Nuclear cardiology

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Evidence Based Medicine
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Clinical Trials
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Commentary
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Cardiology Network
Discuss Nuclear cardiology further in the WikiDoc Cardiology Network
Adult Congenital
Biomarkers
Cardiac Rehabilitation
Congestive Heart Failure
CT Angiography
Echocardiography
Electrophysiology
Cardiology General
Genetics
Health Economics
Hypertension
Interventional Cardiology
MRI
Nuclear Cardiology
Peripheral Arterial Disease
Prevention
Public Policy
Pulmonary Embolism
Stable Angina
Valvular Heart Disease
Vascular Medicine

Section editor: Eli V. Gelfand, M.D. (Beth Israel Deaconess Medical Center, Harvard Medical School) [1]

General overview of Nuclear Cardiology

• Basic physical principles of single-photon emission computed tomography (SPECT)
• Basic physical principles of positron emission tomography (PET)
• Commonly used radiopharmaceuticals
• Selecting appropriate candidates for myocardial perfusion imaging
• Standard exercise stress protocols
• Standard pharmacologic stress protocols
• Imaging protocols
• Combining myocardial perfusion imaging with coronary CT
• Radionuclide angiography
• Molecular imaging and related novel technologies

Clinical use of stress myocardial perfusion imaging (MPI)

• ACCF/ASNC appropriateness criteria for SPECT-MPI (2005)
• ACC/AHA guidelines for cardiac radionuclide imaging (2003)

Coronary Disease

• Assessment of patients presenting with chest pain to the Emergency Department
• Detection of CAD
• Management, risk assessment and prognosis of patients with chronic CAD
• Detection of acute MI
• Risk assessment of patients following ST-elevation MI
• Risk assessment of patients following non-ST elevation acute coronary syndrome

Heart Failure

• Assessment of LV systolic function
• Assessment of etiology of heart failure
• Detection of CAD in patients with heart failure
• Determination of myocardial viability

Specific patient populations

• Patients with an "uninterpretable" resting ECG
• Elderly patients
• Asymptomatic patients with diabetes
• Patients following up after a coronary calcium screening
• Patients before and after coronary revascularization
• Patients undergoing elective noncardiac surgery