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April 25, 2000CirculationOpen Access

Frequency and Clinical Implications of Fluid Dynamically Significant Diffuse Coronary Artery Disease Manifest as Graded, Longitudinal, Base-to-Apex Myocardial Perfusion Abnormalities by Noninvasive Positron Emission Tomography

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Authors

KGK. Lance GouldCardiac ImagingYNYuko NakagawaGunma UniversityKNKeiichi NakagawaPrecision Research (United States)

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Overview

Observational study reveals longitudinal base-to-apex PET perfusion abnormalities in patients with coronary disease, indicating widespread diffuse narrowing even without localized defects.

Key Points

  • To determine whether diffuse coronary artery narrowing manifests as a graded, longitudinal, base-to-apex myocardial perfusion gradient on noninvasive PET imaging in patients with mild coronary artery disease.
  • Assessed 1,001 patients with arteriographically documented coronary artery disease who underwent rest-dipyridamole PET perfusion imaging.
  • Quantified circumscribed segmental perfusion defects and graded longitudinal base-to-apex perfusion gradients using automated software measuring the spatial slope of relative activity.
  • Patients with mild arteriographic disease without segmental perfusion defects demonstrated a significant base-to-apex perfusion gradient compared with normal controls (P=0.001), which was also present in moderate-to-severe segmental defects (P=0.0001).
  • Overall, 43% of patients with or without segmental perfusion defects exhibited longitudinal base-to-apex perfusion abnormalities exceeding ±2 SD of normal control subjects.

Cite This Study

Gould et al. (2000) studied this question.

synapsesocial.com/papers/6a830b43c0477142e551aa5ahttps://doi.org/10.1161/01.cir.101.16.1931
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