Previous MI with no intervention
|
|
- Dominic O’Brien’
- 5 years ago
- Views:
Transcription
1 Previous MI with no intervention F. Mut, M. Beretta Nuclear Medicine Service, Asociacion Española Montevideo, Uruguay
2 Clinical history Woman 68 y.o. Recent acute MI (3 weeks) with no intervention. Discharged with medical treatment. Shortness of breath and chest discomfort. ECG: Atrial fibrillation, complete arrhythmia, Q in V3-V5. The patient underwent a stress/rest myocardial SPECT study with 99m Tc-MIBI and dipyridamole.
3 Myocardial perfusion study
4 The perfusion result is consistent with: a) Myocardial infarction. b) Myocardial ischemia. c) Myocardial infarction + ischemia. d) Myocardial infarction + technical artifact.
5 The perfusion result is consistent with: a) Myocardial infarction. b) Myocardial ischemia. c) Myocardial infarction + ischemia. d) Myocardial infarction + technical artifact. There is a large, partially reversible defect involving the anteroseptal and apical regions. Together with history of MI, Q waves in V3-V5 and chest pain, the finding guides to the diagnosis of MI + ischemia.
6 Quantitation of perfusion and function
7 The quantitative results indicate: a) Normal LV function. b) Post-ischemic myocardial stunning. c) Depressed LV function due to myocardial scar. d) Calculated LVEF values are questionable.
8 The quantitative results indicate: a) Normal LV function. b) Post-ischemic myocardial stunning. c) Depressed LV function due to myocardial scar. d) Calculated LVEF values are questionable. Although depressed LV function can be expected in a patient with MI and ischemic response, LVEF values are not very reliable due to atrial fibrillation with arrhythmia (gating error).
9 The following is(are) associated with poor prognosis after MI, and therefore should be investigated: a) Inducible ischemia. b) Depressed ventricular function. c) Ventricular arrhythmias. d) All of the above.
10 The following is(are) associated with poor prognosis after MI, and therefore should be investigated: a) Inducible ischemia. b) Depressed ventricular function. c) Ventricular arrhythmias. d) All of the above. Myocardial ischemia, low LVEF and ventricular arrhythmia are linked to high rate of cardiac events after MI and are powerful prognostic markers guiding therapeutic decisions.
11 The following factor(s) is(are) can be investigated with nuclear techniques: a) Inducible ischemia. b) Ventricular function. c) Ventricular arrhythmias. d) a & b only.
12 The following factor(s) is(are) can be investigated with nuclear techniques: a) Inducible ischemia. b) Ventricular function. c) Ventricular arrhythmias. d) a & b only. Stress/rest myocardial perfusion and LV function can be assessed by gated SPECT, however electrical disorders should be evaluated through other methods like Holter monitoring.
13 Teaching points Non-invasive functional imaging is indicated after AMI for risk stratification and treatment guidance. Inducible ischemia, depressed LVEF and arrhythmias are key prognostic factors and should be addressed promptly in order to decrease the risk for future cardiac events. Complete arrhythmias (especially due to atrial fibrillation) can interfere with gated acquisition, difficulting the evaluation of LVEF and wall motion.
14 Bibliography Verani MS. Exercise and pharmacologic stress testing for prognosis after acute myocardial infarction. J Nucl Med 1994; 35: Cullom SJ, Case JA, Bateman TM. Electrocardiographically gated myocardial perfusion SPECT: technical principles and quality control considerations. J Nucl Cardiol 1998; 5: Candell Riera J. Risk stratification after acute myocardial infarction. Rev Esp Cardiol 2003; 56: ACC/AHA/ASNC Guidelines for the clinical use of cardiac radionuclide imaging (2009 revision).
Paradoxical pattern in a patient with previous myocardial infarction F. Mut, M. Kapitan
Paradoxical pattern in a patient with previous myocardial infarction F. Mut, M. Kapitan Nuclear Medicine Service, Italian Hospital Montevideo, Uruguay Clinical history Woman 66 y.o. Previous MI. Dyspnea
More informationTypical chest pain with normal ECG
Typical chest pain with normal ECG F. Mut, C. Bentancourt, M. Beretta Nuclear Medicine Service, Asociacion Española Montevideo, Uruguay Clinical history Male 41 y.o. Overweight, hypertension, high cholesterol,
More informationAtypical pain and normal exercise test
Atypical pain and normal exercise test F. Mut, M. Beretta Nuclear Medicine Service, Asociacion Española Montevideo, Uruguay Clinical history 67-year old male with several coronary risk factors. Atypical
More informationMPS and Calcium Score in asymptomatic patient F. Mut, J. Vitola
MPS and Calcium Score in asymptomatic patient F. Mut, J. Vitola Nuclear Medicine Service, Asociacion Española Montevideo, Uruguay Quanta Diagnostico Nuclear Curitiba, Brazil Clinical history Male 63 y.o.,
More informationSingle episode of chest pain post-ptca, with normal ECG and enzymes
Single episode of chest pain post-ptca, with normal ECG and enzymes F. Mut, M. Kapitan Nuclear Medicine Service, Italian Hospital Montevideo, Uruguay Clinical history 54 y.o. woman. Smoker, dyslipidemic,
More information1. LV function and remodeling. 2. Contribution of myocardial ischemia due to CAD, and
1 The clinical syndrome of heart failure in adults is commonly associated with the etiologies of ischemic and non-ischemic dilated cardiomyopathy, hypertrophic cardiomyopathy, hypertensive heart disease,
More informationNuclear Cardiology Cardiac Myocardial Perfusion with 82 Rb. Dominique Delbeke, MD, PhD Vanderbilt University Medical Center Nashville, TN
Nuclear Cardiology Cardiac Myocardial Perfusion with 82 Rb Dominique Delbeke, MD, PhD Vanderbilt University Medical Center Nashville, TN VUMC PET/CT conference 2009 82 Rb Cardiac Perfusion PET 82 Rb is
More informationPearls & Pitfalls in nuclear cardiology
Pearls & Pitfalls in nuclear cardiology Maythinee Chantadisai, MD., NM physician Division of Nuclear Medicine, Department of radiology, KCMH Principle of myocardial perfusion imaging (MPI) Radiotracer
More informationConflict of Interest Disclosure
Comparative Advantages of PET Over SPECT: Is PET Really Better? Timothy M. Bateman M.D. Co-Director, Cardiovascular Radiologic Imaging Mid America Heart Institute Professor of Medicine University of Missouri-Kansas
More informationConflict of Interest Disclosure
Challenges and Opportunities for SPECT & PET in 2013: Implementing Latest Acquisition and Processing Protocols Timothy M. Bateman M.D. Co-Director, Cardiovascular Radiologic Imaging Mid America Heart Institute
More informationAbnormal, Autoquant Adenosine Myocardial Perfusion Heart Imaging. ID: GOLD Date: Age: 46 Sex: M John Doe Phone (310)
Background: Reason: preoperative assessment of CAD, Shortness of Breath Symptom: atypical chest pain Risk factors: hypertension Under influence: a beta blocker Medications: digoxin Height: 66 in. Weight:
More informationFundamentals of Nuclear Cardiology. Terrence Ruddy, MD, FRCPC, FACC
Fundamentals of Nuclear Cardiology Terrence Ruddy, MD, FRCPC, FACC Objectives To understand the Principles of Nuclear Cardiac Imaging Radiotracers Image acquisition and processing Stress protocols To appreciate
More informationCHRONIC CAD DIAGNOSIS
CHRONIC CAD DIAGNOSIS Chest Pain Evaluation 1. Approach to diagnosis of CAD 2. Classification of chest pain 3. Pre-test likelihood CAD 4. Algorithm for chest pain evaluation in women 5. Indications for
More informationGated SPECT SPECT. small heart small heart 2. R-R SPECT. MBq Marconi/Shimadzu 3 R-R SPECT R-R R-R. (OdysseyFX) 16 8 QGS (Quantitative Gated SPECT)
97 Gated SPECT * * SPECT R-R R-R 20 ml small heart SPECT ( 39: 97 102, 2002) 1. SPECT SPECT R-R R-R * 13 11 21 1715 (0 270 1694) small heart small heart 2. R-R 12 48 99m Tc-tetrofosmin 740 MBq Marconi/Shimadzu
More informationHybrid Imaging Improving Nuclear Cardiology Practice
Lippincott Williams & Wilkins, - Nuclear Medicine teaching File, 2009 Hybrid Imaging Improving Nuclear Cardiology Practice João V. Vitola, MD, PhD Cardiologist and Nuclear Medicine Physician Quanta Diagnostico
More informationMyocardial Perfusion SPECT How to do it E. Moralidis
Myocardial Perfusion SPECT How to do it E. Moralidis Aristotelian University AHEPA Hospital Thessaloniki Myocardial perfusion SPECT procedure Stress Imaging Data analysis and reporting Myocardial perfusion
More informationStress only Perfusion Imaging
European Society of Cardiology Annual meeting, 2010, Stockholm, Sweden Stress only Perfusion Imaging Oliver Gaemperli, MD Cardiovascular Center, University Hospital Zurich, Switzerland Male patient, 48
More informationA Morbidly Obese Woman
CASE LIBRARY SERIES NO. 04 PREOPERATIVE EVALUATION WITH MPI IN A Morbidly Obese Woman CASE DISCUSSION PROVIDED BY JAMES A. ARRIGHI, MD ASSOCIATE PROFESSOR OF MEDICINE ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
More informationNuclear medicine in general practice. Dr Reza Garzan MD, FRACP, FAANMS
Nuclear medicine in general practice Dr Reza Garzan MD, FRACP, FAANMS Myocardial perfusion study Bone scans in general practice Thyroid scans in general practice Gamma camera Detection of gamma rays Myocardial
More informationDIAGNOSTIC TESTING IN PATIENTS WITH STABLE CHEST PAIN
DIAGNOSTIC TESTING IN PATIENTS WITH STABLE CHEST PAIN DISCLOSURES financial or pharmaceutical affiliations related to topic JOSHUA MESKIN, MD, FACC -Medical College of Wisconsin -Associate Professor of
More informationStable Angina: Indication for revascularization and best medical therapy
Stable Angina: Indication for revascularization and best medical therapy Cardiology Basics and Updated Guideline 2018 Chang-Hwan Yoon, MD/PhD Cardiovascular Center, Department of Internal Medicine Bundang
More informationThe Value of Stress MRI in Evaluation of Myocardial Ischemia
The Value of Stress MRI in Evaluation of Myocardial Ischemia Dr. Saeed Al Sayari, MBBS, EBCR, MBA Department of Radiology and Nuclear Medicine Mafraq Hospital, Abu Dhabi United Arab Emirates Introduction
More informationNormal Stress-Only Versus Standard Stress/Rest Myocardial Perfusion Imaging
Journal of the American College of Cardiology Vol. 55, No. 3, 2010 2010 by the American College of Cardiology Foundation ISSN 0735-1097/10/$36.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2009.09.022
More informationFellows on this rotation are expected to attend nuclear conferences and multimodality imaging conference.
Rotation: Imaging 1 Imaging 1 provides COCATS Level 1 experience for nuclear cardiology (including SPECT and PET) and cardiac CT. Fellows will administer, process, and read cardiac nuclear studies with
More informationRadiologic Assessment of Myocardial Viability
November 2001 Radiologic Assessment of Myocardial Viability Joshua Moss, Harvard Medical School Year III Patient EF 66yo female with a 3-year history of intermittent chest pain previously relieved by sublingual
More informationSPECT-CT: Τι πρέπει να γνωρίζει ο Καρδιολόγος
SPECT-CT: Τι πρέπει να γνωρίζει ο Καρδιολόγος Δρ Αναστασία Κίτσιου Διευθύντρια, Καρδιολογική Κλινική, Σισμανόγλειο ΓΝΑ Chair, Education Committee, Section on Nuclear Cardiology & Cardiac CT, EACVI, ESC
More informationRotation: Imaging 2. Nuclear Cardiology (in Imaging 1 and 2)
Rotation: Imaging 2 Imaging 2 provides addition nuclear cardiology experience and COCATS Level 1 cardiac MRI experience. Fellows administer, process, and read VHVI cardiac nuclear studies with cardiology
More informationRational use of imaging for viability evaluation
EUROECHO and other imaging modalities 2011 Rational use of imaging for viability evaluation Luc A. Pierard, MD, PhD, FESC, FACC Professor of Medicine Head, Department of Cardiology, CHU Liège, Belgium
More informationA Light in the Dark: Cardiac MRI and Risk Mitigation. J. Ronald Mikolich MD Professor of Internal Medicine Northeast Ohio Medical University (NEOMED)
A Light in the Dark: Cardiac MRI and Risk Mitigation J. Ronald Mikolich MD Professor of Internal Medicine Northeast Ohio Medical University (NEOMED) Dr. Mikolich has NO financial disclosures relative to
More informationINTRAVENOUS ADENOSINE MYOCARDIAL PERFUSION STUDY (rest/pharmacologic stress SPECT with gated SPECT wall motion studies at rest and post-stress)
nucware.com, LLC Product Demo Anytown Cardiac Specialists, Inc. Janet Jones, MD, FACC Ed Wilson, MD, FACC Tom Smith, MD, FACC Jim Wilson, MD, FACC John Womack, MD, FACC JOHNSON, VICTOR DOB: 09/06/1938
More informationP F = R. Disorder of the Breast. Approach to the Patient with Chest Pain. Typical Characteristics of Angina Pectoris. Myocardial Ischemia
Disorder of the Breast Approach to the Patient with Chest Pain Anthony J. Minisi, MD Department of Internal Medicine, Division of Cardiology Virginia Commonwealth University School of Medicine William
More informationUse of Nuclear Cardiology in Myocardial Viability Assessment and Introduction to PET and PET/CT for Advanced Users
Use of Nuclear Cardiology in Myocardial Viability Assessment and Introduction to PET and PET/CT for Advanced Users February 1 5, 2011 University of Santo Tomas Hospital Angelo King A-V Auditorium Manila,
More informationΧ.Τρίκκα Καρδιολογική Κλινική Νοζοκομείο Ερρίκος Νησνάν
Χ.Τρίκκα Καρδιολογική Κλινική Νοζοκομείο Ερρίκος Νησνάν Efficacy of Myocardial Contrast Echocardiography in the Diagnosis and Risk Stratification of Acute Coronary Syndrome Am J Cardiol 2005;96:1498 1502
More informationThe Role of Nuclear Imaging in Heart Failure
The Role of Nuclear Imaging in Heart Failure Mouaz H. Al-Mallah, MD MSc FESC Associate Professor of Medicine Consultant Cardiologist and Division Head, Cardiac Imaging King Abdulaziz Cardiac Centre, National
More informationExercise ECG (TMT) is a commonly used investigation in the
Journal of the association of physicians of india july 2013 VOL. 61 65 Case Reports The Common, Less Common and Uncommon Examples of Exercise ECG MJ Jacob *, Puneet Kumar +, Mudalsha Ravina +, Amrita Tiwari
More information3/27/2014. Introduction.
Introduction. Myocardial perfusion & contractility becomes abnormal immediately after the onset of ischaemia, even before the development of the symptoms & ST segment changes. 1 Myocardial Wall Motion
More informationQualitative and Quantitative Assessment of Perfusion
APCDE 2011 Qualitative and Quantitative Assessment of Perfusion Hyun Ju Yoon Chonnam National University Hospital Gwangju, Korea ISCHEMIC CASCADE Blood flow mismatch Perfusion defects on nuclear imaging,
More informationRole of Myocardial Perfusion Imaging in the Cardiac Evaluation of Aviators
Original Research Role of Myocardial Perfusion Imaging in the Cardiac Evaluation of Aviators Anil Kumar AVS *, Kumar PG +, Prakash MS # ABSTRACT In an attempt to provide more accurate and inclusive information
More informationI have no financial disclosures
Manpreet Singh MD I have no financial disclosures Exercise Treadmill Bicycle Functional capacity assessment Well validated prognostic value Ischemic assessment ECG changes ST segments Arrhythmias Hemodynamic
More informationCardiovascular nuclear imaging employs non-invasive techniques to assess alterations in coronary artery flow, and ventricular function.
National Imaging Associates, Inc. Clinical guidelines CARDIOVASCULAR NUCLEAR MEDICINE -MYOCARDIAL PERFUSION IMAGING -MUGA CPT4 Codes: Refer to pages 6-9 LCD ID Number: L33960 J 15 = KY, OH Responsible
More informationMy Patient Needs a Stress Test
My Patient Needs a Stress Test Amy S. Burhanna,, MD, FACC Coastal Cardiology Cape May Court House, New Jersey Absolute and relative contraindications to exercise testing Absolute Acute myocardial infarction
More informationCardiovascular nuclear imaging employs non-invasive techniques to assess alterations in coronary artery flow, and ventricular function.
National Imaging Associates, Inc. Clinical guidelines CARDIOVASCULAR NUCLEAR MEDICINE -MYOCARDIAL PERFUSION IMAGING -MUGA Original Date: October 2015 Page 1 of 9 FOR CMS (MEDICARE) MEMBERS ONLY CPT4 Codes:
More informationGuideline Number: NIA_CG_024 Last Review Date: January 2011 Responsible Department: Last Revised Date: May 2, 2011 Clinical Operations
National Imaging Associates, Inc. Clinical guidelines NUCLEAR CARDIAC IMAGING (MYOCARDIAL PERFUSION STUDY) CPT Codes: 78451, 78452, 78453, 78454, 78466, 78468, 78469, 78481, 78483, 78494, 78499 Original
More informationNUCLEAR CARDIOLOGY UPDATE
Nuclear Cardiology David K. Shelton, Jr., MD NUCLEAR CARDIOLOGY UPDATE No Conflicts. No Disclosures. No Smoking. David K. Shelton UCDMC Nuclear Cardiology Nuclear Cardiology Radionuclide Ventriculography
More informationAppendix D Output Code and Interpretation of Analysis
Appendix D Output Code and Interpretation of Analysis 8 Arrhythmia Code No. Description 8002 Marked rhythm irregularity 8110 Sinus rhythm 8102 Sinus arrhythmia 8108 Marked sinus arrhythmia 8120 Sinus tachycardia
More informationChoosing the Appropriate Stress Test: Brett C. Stoll, MD, FACC February 24, 2018
Choosing the Appropriate Stress Test: Brett C. Stoll, MD, FACC February 24, 2018 Choosing the Appropriate Stress Test: Does it Really Matter? Brett C. Stoll, MD, FACC February 24, 2018 Conflicts of Interest
More informationRole of echocardiography in the assessment of ischemic heart disease 분당서울대학교병원윤연이
Role of echocardiography in the assessment of ischemic heart disease 분당서울대학교병원윤연이 Outline Evaluation of Chest pain Evaluation of MI complications Prediction of Outcomes Evaluation of Chest pain Evaluation
More informationPresenter Disclosure Information
Various Morphological Types of Ventricular Premature Beats with Fragmented QRS Waves on 12 Lead Holter ECG had a Positive Relationship with Left Ventricular Fibrosis on CT in Patients with Hypertrophic
More informationMyocardial perfusion imaging
THEME Imaging Myocardial perfusion imaging A validated and mature cardiac imaging modality Alex Pitman BMedSci, MBBS, FRANZCR, is Professor and Director of Medical Imaging, Department of Medical Imaging,
More informationMyocardial viability testing. What we knew and what is new
Myocardial viability testing. What we knew and what is new Dr B K S Sastry, MD, DM. CARE Hospitals, Hyderabad What is Viability Viability Dysfunctional myocardium subtended by diseased coronary arteries
More information411.1 INTERMED CORONARY SYNDROME 412 OLD MYOCARDIAL INFARCT ANGINA PECTORIS OT/UNSPEC CORONARY ATHRSCL UNS VESSEL
78451 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative NUC 1073 410.91 AMI UNSP INITIAL EPISODE 410.92 AMI UNSP SUBSEQUENT EPISODE 414.8 CHR ISCHEMIC HRT
More informationPreview of Presentation
Preview of Presentation Discuss Healthcare Environment Clinical Implementation of Technical Innovations SNMMI/ASNC Joint Statement on Rb-82 Cardiac PET Imaging Protocol Principles of Rb-82 Cardiac Imaging
More informationOTHER NON-CARDIAC USES OF Tc-99m CARDIAC AGENTS Tc-99m Sestamibi for parathyroid imaging, breast tumor imaging, and imaging of other malignant tumors.
DEFINITION OF CARDIAC RADIOPHARMACEUTICAL: A radioactive drug which, when administered for purpose of diagnosis of heart disease, typically elicits no physiological response from the patient. Even though
More informationThe Role of SPECT/ PET
Session 15: Imaging Heart Failure The Role of SPECT/ PET Albert Flotats, MD, FEBNM Hospital de la Santa Creu i Sant Pau, Barcelona Universitat Autònoma de Barcelona HF - Clinical Questions 1. Etiology?
More informationCase-Based Pitfalls of SPECT and PET: Recognizing and Working with Artifacts
2:20 PM Friday WORKSHOP V Case-Based Pitfalls of SPECT and PET: Recognizing and Working with Artifacts Sean W. Hayes, MD Associate Clinical Professor of Medicine UCLA School of Medicine Cedars-Sinai Heart
More informationA Light in the Dark: Cardiac MRI and Risk Mitigation. J. Ronald Mikolich MD Professor of Internal Medicine Northeast Ohio Medical University (NEOMED)
A Light in the Dark: Cardiac MRI and Risk Mitigation J. Ronald Mikolich MD Professor of Internal Medicine Northeast Ohio Medical University (NEOMED) Dr. Mikolich has NO financial disclosures relative to
More informationUpdate in Nuclear Cardiology: Patient-Centered Imaging Radiation Dose Reduction
Update in Nuclear Cardiology: Patient-Centered Imaging Radiation Dose Reduction E. Gordon DePuey, M.D. Icahn School of Medicine ant Mt. Sinai New York, NY Disclosures: Grant Support: Michael J. Fox Foundation
More informationAppropriateness of Stress Echocardiography and Nuclear Stress Thallium/Sesta Mibi Testing Methods
Appropriateness of Stress Echocardiography and Nuclear Stress Thallium/Sesta Mibi Testing Methods Review by Michael Devenport, MS, RDCS Objectives: A basic description and review of appropriate use of
More informationSummary, conclusions and future perspectives
Summary, conclusions and future perspectives Summary The general introduction (Chapter 1) of this thesis describes aspects of sudden cardiac death (SCD), ventricular arrhythmias, substrates for ventricular
More informationCURRENT STATUS OF STRESS TESTING JOHN HAMATY D.O.
CURRENT STATUS OF STRESS TESTING JOHN HAMATY D.O. INTRODUCTION Form of imprisonment in 1818 Edward Smith s observations TECHNIQUE Heart rate Blood pressure ECG parameters Physical appearance INDICATIONS
More informationJournal of the American College of Cardiology Vol. 50, No. 11, by the American College of Cardiology Foundation ISSN /07/$32.
Journal of the American College of Cardiology Vol. 50, No. 11, 2007 2007 by the American College of Cardiology Foundation ISSN 0735-1097/07/$32.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2007.05.035
More informationpresenters 2010 Sameh Sabet Ain Shams University
Guidelines for PCI in late STEMI presenters 2010 Sameh Sabet Assistant Professor of Cardiology Ain Shams University 29% of MI patients have STEMI. NRMI 4 (Fourth National Registry of Myocardial Infarction),
More informationSPECT TRACERS Tl-201, Tc-99m Sestamibi, Tc-99m Tetrofosmin
SPECT TRACERS Tl-201, Tc-99m Sestamibi, Tc-99m Tetrofosmin Elmer Jasper B. Llanes, M.D. Nuclear Cardiology St. Luke s Medical Center Outline Ideal Physiologic Characteristics of MPI radioactive tracers
More informationSung A Chang Department of Internal Medicine, Division of Cardiology, Sungkyunkwan University School of Medicine, Samsung Medical Center
CMR Perfusion and Viability A STICH Out of Time? Sung A Chang Department of Internal Medicine, Division of Cardiology, Sungkyunkwan University School of Medicine, Samsung Medical Center Can Imaging Improve
More informationPHARMACOLOGICAL STRESS TESTING
PHARMACOLOGICAL STRESS TESTING Southwestern Chapter - SNMMI Warren H. Moore, MD, FACNM, FACC Baylor College of Medicine Dept. of Radiology Baylor St. Luke s Medical Center Texas Heart Institute Houston,
More informationThe use of Cardiac CT and MRI in Clinical Practice
The use of Cardiac CT and MRI in Clinical Practice Matthew W. Martinez, MD Assistant Professor of Medicine LVPG - Lehigh Valley Heart Specialists Lehigh Valley Health Network Oct. 3, 2009 DISCLOSURE Relevant
More informationThe diagnostic role of stress echocardiography in women with coronary artery disease: evidence based review John R. McKeogh
The diagnostic role of stress echocardiography in women with coronary artery disease: evidence based review John R. McKeogh Key points 1) Coronary artery disease in women differs from men in several ways,
More informationJe bénéficie régulièrement de fonds privés, dans le cadre de projets de recherche ou d activités de formation.
Je bénéficie régulièrement de fonds privés, dans le cadre de projets de recherche ou d activités de formation. Ces fonds proviennent essentiellement d industriels travaillant dans les domaines de l imagerie
More informationCardiac Viability Testing A Clinical Perspective Annual Cardiac Imaging Symposium. Lisa M Mielniczuk MD FRCPC University of Ottawa Heart Institute
Cardiac Viability Testing A Clinical Perspective Annual Cardiac Imaging Symposium Lisa M Mielniczuk MD FRCPC University of Ottawa Heart Institute 62 year old male Anterior STEMI late presentation, occluded
More informationWhy Cardiac MRI? Presented by:
Why Cardiac MRI? Presented by: Lisa G. Carkner, MD, FACC 1 Disclosures I have no financial disclosures Objectives Review basic principles of Cardiac MRI. What patient characteristics do I need to consider
More informationWhich Test When? Avoid the Stress of Stress Testing. Marc Newell, MD, FACC, FSCCT Minneapolis Heart Institute
Which Test When? Avoid the Stress of Stress Testing Marc Newell, MD, FACC, FSCCT Minneapolis Heart Institute Outline Understand the importance of coronary artery disease assessment Understand the basics
More informationEvaluating Clinical Risk and Guiding management with SPECT Imaging
Evaluating Clinical Risk and Guiding management with SPECT Imaging Raffaele Giubbini Chair and Nuclear Medicine Unit University & Spedali Civili Brescia- Italy U.S. Congressional Budget Office. Technological
More informationACC/AHA/ASNC Guidelines for the Clinical Use of Cardiac Radionuclide Imaging
2003 by the American College of Cardiology Foundation and the American Heart Association, Inc. ACC/AHA PRACTICE GUIDELINES FULL TEXT ACC/AHA/ASNC Guidelines for the Clinical Use of Cardiac Radionuclide
More informationINTRODUCTION. Key Words:
Original Article Acta Cardiol Sin 2013;29:243 250 Coronary Artery Disease Prognostic Value of Functional Variables as Assessed by Gated Thallium-201 Myocardial Perfusion Single Photon Emission Computed
More informationA Prognostic Score for Prediction of Cardiac Mortality Risk After Adenosine Stress Myocardial Perfusion Scintigraphy
Journal of the American College of Cardiology Vol. 45, No. 5, 2005 2005 by the American College of Cardiology Foundation ISSN 0735-1097/05/$30.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2004.08.069
More information4/14/15. The Electrocardiogram. In jeopardy more than a century after its introduction by Willem Einthoven? Time for a revival. by Hein J.
The Electrocardiogram. In jeopardy more than a century after its introduction by Willem Einthoven? Time for a revival. by Hein J. Wellens MD 1 Einthoven, 1905 The ECG! Everywhere available! Easy and rapid
More informationNew Exercise-Dipyridamole Combined Test for Nuclear Cardiology in Insufficient Effort: Appropriate Diagnostic Sensitivity Keeping Exercise Prognosis
New Exercise-Dipyridamole Combined Test for Nuclear Cardiology in Insufficient Effort: Appropriate Diagnostic Sensitivity Keeping Exercise Prognosis Inés Vidal, Mario Beretta, Omar Alonso, Fernando Mut
More informationSubha V. Raman, MD, MSEE, FACC, FAHA
OSU Cardiovascular MR/CT Update April 27, 2018 Contemporary Approaches to Myocardial Ischemia Subha V. Raman, MD, MSEE, FACC, FAHA Professor and Medical Director, CMR/CCT Disclosures Institutional research
More informationDisclosure. 3. ST depression indicative of ischemia is most commonly observed in leads: 1. V1-V2. 2. I and avl 3. V
Interpreting Stress Induced Ischemia by ECG, Bundle Branch Block & Arrhythmias Disclosure Gregory S Thomas MD, MPH Medical Director, MemorialCare Heart & Vascular Institute, Long Beach Memorial Astellas
More informationDiagnosis of CAD S Richard Underwood
Diagnosis of CAD S Richard Underwood Professor of Cardiac Imaging Royal Brompton Hospital & Imperial College Faculty of Medicine London, UK The history and diagnosis 89% Non-cardiac chest pain 50% Atypical
More informationGetting the Most Out of Stress Echo
Getting the Most Out of Stress Echo Vera H. Rigolin, MD, FASE, FACC, FAHA Professor of Medicine Northwestern University Feinberg School of Medicine Medical Director, Echocardiography Laboratory Northwestern
More informationORIGINAL ARTICLE. Iulia Heinle 1,*, Andre Conradie 2 and Frank Heinle 1
PJNM 2011, 1:42-48 331691 2011 Pakistan Society of Nuclear Medicine ORIGINAL ARTICLE A clinical and angiographic correlation of myocardial perfusion scintigraphy in the assessment of isolated apical/peri-apical
More informationPrediction of Life-Threatening Arrhythmia in Patients after Myocardial Infarction by Late Potentials, Ejection Fraction and Holter Monitoring
Prediction of Life-Threatening Arrhythmia in Patients after Myocardial Infarction by Late Potentials, Ejection Fraction and Holter Monitoring Yu-Zhen ZHANG, M.D.,* Shi-Wen WANG, M.D.,* Da-Yi Hu, M.D.,**
More informationRole of CMR in heart failure and cardiomyopathy
Role of CMR in heart failure and cardiomyopathy Hajime Sakuma Department of Radiology, Mie University Late gadolinium enhancement (LGE) LGE MRI can demonstrate site of necrosis, fibrosis or deposition
More informationImaging in Ischemic Heart Disease: Role of Cardiac MRI
Imaging in Ischemic Heart Disease: Role of Cardiac MRI Chiara Bucciarelli Ducci MD, PhD, FESC, FRCP Consultant Senior Lecturer Cardiologist Bristol Heart Institute, University of Bristol, UK Chair elect,
More informationMultiple Gated Acquisition (MUGA) Scanning
Multiple Gated Acquisition (MUGA) Scanning Dmitry Beyder MPA, CNMT Nuclear Medicine, Radiology Barnes-Jewish Hospital / Washington University St. Louis, MO Disclaimers/Relationships Standard of care research
More informationValue of Gating of Technetium-99m Sestamibi Single-Photon Emission Computed Tomographic Imaging
JACC Vol. 30, No. 7 December 1997:1687 92 1687 Value of Gating of Technetium-99m Sestamibi Single-Photon Emission Computed Tomographic Imaging PAOLA E. P. SMANIO, MD,* DENNY D. WATSON, PHD, DANA L. SEGALLA,
More informationPrognostic Value of Left Ventricular Dyssynchrony by Phase Analysis of Gated SPECT in Patients Undergoing Myocardial Perfusion Imaging
Prognostic Value of Left Ventricular Dyssynchrony by Phase Analysis of Gated SPECT in Patients Undergoing Myocardial Perfusion Imaging Nili Zafrir, Tamir Bental, Ariel Gutstein, Israel Mats, Doron Belzer,
More information@02-126_Coronary_calcification.ppt. Professor Molecular and Medical Pharmacology
Assessment of Myocardial Viability Jamshid Maddahi, M.D., FACC, FASNC Professor Molecular and Medical Pharmacology (Nuclear Medicine) and Medicine (Cardiology) David Geffen School of Medicine at UCLA Director,
More informationDELAYED ENHANCEMENT IMAGING IN CHILDREN
NASCI 38 TH ANNUAL MEENG, SEATLE October 3-5, 21 1. DELAYED ENHANCEMENT IN CHILDREN Shi-Joon Yoo, MD Lars Grosse-Wortmann, MD University of Toronto Canada -1. 1. 1. Magnitude image Magnitude images -1.
More information9/2/2016 CARDIOLOGY TESTING WHAT TO ORDER WHEN REFERENCE OBJECTIVES
CARDIOLOGY TESTING WHAT TO ORDER WHEN A J W A D F A R A H, M S, P A - C A S S O C I A T E D I R E C T O R O F M E D I C A L O P E R A T I O N S O F A D V A N C E D P R A C T I C E P R O V I D E R S W I
More informationASNC CONSENSUS STATEMENT REPORTING OF RADIONUCLIDE MYOCARDIAL PERFUSION IMAGING STUDIES. Approved August 2003
ASNC CONSENSUS STATEMENT REPORTING OF RADIONUCLIDE MYOCARDIAL PERFUSION IMAGING STUDIES Approved August 2003 Robert C. Hendel, M.D. Frans J. Th. Wackers, M.D., Ph.D. Daniel S. Berman, M.D. Edward Ficaro,
More informationType of intervention Diagnosis. Economic study type Cost-effectiveness analysis.
The utility and potential cost-effectiveness of stress myocardial perfusion thallium SPECT imaging in hospitalized patients with chest pain and normal or non-diagnostic electrocardiogram Ben-Gal T, Zafrir
More informationSPECT. quantitative gated SPECT (QGS) II. viability RH-2 QGS. Butterworth. 14% 10% 0.43 cycles/cm ( 39: 21 27, 2002) ( )
21 201 Tl SPECT * * * * * * * * SPECT QGS 99m Tc 201 Tl QGS 20 QGS Butterworth Butterworth 0.39 cycles/cm 14% 10% 0.43 cycles/cm ( r = 0.80 r = 0.86 r = 0.80) 201 Tl QGS ( 39: 21 27, 2002) I. quantitative
More informationCardiac Stress MRI: Detection of Ischemia. Disclosures: Dobutamine Stress MR. April 28, 2018
Cardiac MRI: Detection of Ischemia Cardiac MRI in Today s Clinical Practice Foundations of Cardiovascular Magnetic Resonance Daniel C. Lee, MD, MSc Assistant Professor of Medicine and Radiology Co-Director,
More informationIAEA International Conference on Integrated Medical Imaging in CV Disease 2013
IAEA International Conference on Integrated Medical Imaging in CV Disease 2013 How to Stress My Patient Choosing the Proper Stress Test Consultant and Advisory Board for Astellas John J. Mahmarian, MD,
More informationNHA Certified EKG Technician (CET) Test Plan for the CET Exam
NHA Certified EKG Technician (CET) Test Plan for the CET Exam 100 scored items Exam Time: 2 hours *Based on the results of a job analysis completed in 2017 This document provides both a summary and detailed
More informationChapter 21: Clinical Exercise Testing Procedures
Publisher link: thepoint http://thepoint.lww.com/book/show/2930 Chapter 21: Clinical Exercise Testing Procedures American College of Sports Medicine. (2010). ACSM's resource manual for guidelines for exercise
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Implantable cardioverter defibrillators for the treatment of arrhythmias and cardiac resynchronisation therapy for the treatment of heart failure (review
More informationCronicon CARDIOLOGY. N Laredj*, HM Ali Lahmar and L Hammou. Abstract
Cronicon OPEN ACCESS CARDIOLOGY Research Article Persistent Ischemia in Recovery Predicts Mortality after Myocardial Infarction in Patients Undergoing Dobutamine N Laredj*, HM Ali Lahmar and L Hammou Department
More information