Nuclear Cardiac Imaging for the Assessment of Coronary Artery Disease in the Elderly

Todd D. Miller MD, Marcelo F. DiCarli MD
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引用次数: 3

Abstract

Stress single photon emission computed tomography (SPECT) and positron emission tomography (PET), the standard clinical methods for measuring myocardial perfusion, have been extensively validated for diagnostic and prognostic purposes in general populations. Published data in the elderly are limited. The available data suggest that in elderly patients, SPECT is as accurate for diagnostic purposes as in younger patients and that stress SPECT is considerably more accurate for prognostic purposes when compared with standard treadmill testing. Pharmacologic stress testing can be performed in conjunction with SPECT and PET, representing another advantage of these techniques because many elderly patients cannot exercise to a high enough workload to provoke ischemia during testing.

老年冠状动脉疾病的核磁共振评价
应力单光子发射计算机断层扫描(SPECT)和正电子发射断层扫描(PET)是测量心肌灌注的标准临床方法,已被广泛验证用于一般人群的诊断和预后目的。发表的有关老年人的数据有限。现有数据表明,在老年患者中,SPECT在诊断目的上与年轻患者一样准确,与标准跑步机测试相比,应激SPECT在预后目的上更加准确。药理学应激测试可以与SPECT和PET联合进行,这代表了这些技术的另一个优势,因为许多老年患者在测试期间不能运动到足够高的工作量来引起缺血。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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