Downloaded 14 times
Uploaded byhospital
Ihab tips and tricks in nuclear cardiology 2019
This document discusses nuclear cardiac imaging and its indications. It provides an overview of the heart's function and various diagnostic modalities for heart disease, including nuclear imaging techniques. Nuclear imaging can be used to detect ischemia/coronary artery disease via stress tests, assess myocardial viability with FDG uptake, and evaluate left ventricular volumes/ejection fraction before and after chemotherapy. The document outlines stress test options, report interpretation, two types of patients (naive and known cardiac), and provides examples of nuclear imaging indications and cases.
More Related Content
Similar to Ihab tips and tricks in nuclear cardiology 2019
Ihab tips and tricks in nuclear cardiology 2019
- 1. Dr Ihab Suliman MBBSECFMG MRCP (UK) ABcv MRCP Spec (endo and DM) CBNC rece 2016 FESC [email protected] Indications For Nuclear Cardiac Imaging Interactive Session 2019
- 2. What does theheart do ? • The heart is a powerful muscle consisting of two pumps side by side. • Its steady beating maintains flow of blood to all parts of the body throughout life. ECG/ Treadmill Radiography Echocardiography CT scan MRI Angiography Radionuclide imaging Diagnostic modalities in heart disease
- 3. History of nuclearcardiology Blumgard and Weiss (1927) : the first use of radioactivity in the study of the cardiovascular system Wilson : measurement of the circulation times Tl-201 (1971) The development and improvement of SPECT The development and established Tc-labeled agents Alternative stress than physical exercise Gate-spect allows simultaneous assessment both of myocardial perfusion, function and assessment of myocardial viability Gamma camera coincidence imaging system Myocardial metabolic imaging
- 4. Nuclear cardiology Reportinterpretation I. Defects Location Extent Severity Reversible or fixed Quantitative or semi quantitative analysis II. Other information Transient ischemic dilation Lung uptake Other Un related Findings like masses
- 5. Two types ofpatients 1- Naïve Patients, Not Known cardiac. 2- Known Patients, labelled as Cardiac 3/8/20195 Indications Who are They (Our Dear Patients)
- 6. 1- Ischemia orCAD (Nuclear stress test) 2- Viability. FDG uptake 3- Assess LV volumes or EF before or after chemotherapy. 3/8/20196 To Detect
- 7. Cardiac stress test Physicalexercises Exercise has to be adequate to produced the heterogenity in blood flow to achieve high detection sensitivity Treadmil Ergocycle Pharmacological Pharmacological stress test become important, since many patients are unable to exercise Pharmacological stress agents largely remove the need for patient cooperation and motivation, and enable a confident assessment of cardiac function in virtually all cases Dipyridamole Dobutamine Adenosine
- 8. 1- Patients visitedER and ACS was Ruled out. 2- Pre Operative Or Pre Transplant 3- Pre or post cardiac cath , PCI or CABG. 3/8/20198 Examples
- 9. 61 yrs.old male who is k/c of type II DM. He has sustained acute Anterior wall myocardial infarction was admitted in Affif hospital, where given thrombolytic therapy. came here for further management.
- 10.
- 11. Echo EF 35-40%,Akinetic LAD area, No significant Valvular pathology
- 16. 56 yearsold male with DM, HTN, CVA Recovered . Had occasional Exertional CP, ACS Ruled Out in ER, Given appointment for PET /CT Stress as OP Second Case
- 22. 67 years oldmale with Recent anterior MI from another hospital. Third Case
- 25. In MCICUhe had Multiple and Recurrent VF/VT. EP labelled him as ischemic VF/VT Cardiac surgery insisted on Viability Before CABG
- 27. 60 yearsold lady with Recurrent CP. Had Persantin Technitium after initial workup was OK. Stress ECG was Negative The PRONE IMAGE
- 28.
- 30. Eventually HadCardiac Angiogram due to on and off chest pain. Coronaries were Normal.
- 31.