Clinical Applications

            The following indications will be discussed with more detail. All of them are related to the diagnosis or assessment of coronary artery disease (CAD). The data provided by myocardial spect is esentially functional and dependent on the coronary flow. Anatomy of the coronary arteries or obstruction severity are not evaluated, rather the effect on the flow on the myocardium uptake. This procedure is probably the best to estimate ischemia. But certainly its information combined to anatomy from coronary angiography, CT and MRI is of great value for patient management.

- Diagnosis of Chronic Myocardial Ischemia.      - Significancy of angiography stenosis

- Evaluation of Acute Coronary Syndromes.        - Post-revascularization.

 - Diagnosis of Myocardial Infarction.                       - Preoperative Risk Assessment.

 - Atipical Chest Pain.                                                    - Myocardial Viability Evaluation.

 - Non Diagnostic ECG.                                                - Miscellaneous Conditions

References:

1  Clark AN, Beller GA. The present role of nuclear cardiology in clinical practice. Q J Nucl Med Mol Imaging. 2005 Mar;49(1):43-58.

2 Slart RH, Bax JJ, van Veldhuisen DJ, van der Wall EE, Dierckx RA, Jager PL. Imaging techniques in nuclear cardiology for the assessment of myocardial viability. Int J Cardiovasc Imaging. 2006 Feb;22(1):63-80. Epub 2005 Dec 13.

3 Capitulo Cardiovascular, in Medicina Nuclear Aplicaciones Clínicas. Ignasi Carrio y Patricio González . Editorial Masson, Barcelona España, 2003, p 39-150.

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