomography) the intense lifestyle support and pharmacologic treatment accurate definitive non-invasive imaging to LDL and HDL goals in clinical practice. technique for determining which patients need re-vascularization and which patients Study Highlights can be medically managed? 2. What are the additional benefits of intense • Male or female patients aged 40 or above with a lifestyle modification and optimal medical history of stable CAD or suspected CAD who are management over long term 5-year follow-up? referred for conventional SPECT imaging are eligible to enroll. • All PET imaging and study visits are done at no About the study cost to patient. Numerous published studies have documented the • Sustained communication is provided for support benefits of intense lifestyle modification and medical of the referring physician in ongoing patient care. management of patients with coronary artery disease • Patients are randomized to PET Guided Care or (CAD). However, few studies demonstrate: (1) how to Standard SPECT Guided Care. determine definitively which patients are suitable for in- • PET Guided group will get PET results and tense medical management without invasive procedures, recommendations based on PET sent to the (2) additional benefit of lifestyle modification and, (3) referring physician for procedures or not. how to integrate these two components of long term • PET Guided group will get regular free follow-up cardiovascular care in daily practice. with lifestyle support in collaboration with the referring physician. Commonly used non-invasive imaging tests can fre- • SPECT Guided Standard Care group will not get quently be unreliable, thereby making a coronary arte- results of PET scan but will go back to referring riogram and revascularization necessary. Since cardiac physician for treatment decisions based on positron emission tomography (PET) is not widely SPECT results without intense Century available, its value for providing these definitive answers follow-up. may not be generally recognized. Remarkable new • Both groups will get follow-up PET scan at 2 and advances in cardiac PET and additive effects of healthy 5 years. lifestyle integrated with pharmacologic treatment to Please consider referring your patients for this unique, lipid goals of LDL and HDL offer potentially improved beneficial project that has the potential to further advance “state of the art” cardiovascular care. your “state-of-the-art” cardiovascular practice. Our mutual goal is a healthy, vigorous, “Century” long life for patients. The Century Health Study will compare outcomes over

Principal Investigators and Study Personnel Stefano Sdringola MD K. Lance Gould MD Catey Carter RN Mary Haynie RN MBA Collaboration with Referring MDs as well as invasive cardiology. Dr. Sdringola joined The University of Texas at Houston in 2000, now Associ- Study visits will be carried out in the Weatherhead ate Professor and Weatherhead Chair of Cardiovascular Center For Preventing and Reversing Atherosclerosis at Medicine. He received his medical degree from the Uni- Memorial Hermann Hospital. We emphasize that our versity of Perugia in 1990 (cum laude) and completed purpose is support for you and your patients to achieve his residency and fellowship training at The University still better “state-of-the-art” care. Unless specifically of Texas Medical School at Houston. Dr. Sdringola’s requested by you, we will not assume primary care of clinical interests are primary and secondary prevention your patients referred for the CENTURY study. CEN- of coronary artery disease, hyperlipidemia management, TURY’s comprehensive program of lifestyle modifica- non-invasive management of stable coronary atheroscle- tion will complement, not replace or compete with the rosis and PET guided invasive interventions. His areas referring physician’s care. Our goal is cooperation with of expertise are coronary atherosclerosis stabilization and other physicians by offering unique imaging technology regression, acute coronary syndromes, interventional and lifestyle optimization for the best possible outcomes cardiology, and nuclear cardiology (PET and SPECT). in evidence-based medicine. About the study’s investigators The Weatherhead PET Center For Preventing and Reversing Atherosclerosis offers a successful program combining healthy lifestyle and vigorous pharmacologic treatment with cardiac PET to guide invasive proce- dures. Dramatic advances in cardiac PET imaging now provide definitive non-invasive measurement of func- tional stenosis severity and quantitative absolute myo- cardial perfusion as the basis for invasive procedures or not. As a pioneer in cardiovascular medicine and direc- tor of the center, K. Lance Gould M.D has developed the basic concepts, technology, specialized software, protocols and clinical applications that are unique, yet For questions or to speak with one of our physicians or staff, call: proven over many years in thousands of patients. In Century Study Hotline order to provide this advanced technology to you and 713-500-5200 your patients with wider benefit, we are carrying out an Weatherhead PET Imaging Center extensive, five-year randomized trial funded, in part, by 713-500-6611 a grant from the Weatherhead Foundation. Stefano Sdringola M.D, the principal investigator for this study, has over 10 years experience in non-invasive

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