Published in:
01-04-2017 | Editorial
Multi-vessel disease and CZT SPECT. Comparison with coronary angiography
Authors:
Nikant Sabharwal, BSc, BM BCh, DM, FRCP, Avijit Lahiri, MBBS, MSc, MRCP, FACC, FESC
Published in:
Journal of Nuclear Cardiology
|
Issue 2/2017
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Excerpt
The thorny issue of multi-vessel balanced ischemia raises it head again. One of the greatest fears in Nuclear Cardiology is the fact that we might miss a “balanced” multi-vessel ischemia situation and call the perfusion scan normal. Underidentification and treatment of these patients is an ongoing problem.
1 Conversely, underdiagnosing the extent of coronary lesions with SPECT once a patient has already been referred to angiography, due to the severity of identified ischemia, is forgivable. If we identify single-vessel disease but the patient has two separate coronary lesions, then the principle of “no harm” can be ascribed apart from possibly underdetecting the total ischemic burden. …
