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CIU Cardiac Image Updated

ISSN 2683-2313 (Electronic)
Sociedad Nacional de Ecocardiografía de México AC (SONECOM)
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2019, Number 3

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CIU Cardiac Image Updated 2019; 1 (3)

Positron emission computed tomography. A new technique for the assessment of left ventricular volumes and ejection fraction

Pérez‑Orpinel OA, Flores‑Flamand M, Masso‑Bueso JS, Sánchez‑Montaño CA, Escalante‑Armenta R, Flores‑García A, Espínola‑Zavaleta N, Alexánderson‑Rosas E
Full text How to cite this article 10.35366/91808

DOI

DOI: 10.35366/91808
URL: https://dx.doi.org/10.35366/91808

Language: Spanish
References: 6
Page: 85-89
PDF size: 160.91 Kb.


Key words:

Ejection fraction, ventricular volumes, positron emission tomography.

ABSTRACT

Introduction: The left ventricular ejection fraction (LVEF) is a parameter that reflects the myocardial systolic function. Its measurement is of great importance to establish the diagnosis, treatment and prognosis of different cardiovascular diseases. There are several non-invasive methods such as echocardiography, magnetic resonance imaging, Gated-SPECT for the measurement of ventricular volumetric and the ejection fraction of the left ventricle. Objective: The objective of this study was to determine the normal values ​​of left ventricular volumes and LVEF using Gated-PET-13N-Amonia in Mexican population. Material and methods: We included patients with normal Gated-PET13N-Ammonium myocardial perfusion study. Left ventricular volumes and ejection fraction were obtained. Images were analyzed in QPS-QGS ®Cedars Sinai ®. The variables were expressed in mean and standard deviation. Results: A total of 78 patients were included. The end-diastolic volume (EDV) at rest was of 84.9±28.2 mL, the end-systolic volume (ESV) 28.2±20.1, the stroke volume (SV) 56.8±12.8 mL and the LVEF 68.7±%. The stress EDV was of 96.3±31.7 mL, the stress ESV 32.1±21.7 mL, the SV 64±13.9 mL and the LVEF 68.3±8.75%. Conclusion: The measurement of left ventricular volumes and ejection fraction obtained by the PET 13N-Ammonium perfusion study is feasible and should be considered as an additional diagnostic tool.


REFERENCES

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  2. Chukwu EO, Barasch E, Mihalatos DG, et al. Relative importance of errors in left ventricular quantitation by two-dimensional echocardiography: insights from three-dimensional echocardiography and cardiac magnetic resonance imaging. J Am Soc Echocardiogr. 2008; 21: 990-997.

  3. Asferg C, Usinger L, Kristensen TS, et al. Accuracy of multi-slice computed tomography for measurement of left ventricular ejection fraction compared with cardiac magnetic resonance imaging and two-dimensional transthoracic echocardiography A systematic review and meta-analysis. Eur J Radiol. 2012; 81: e757-e762.

  4. Alfakih K, Reid S, Jones T, et al. Assessment of ventricular function and mass by cardiac magnetic resonance imaging. Eur Radiol. 2004; 14: 1813-1822.

  5. Mudrick DW, Velazquez E, Borges-Nieto S. Does myocardial perfusion imaging provide incremental prognostic information to left ventricular ejection fraction? Curr Cardiol Rep. 2010; 12: 155-161.

  6. Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015; 28: 1-39.e14.




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CIU Cardiac Image Updated . 2019;1