Application of Perfusion Single Photon Emission Computed Tomography of the Myocardium in Pain-Free Myocardial Ischemia

This literature review provides data on the use of single-photon emission computed tomography of myocardium in silent myocardial ischemia. The presence of silent myocardial ischemia increases the risk of cardiovascular complications several times and may be the first manifestation of coronary heart...

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Main Authors: A. I. Abdrahmanova, N. B. Amirov, N. A. Cibulkin
Format: Article
Language:Russian
Published: SINAPS LLC 2020-10-01
Series:Архивъ внутренней медицины
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Online Access:https://www.medarhive.ru/jour/article/view/1087
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author A. I. Abdrahmanova
N. B. Amirov
N. A. Cibulkin
author_facet A. I. Abdrahmanova
N. B. Amirov
N. A. Cibulkin
author_sort A. I. Abdrahmanova
collection DOAJ
description This literature review provides data on the use of single-photon emission computed tomography of myocardium in silent myocardial ischemia. The presence of silent myocardial ischemia increases the risk of cardiovascular complications several times and may be the first manifestation of coronary heart disease. Assessing the state of morphofunctional processes in the myocardium is the main goal of diagnostic imaging using singlephoton emission computed tomography of the myocardium. This allows to get three-dimensional image of left ventricle with information about distribution of perfusion volume across myocardium, makes it possible to more accurately differentiate such condition as silent myocardial ischemia. Conducting single-photon emission computed tomography in ECG synchronization mode allows you to visualize the kinetics of the myocardial walls in different phases of the cardiac cycle and thereby simultaneously assess the functional state of the left ventricular myocardium. Indicators of contractile function of the left ventricular myocardium in areas of transient hypoperfusion can be predictors of cardiac events after myocardial infarction and independent predictors of perioperative cardiac events in patients undergoing cardiac surgery. Performing single-photon emission computed tomography in ECG-synchronization mode allows visualizing kinetics of myocardial walls in different phases of cardiac cycle and thereby simultaneously assessing functional state of left ventricle myocardium. In combination with physical exercise and pharmacological tests, it helps to identify coronary stenosis among patients with silent myocardial ischemia. Perfusion single-photon emission computed tomography of myocardium is a necessary tool for stratification and assessment of prognosis of cardiac diseases in asymptomatic patients.
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spelling doaj-art-28a6def7cec44f6e95c511ab2cec8b952025-08-20T03:00:39ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642020-10-0110534034710.20514/2226-6704-2020-10-5-340-347807Application of Perfusion Single Photon Emission Computed Tomography of the Myocardium in Pain-Free Myocardial IschemiaA. I. Abdrahmanova0N. B. Amirov1N. A. Cibulkin2Kazan (Volga Region) Federal University; Interregional Clinical Diagnostic CenterKazan State Medical University, Ministry of Health of Russia; Medical sanitary unit of the Ministry of Internal Affairs of Russia in the Republicof TatarstanRussian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaThis literature review provides data on the use of single-photon emission computed tomography of myocardium in silent myocardial ischemia. The presence of silent myocardial ischemia increases the risk of cardiovascular complications several times and may be the first manifestation of coronary heart disease. Assessing the state of morphofunctional processes in the myocardium is the main goal of diagnostic imaging using singlephoton emission computed tomography of the myocardium. This allows to get three-dimensional image of left ventricle with information about distribution of perfusion volume across myocardium, makes it possible to more accurately differentiate such condition as silent myocardial ischemia. Conducting single-photon emission computed tomography in ECG synchronization mode allows you to visualize the kinetics of the myocardial walls in different phases of the cardiac cycle and thereby simultaneously assess the functional state of the left ventricular myocardium. Indicators of contractile function of the left ventricular myocardium in areas of transient hypoperfusion can be predictors of cardiac events after myocardial infarction and independent predictors of perioperative cardiac events in patients undergoing cardiac surgery. Performing single-photon emission computed tomography in ECG-synchronization mode allows visualizing kinetics of myocardial walls in different phases of cardiac cycle and thereby simultaneously assessing functional state of left ventricle myocardium. In combination with physical exercise and pharmacological tests, it helps to identify coronary stenosis among patients with silent myocardial ischemia. Perfusion single-photon emission computed tomography of myocardium is a necessary tool for stratification and assessment of prognosis of cardiac diseases in asymptomatic patients.https://www.medarhive.ru/jour/article/view/1087silent myocardial ischemiaperfusion scintigraphy
spellingShingle A. I. Abdrahmanova
N. B. Amirov
N. A. Cibulkin
Application of Perfusion Single Photon Emission Computed Tomography of the Myocardium in Pain-Free Myocardial Ischemia
Архивъ внутренней медицины
silent myocardial ischemia
perfusion scintigraphy
title Application of Perfusion Single Photon Emission Computed Tomography of the Myocardium in Pain-Free Myocardial Ischemia
title_full Application of Perfusion Single Photon Emission Computed Tomography of the Myocardium in Pain-Free Myocardial Ischemia
title_fullStr Application of Perfusion Single Photon Emission Computed Tomography of the Myocardium in Pain-Free Myocardial Ischemia
title_full_unstemmed Application of Perfusion Single Photon Emission Computed Tomography of the Myocardium in Pain-Free Myocardial Ischemia
title_short Application of Perfusion Single Photon Emission Computed Tomography of the Myocardium in Pain-Free Myocardial Ischemia
title_sort application of perfusion single photon emission computed tomography of the myocardium in pain free myocardial ischemia
topic silent myocardial ischemia
perfusion scintigraphy
url https://www.medarhive.ru/jour/article/view/1087
work_keys_str_mv AT aiabdrahmanova applicationofperfusionsinglephotonemissioncomputedtomographyofthemyocardiuminpainfreemyocardialischemia
AT nbamirov applicationofperfusionsinglephotonemissioncomputedtomographyofthemyocardiuminpainfreemyocardialischemia
AT nacibulkin applicationofperfusionsinglephotonemissioncomputedtomographyofthemyocardiuminpainfreemyocardialischemia