Experience of using single-photon emission computed tomography of the myocardium for diagnostics of ischemic heart disease

Le résumé fourni par la source

The article considers issues of diagnostics of ischemic heart disease, the importance of myocardial perfusion visualization methods. In accordance with the latest recommendations, myocardial perfusion testing using myocardial scintigraphy or positron emission tomographycomputed tomography should be considered for patients with suspected chronic coronary syndrome. Myocardial perfusion scintigraphy with physical activity also allows one to assess the hemodynamic significance of intermediate coronary stenoses, which is especially important when choosing a method for patient management. The aim of the work was to analyze the results of myocardial scintigraphy in patients based on the State Institution «Republican Research Centre for Radiation Medicine and Human Ecology». The presented clinical examples confirm the high efficiency of the method, including in the selection of patients for invasive coronary angiography. In 2024, 224 patients referred by cardiologists for myocardial scintigraphy using single-photon emission computed tomography were examined at our clinic. Based on the results of myocardial perfusion assessment, 35 patients (15,6%) were referred with a recommendation to perform coronary angiography as soon as possible.

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