Volume 28 Issue 3
Jun.  2004
Article Contents

Citation:

Clinical progress of myocardial perfusion imaging in stable coronary artery disease

  • Received Date: 2004-03-04
  • Many clinical trials have proven nuclear myocardial perfusion imaging may take a key role in diagnoses, risk stratification and management of coronary artery disease. These values of myocardial perfusion imaging have been stressed in the guidelines of ACC/AHA about coronary artery disease and nuclear cardiology. The appropreciate use of myocardial perfusion imaging may increase our ability of managing with coronary disease and better utilization of medical resources in China.
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  • [1] Berman DS, Hayes SW, Shaw LJ, et al. Recent advances in myocardial perfusion imaging[J]. Curr Pro Cardiol, 2001,26:8-112.
    [2] Berman DS, Hachamovitch R, Kiat H, et al. Incremental value of prognostic testing in patients with known or suspected ischemic heart disease:a basis for optimal untilization of exercise technetium-99m sestamibi myocardial perfusion single-photon emission commputed tomography[J].J Am Coll Cardiol, 1995,26:639-647.
    [3] Hachamovitch R, Berman DS, Kiat H, et all. Exercise myocardial perfusion SPECT in patients without known coronary artery disease:incrementalprognostic value and use in risk stratification[J]. Circulation, 1996, 93:905-914.
    [4] He ZX, Shi RF, Wu YJ, et al. Direct imaging of exercise induced myocardial ischemia with fluorine labeled deoxyglucose and Tc-99m sestamibi in coronary artery disease[J]. Circulation, 2003, 108:1208-1213.
    [5] Vourvori EC, Poldermans D, Bax J J, et al. Evaluation of left ventrcular function and volumes in patients with ischaemic cardiomyocpathy:Gated single-photon emission computed tomography versus two-dimensional echocardiography[J].EurJ Nucl Med, 2001, 28:1610.
    [6] Raymond J, Jonathan A, Kanu C, et al. ACC/AHA 2002guideline update for the management of patients with chronic stable angina[J]. Circulation, 2003, 107:149-158.
    [7] Klocke FJ, Baird MG, Lorell BH, et al. ACC/AHA/ASNC guidelines for the clinical use of cardiac radionuclide imaging, executive summary: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 for Clinical Use of Cardiac Radionuclide Inaging)[J].Circulation, 2003,108:1404-1418.
    [8] Papaioannou Gl, Heller GV. Known coronary artery disease[A]. Heller GV, eds. Nuclear Cardiology[M]. New York:McGraw-Hill, 2004. 21-28.
    [9] Hachamovitch R, Berman DS, Shaw LJ. et al. Incremental prognostic value of myocardial perfusion single photon emission computed tomography for the prediction of cardiac death:differential stratification for risk of cardiac death and myocardial infarction[J].Circulation, 1998,97:535-543.
    [10] Emmett L, Iwanochko RM, Freeman MR, et aL Reversible regional wall motion abnormalities on exercise technetium 99m-gated cardiac single photon emission computed tomography predict high-grade angiographic stenoses[J]. J Am Coll Cardiol, 2002, 39:991-998.
    [11] Shaw LJ, Hachamovitch R, Berman DS, et al. The economic consequences of available diagnostic and prognostic strategies for the evaluation of stable angina patients:an observational assessment of the value of precatheterization ischemia[J]. J Am Coll Cardiol,1999,33:661-669.
    [12] Yamagishi H, Shirai N, Yoshiyama M, et al. Incremental value of left ventricular ejection fraction for detection of multivessel coronary artery disease in exercise(201)Tl gated myocardial perfusion imaging[J]. J Nucl Med, 2002, 43:131.
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    [14] Sharir T, Gemano G, Lewin HC, et al. Prognostic value of myocardial perfusion and function by gated SPECT in the prediction of non-fatal myocardial infarction and cardiac death[J]. Circulation, 1999, 100:I-383.
    [15] Lima RSL, Watson DD, Goode AR, et al. Incrememtal value ofcombined perfusion and function over perfusion alone by gated SPECT myocardial perfusion imaging for detection of severe three-vessel coronary artery disease[J]. J Am Coll Cardiol, 2003, 42(1):64-70.
    [16] Sharir T, Bacher-Stier C, Dhar S, et al. Identification of severe and extensive coronary artery disease by postexercise regional wall motion abnormalities in Tc-99m sestamibi gated single-photon emission computed tomography[J]. Am J Cardiol, 2000, 86:1171-1175.
    [17] Wackers TH, Zaret BL. Nuclear Cardiology[A]. Braunwald E, eds. Heart Diease[M]. Ed6. Philadelphia:Saunders,2001. 273-297.
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Clinical progress of myocardial perfusion imaging in stable coronary artery disease

  • Department of Nuclear Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China

Abstract: Many clinical trials have proven nuclear myocardial perfusion imaging may take a key role in diagnoses, risk stratification and management of coronary artery disease. These values of myocardial perfusion imaging have been stressed in the guidelines of ACC/AHA about coronary artery disease and nuclear cardiology. The appropreciate use of myocardial perfusion imaging may increase our ability of managing with coronary disease and better utilization of medical resources in China.

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