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01-02-2009 | Editorial

Detection of multivessel coronary artery disease: looking beyond the extent of perfusion abnormalities

Authors: Dipan Desai, DO, Gorgi Kozeski, DO, Olakunle Akinboboye, MD

Published in: Journal of Nuclear Cardiology | Issue 1/2009

Excerpt

The sensitivity of stress myocardial perfusion scintigraphy for detecting coronary artery disease (CAD) in patients with multivessel CAD is high.1-4 However, its ability to predict the presence of multivessel disease is limited. It has been suggested that the presence of left main or multivessel disease is missed in up to 50% of cases.5,6 The possible reasons for this include balanced perfusion abnormality, where the absence of a normal reference segment limits sensitivity, early plateau of tracer uptake, which limits detection of borderline stenoses, and early stoppage of exercise as a result of symptoms or signs due to the severest lesion. …

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Title: Detection of multivessel coronary artery disease: looking beyond the extent of perfusion abnormalities
Authors: Dipan Desai, DO
Gorgi Kozeski, DO
Olakunle Akinboboye, MD
Publication date: 01-02-2009
Publisher: Springer-Verlag
Published in: Journal of Nuclear Cardiology / Issue 1/2009
Print ISSN: 1071-3581
Electronic ISSN: 1532-6551
DOI: https://doi.org/10.1007/s12350-008-9036-y

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