title: Stress-first Myocardial Perfusion Imaging.
abstract: Stress-first approaches to myocardial perfusion imaging provide diagnostically and prognostically accurate perfusion data equivalent to a full rest-stress study, save time in the imaging laboratory, and reduce the radiation exposure to patients and laboratory staff. Converting a nuclear cardiology laboratory from a conventional rest-stress strategy to a stress-first approach involves challenges such as the need for attenuation correction, triage of patients to an appropriate protocol, real-time review of stress images, and consideration of differential reimbursement.
authors.affiliation: Division of Cardiology, Hartford Hospital, 80 Seymour Street, Hartford, CT 06102, USA.
authors.forename: Nasir
authors.initials: N
authors.lastname: Hussain
authors.affiliation: Division of Cardiology, Hartford Hospital, 80 Seymour Street, Hartford, CT 06102, USA.
authors.forename: Matthew W
authors.initials: MW
authors.lastname: Parker
authors.affiliation: Mount Sinai Heart, Mount Hospital, One Gustave L Levy Place, New York, NY 10029, USA.
authors.forename: Milena J
authors.initials: MJ
authors.lastname: Henzlova
authors.affiliation: Division of Cardiology, Hartford Hospital, 80 Seymour Street, Hartford, CT 06102, USA. Electronic address: lane.duvall@hhchealth.org.
authors.forename: William Lane
authors.initials: WL
authors.lastname: Duvall
mesh_terms: D005080:Exercise Test; D006801:Humans; D055414:Myocardial Perfusion Imaging; D018579:Patient Selection
keywords: Myocardial perfusion imaging; Radiation reduction; SPECT; Stress first; Stress only; Stress protocols