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Role of myocardial perfusion imaging in risk stratification

Abstract

This review paper is based on a topic invited for review presented by the first author at the Annual Meeting of Society of Nuclear Medicine of Serbia and Montenegro, September 2003. The optimal management of patients affected by coronary artery disease requires safe and cost-effective techniques for assessing the risk of subsequent cardiac events or the need for surgery. The ideal test should distinguish between high risk patients who will benefit from aggressive management and low risk patients who can be managed conservatively. Stress testing alone is believed to be inadequate for the assessment of risk. Nuclear Medicine techniques have routinely been used in the identification of patients with ischaemic heart disease and those with viable myocardium post myocardial infarction. While the essential methodology for the techniques remains same, the reporting and interpretation criteria for determining future risk are different. For instance, a fixed perfusion defect on stress myocardial perfusion imaging in a patient presenting cardiac-type chest pain to the cardiologists for the first time, has a different value from a similar patient being presented to the noncardiologist for major vascular surgery. A review of the literature concerning the current usage of nuclear cardiology techniques in stratification is presented. (author)
Authors:
Vinjamuri, S; Jayan, R [1] 
  1. Nuclear Medicine Department, Royal Liverpool University Hospital, LIverpool (United Kingdom)
Publication Date:
Jul 01, 2003
Product Type:
Journal Article
Resource Relation:
Journal Name: Nuclear Medicine Review; Journal Volume: 6; Journal Issue: 2; Other Information: 12 refs; PBD: 2003
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOMEDICAL RADIOGRAPHY; CARDIOVASCULAR DISEASES; CLINICAL TRIALS; ISONITRILES; MYOCARDIUM; PATIENTS; PERFUSED ORGANS; RISK ASSESSMENT; SCINTISCANNING; SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY; STRATIFICATION; SURGERY; TECHNETIUM 99; THALLIUM 201
OSTI ID:
20617210
Country of Origin:
Poland
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 1506-9680; TRN: PL0500901060439
Submitting Site:
INIS
Size:
page(s) 147-149
Announcement Date:
Aug 21, 2005

Citation Formats

Vinjamuri, S, and Jayan, R. Role of myocardial perfusion imaging in risk stratification. Poland: N. p., 2003. Web.
Vinjamuri, S, & Jayan, R. Role of myocardial perfusion imaging in risk stratification. Poland.
Vinjamuri, S, and Jayan, R. 2003. "Role of myocardial perfusion imaging in risk stratification." Poland.
@misc{etde_20617210,
title = {Role of myocardial perfusion imaging in risk stratification}
author = {Vinjamuri, S, and Jayan, R}
abstractNote = {This review paper is based on a topic invited for review presented by the first author at the Annual Meeting of Society of Nuclear Medicine of Serbia and Montenegro, September 2003. The optimal management of patients affected by coronary artery disease requires safe and cost-effective techniques for assessing the risk of subsequent cardiac events or the need for surgery. The ideal test should distinguish between high risk patients who will benefit from aggressive management and low risk patients who can be managed conservatively. Stress testing alone is believed to be inadequate for the assessment of risk. Nuclear Medicine techniques have routinely been used in the identification of patients with ischaemic heart disease and those with viable myocardium post myocardial infarction. While the essential methodology for the techniques remains same, the reporting and interpretation criteria for determining future risk are different. For instance, a fixed perfusion defect on stress myocardial perfusion imaging in a patient presenting cardiac-type chest pain to the cardiologists for the first time, has a different value from a similar patient being presented to the noncardiologist for major vascular surgery. A review of the literature concerning the current usage of nuclear cardiology techniques in stratification is presented. (author)}
journal = []
issue = {2}
volume = {6}
journal type = {AC}
place = {Poland}
year = {2003}
month = {Jul}
}