Nuclear cardiology

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Section editor: Eli V. Gelfand, M.D. (Beth Israel Deaconess Medical Center, Harvard Medical School) [1]

General overview of Nuclear Cardiology

* Basic physical principles of single-photon emission computed tomography (SPECT)
* Basic physical principles of positron emission tomography (PET)
* Commonly used radiopharmaceuticals
* Selecting appropriate candidates for myocardial perfusion imaging
* Standard exercise stress protocols
* Standard pharmacologic stress protocols
* Imaging protocols
* Combining myocardial perfusion imaging with coronary CT
* Radionuclide angiography
* Molecular imaging and related novel technologies

Clinical use of stress myocardial perfusion imaging (MPI)

* ACCF/ASNC appropriateness criteria for SPECT-MPI (2005)
* ACC/AHA guidelines for cardiac radionuclide imaging (2003)

Coronary Disease

* Assessment of patients presenting with chest pain to the Emergency Department
* Detection of CAD
* Management, risk assessment and prognosis of patients with chronic CAD
* Detection of acute MI
* Risk assessment of patients following ST-elevation MI
* Risk assessment of patients following non-ST elevation acute coronary syndrome

Heart Failure

* Assessment of LV systolic function
* Assessment of etiology of heart failure
* Detection of CAD in patients with heart failure
* Determination of myocardial viability

Specific patient populations

* Patients with an "uninterpretable" resting ECG
* Elderly patients
* Asymptomatic patients with diabetes
* Patients following up after a coronary calcium screening
* Patients before and after coronary revascularization
* Patients undergoing elective noncardiac surgery

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