Novel Diagnostic Imaging Approach for Patients With Spontaneous Coronary Artery Dissection: The Utility of 18 F-FDG PET Imaging.


Journal

Clinical nuclear medicine
ISSN: 1536-0229
Titre abrégé: Clin Nucl Med
Pays: United States
ID NLM: 7611109

Informations de publication

Date de publication:
01 Sep 2023
Historique:
medline: 7 8 2023
pubmed: 30 6 2023
entrez: 29 6 2023
Statut: ppublish

Résumé

Spontaneous coronary artery dissection (SCAD) is an underdiagnosed etiology of acute coronary syndrome in women. Accurate diagnosis remains challenging but is imperative for treatment and prevention. We show here the utility of 18 F-FDG PET imaging in SCAD diagnosis. We present 1 representative case of 4 women with suspected SCAD on coronary angiography from the EVACS (Evolocumab in Acute Coronary Syndromes) clinical trial. 18 F-FDG PET imaging showed acute inflammation in the distribution of the suspected dissected coronary artery identified on angiography. Localized myocardial inflammation identified on 18 F-FDG PET imaging can aid in diagnosing SCAD suspected on coronary angiography.

Identifiants

pubmed: 37385236
doi: 10.1097/RLU.0000000000004762
pii: 00003072-990000000-00624
doi:

Substances chimiques

Fluorodeoxyglucose F18 0Z5B2CJX4D

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

802-803

Informations de copyright

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest and sources of funding: none declared.

Références

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Meng PN, Xu C, You W, et al. Spontaneous coronary artery dissection as a cause of acute myocardial infarction in young female population: a single-center study. Chin Med J (Engl) . 2017;130:1534–1539.
Nakashima T, Noguchi T, Haruta S, et al. Prognostic impact of spontaneous coronary artery dissection in young female patients with acute myocardial infarction: a report from the Angina Pectoris-Myocardial Infarction Multicenter Investigators in Japan. Int J Cardiol . 2016;207:341–348.
Tweet MS, Gulati R, Williamson EE, et al. Multimodality imaging for spontaneous coronary artery dissection in women. JACC Cardiovasc Imaging . 2016;9:436–450.
Wahl RL, Dilsizian V, Palestro C. At last, 18 F-FDG for inflammation and infection. J Nucl Med . 2021;62:1048–1049.
Saric P, Young KA, Rodriguez-Porcel M, et al. PET imaging in cardiac sarcoidosis: a narrative review with focus on novel PET tracers. Pharmaceuticals (Basel) . 2021;14:1286.
Alavi A, Hess S, Werner TJ, et al. An update on the unparalleled impact of FDG-PET imaging on the day-to-day practice of medicine with emphasis on management of infectious/inflammatory disorders. Eur J Nucl Med Mol Imaging . 2020;47:18–27.
Bolen MA, Brinza E, Renapurkar RD, et al. Screening CT angiography of the aorta, visceral branch vessels, and pelvic arteries in fibromuscular dysplasia. JACC Cardiovasc Imaging . 2016;10:554–561.

Auteurs

Zaid N Safiullah (ZN)

From the Department of Medicine.

Jacqueline M Latina (JM)

Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.

Efthymios Ziogos (E)

Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.

Tarek Harb (T)

Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.

Thomas H Schindler (TH)

Mallinckrodt Institute of Radiology, Division of Nuclear Medicine, Cardiovascular Medicine, Washington University School of Medicine, St Louis, MO.

Ines Valenta-Schindler (I)

Mallinckrodt Institute of Radiology, Division of Nuclear Medicine, Cardiovascular Medicine, Washington University School of Medicine, St Louis, MO.

Abass Alavi (A)

Department of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.

Gary Gerstenblith (G)

Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.

Thorsten M Leucker (TM)

Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.

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Classifications MeSH