Nuclear medicine in the management of patients with heart failure: guidance from an expert panel of the International Atomic Energy Agency (IAEA).
Heart failure is increasing worldwide at epidemic proportions, resulting in considerable disability, mortality, and increase in healthcare costs. Gated myocardial perfusion single photon emission computed tomography or PET imaging is the most prominent imaging modality capable of providing information on global and regional ventricular function, the presence of intraventricular synchronism, myocardial perfusion, and viability on the same test. In addition, I-mIBG scintigraphy is the only imaging technique approved by various regulatory agencies able to provide information regarding the adrenergic function of the heart. Therefore, both myocardial perfusion and adrenergic imaging are useful tools in the workup and management of heart failure patients. This guide is intended to reinforce the information on the use of nuclear cardiology techniques for the assessment of heart failure and associated myocardial disease.
aDepartment of Nuclear Sciences and Applications, Division of Human Health, Section of Nuclear Medicine and Diagnostic Imaging, International Atomic Energy Agency, Vienna, Austria bInstituto de Cardiología y Cirugía Cardiovascular, Havana, Cuba cHospital Universitário Antonio Pedro, Universidade Federal Fluminense (UFF), Niteroi dQuanta Diagnostico Nuclear, Curitiba eInstituto Nacional de Cardiologia, Rio de Janeiro fInstituto do Coração, Universidade de São Paulo, São Paulo, Brazil gFundación Cardioinfantil, Instituto de Cardiología, Bogotá hFundación Clínica Valle Del Lili, Cali, Colombia iHospital Clínico, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile jHospital General de Coro, Coro, Venezuela kUniversitat Autònoma de Barcelona, Department of Nuclear Medicine Hospital de la Santa Creu i Sant Pau, Barcelona, Spain lCattedra e U.O. di Medicina Nucleare, Università e Spedali Civili, Brescia, Italy mMontefiore Medical Center, Yeshiva University, New York, New York nDepartment of Radiology, Emory University Hospital, Emory University School of Medicine, Atlanta, Georgia, USA.
Amalia
A
Peix
Claudio Tinoco
CT
Mesquita
Diana
D
Paez
Carlos Cunha
CC
Pereira
Renata
R
Felix
Claudia
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Gutierrez
Rodrigo
R
Jaimovich
Barbara Maria
BM
Ianni
Jose
J
Soares
Pastor
P
Olaya
Ma Victoria
MV
Rodriguez
Albert
A
Flotats
Raffaele
R
Giubbini
Mark
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Travin
Ernest V
EV
Garcia
D006333:Heart Failure / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007390:International Agencies; D009678:Nuclear Energy; D009683:Nuclear Medicine / Q000379:methods*; D017410:Practice Guidelines as Topic