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Published in: Journal of Nuclear Cardiology 6/2021

01-12-2021 | Positron Emission Tomography | EDITORIAL

Is cardiac nuclear imaging helpful for the faint of heart?

Authors: Todd D. Miller, MD, MASNC, J. Wells Askew, MD, FASNC, Win-Kuang Shen, MD

Published in: Journal of Nuclear Cardiology | Issue 6/2021

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Excerpt

Syncope is a common condition with an estimated life-time risk of 40%. 1 It accounts for 1-2% of emergency department visits.2 The financial burden is high, with a 2005 US hospital cost estimate of $2.4 billion3 and a 2011 average Medicare billing charge of nearly $20,000 per patient.4 Prognosis in the majority of patients is benign, but a small percentage have a poor outcome. Mortality rates after discharge from the emergency department or hospital are approximately 1% at one month and 10% at 1 year.2
Literature
1.
go back to reference Lamb LE, Green HC, Combs JJ, Cheeseman SA, Hammond J. Incidence of loss of consciousness in 1,980 Air Force personnel. Aerosp Med. 1960;31:973-88.PubMed Lamb LE, Green HC, Combs JJ, Cheeseman SA, Hammond J. Incidence of loss of consciousness in 1,980 Air Force personnel. Aerosp Med. 1960;31:973-88.PubMed
3.
go back to reference Sun BC, Emond JA, Camargo CA. Direct medical costs of syncope-related hospitalizations in the United States. Am J Cardiol. 2005;95:668-71.CrossRef Sun BC, Emond JA, Camargo CA. Direct medical costs of syncope-related hospitalizations in the United States. Am J Cardiol. 2005;95:668-71.CrossRef
5.
go back to reference Shen W-K, Sheldon RS, Benditt DG, Cohen MI, Forman DE, Goldberger ZD, et al. 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope. A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. AHA J. 2017;70:e39-110. Shen W-K, Sheldon RS, Benditt DG, Cohen MI, Forman DE, Goldberger ZD, et al. 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope. A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. AHA J. 2017;70:e39-110.
6.
go back to reference Brignole M, Moya A, de Lange FJ, Deharo J-C, Elliott PM, Fanciulli A, et al. 2018 ESC guidelines for the diagnosis and management of syncope. Eur Heart J. 2018;39:1883-948.CrossRef Brignole M, Moya A, de Lange FJ, Deharo J-C, Elliott PM, Fanciulli A, et al. 2018 ESC guidelines for the diagnosis and management of syncope. Eur Heart J. 2018;39:1883-948.CrossRef
7.
go back to reference Wolk MJ, Bailey SR, Doherty JU, Douglas PS, Hendel RC, Kramer CM, et al. ACCF/AHA/ASE/ASNC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2013 multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease: A report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2014;63:380-406.CrossRef Wolk MJ, Bailey SR, Doherty JU, Douglas PS, Hendel RC, Kramer CM, et al. ACCF/AHA/ASE/ASNC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2013 multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease: A report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2014;63:380-406.CrossRef
8.
go back to reference Gehi AK, Narla V. Syncope: Laying the groundwork for a path forward. JACC Clin Electrophysiol. 2018;4:274-6.CrossRef Gehi AK, Narla V. Syncope: Laying the groundwork for a path forward. JACC Clin Electrophysiol. 2018;4:274-6.CrossRef
10.
go back to reference AlJaroudi WA, Alraies MC, Wazni O, Cerqueira MD, Jaber WA. Yield and diagnostic value of stress myocardial perfusion imaging in patients without known coronary artery disease presenting with syncope. Circ Cardiovasc Imaging. 2013;6:384-91.CrossRef AlJaroudi WA, Alraies MC, Wazni O, Cerqueira MD, Jaber WA. Yield and diagnostic value of stress myocardial perfusion imaging in patients without known coronary artery disease presenting with syncope. Circ Cardiovasc Imaging. 2013;6:384-91.CrossRef
11.
go back to reference Miller TD, Rajagopalan N, Hodge DO, Frye RL, Gibbons RJ. Yield of stress single-photon emission computed tomography in asymptomatic patients with diabetes. Am Heart J. 2004;147:890-6.CrossRef Miller TD, Rajagopalan N, Hodge DO, Frye RL, Gibbons RJ. Yield of stress single-photon emission computed tomography in asymptomatic patients with diabetes. Am Heart J. 2004;147:890-6.CrossRef
12.
go back to reference Askew JW, Miller TD, Hodge DO, Gibbons RJ. The value of myocardial perfusion single-photon emission computed tomography in screening asymptomatic patients with atrial fibrillation for coronary artery disease. J Am Coll Cardiol. 2007;50:1080-5.CrossRef Askew JW, Miller TD, Hodge DO, Gibbons RJ. The value of myocardial perfusion single-photon emission computed tomography in screening asymptomatic patients with atrial fibrillation for coronary artery disease. J Am Coll Cardiol. 2007;50:1080-5.CrossRef
Metadata
Title
Is cardiac nuclear imaging helpful for the faint of heart?
Authors
Todd D. Miller, MD, MASNC
J. Wells Askew, MD, FASNC
Win-Kuang Shen, MD
Publication date
01-12-2021
Publisher
Springer International Publishing
Published in
Journal of Nuclear Cardiology / Issue 6/2021
Print ISSN: 1071-3581
Electronic ISSN: 1532-6551
DOI
https://doi.org/10.1007/s12350-020-02301-2

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