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ASNC IMAGING GUIDELINES ASNC imaging
guidelines
for SPECT
nuclear
cardiology
procedures:
Stress,
protocols,
and
tracers
!Milena
J. Henzlova,
MD,
a W. Lane
Duvall,
MD,
b Andrew
J. Einstein,
MD,
c Mark
I. Travin,
MD,
d and
Hein
J. Verberne,
MDe !a Mount
Sinai
Medical
Center,
New
York,
NY b Hartford
Hospital,
Hartford,
CT c New
York
Presbyterian
Hospital,
Columbia
University
Medical
Center,
New
York,
NY d Montefiore
Medical
Center,
Albert
Einstein
College
of Medicine,
Bronx,
NY e Academic
Medical
Center,
Amsterdam,
The
Netherlands
doi:10.1007/s12350
-015-0387-x EXERCISE
STR
ESS TEST !Exercise
testing
has
been
used
for
more
than
60 yea
rs for
diagnos
tic purpo
ses in sympto
matic
patients
[including
patien
ts
with
acute
chest
pain
with
out ischemia
by elec
trocardio
gram (ECG)
and
ser
um mark- ers]
and
for
progn
osis
and
risk
stratific
ation in
patients
with
known coro
nary artery
disease
(CA
D), such
as
history
of myo
cardial infar
ction
or documen
ted CAD by
coronary
ang
iography
or comput
ed tomog
raphy ang
iog- raphy and
in those with
high risk
for
the
pre
sence
of
CAD,
such
as patients with
dia
betes mel
litus,
periphe
ral,
or cerebr
al vasc
ular
diseas
e. Reprint
requests:
Milena
J.
Henzlova,
MD,
Mount
Sinai
Medical
Center,
New
York,
NY; Milena.He
nzlova@mssm.e
du J Nucl
Cardiol
1071-3581/$34.00
Copyright
© 2016 Americ
an Society
of Nuclear
Cardiolog
y. Abbr
eviations
LEHR
Low
energy
high
res
olution
A2A Adenos
ine 2a LVEF
Left
ven
tricular
ejection
fraction
AHA Ame
rican
Heart Association
MBq
Megabecq
uerels
ALARA As low
as reasonab
ly achievable
mCi
Millicur
ies AV Atrioven
tricular
MPI
Myocardial
per
fusion
imaging
BP Blood
pressure
MRI
Magnetic
resonance
imag
ing CBF Corona
ry blood
flow mSv
Millisiev
ert CAD
Corona
ry artery
dis
ease
NE Norepineph
rine
CPET
Cardiopu
lmonary
exercise
testing
NET1
Norepineph
rine
transpo
rter
-1 DSP
Deconvo
lution
of septal
penetr
ation
NPO
Nil
per
os (no
thing
by mou
th)
ECG
Elect
rocardio
gram
NYHA New
York
Heart
Assoc
iation
EF Ejection
fraction
PET
Positron
emis
sion
tomog
raphy
ESRD
End
-stage
renal
disease
ROI
Region
of inter
est HF Heart
failure
SPECT
Single
-photon
emis
sion
computed
HFrEF Heart
failure
(with)
reduced
ejection
tomography
fraction
TAVR
Transcathe
ter aortic
val
ve replac
ement
HMR Heart
-to-medias
tinum ratio
WR Washout
rate
ICD
Impl
antable
cardiov
ersion
defibrillator
WPW
Wolff
-Parkinson
White
IV Intrav
enous LBBB
Left
bundle
branch
block
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