Published in:
01-05-2017 | Editorial Commentary
Radionuclide imaging of subendocardial ischaemia: an insight into coronary pathophysiology or a technical artefact?
Authors:
Gianmario Sambuceti, Silvia Morbelli, Alessandro Bellini, Cecilia Marini
Published in:
European Journal of Nuclear Medicine and Molecular Imaging
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Issue 5/2017
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Excerpt
In the present issue of the
European Journal of Nuclear Medicine and Molecular Imaging, Sciagrà and coworkers report an investigation of the mechanisms underlying a decrease in left ventricular (LV) ejection fraction during dipyridamole-induced coronary vasodilation in a group of patients with hypertrophic cardiomyopathy (HCM) [
1]. As a major finding, transient LV dysfunction did not identify patients with more severe impairment in coronary flow reserve and maximal blood flow. Rather, it was associated with stress-induced development of a transmural gradient in myocardial perfusion characterized by a relative reduction in maximal flow capacity in the subendocardial layers. …