Discordance between invasive coronary flow reserve (CFR) and non-invasive myocardial flow reserve (MFR) in diffuse coronary ectasia (DCE)

Clinical use with evidence base for diagnostic and prognostic value of quantitative positron emission tomography(PET) myocardial perfusion imaging (MPI) in patients with known or suspected coronary artery disease has exponentially increased over the last decade. This case illustrates the very first...

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Autores principales: Khalil, Mohammed, Alibazoglu, Deniz, Balci, Cem Numan, Hussein, Rawan, Abuwadi, Abraham, Alibazoglu, Haluk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Institute of Radiology. 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526998/
https://www.ncbi.nlm.nih.gov/pubmed/33029358
http://dx.doi.org/10.1259/bjrcr.20190046
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author Khalil, Mohammed
Alibazoglu, Deniz
Balci, Cem Numan
Hussein, Rawan
Abuwadi, Abraham
Alibazoglu, Haluk
author_facet Khalil, Mohammed
Alibazoglu, Deniz
Balci, Cem Numan
Hussein, Rawan
Abuwadi, Abraham
Alibazoglu, Haluk
author_sort Khalil, Mohammed
collection PubMed
description Clinical use with evidence base for diagnostic and prognostic value of quantitative positron emission tomography(PET) myocardial perfusion imaging (MPI) in patients with known or suspected coronary artery disease has exponentially increased over the last decade. This case illustrates the very first time that stress myocardial blood flow(MBF) in absolute terms (ml/min/gram) and myocardial flow reserve(MFR) are augmented in three vessel diffuse coronary ectasia by N13-Ammonia PET MPI. Moreover, relative qualitative MPI demonstrated moderate-sized ischemia in right coronary artery territory with chronic total occlusion in middle segment; despite regional myocardial flow reserve remains above ischemic thresholds while regional stress myocardial blood flow is mildly reduced.
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spelling pubmed-75269982020-10-06 Discordance between invasive coronary flow reserve (CFR) and non-invasive myocardial flow reserve (MFR) in diffuse coronary ectasia (DCE) Khalil, Mohammed Alibazoglu, Deniz Balci, Cem Numan Hussein, Rawan Abuwadi, Abraham Alibazoglu, Haluk BJR Case Rep Case Report Clinical use with evidence base for diagnostic and prognostic value of quantitative positron emission tomography(PET) myocardial perfusion imaging (MPI) in patients with known or suspected coronary artery disease has exponentially increased over the last decade. This case illustrates the very first time that stress myocardial blood flow(MBF) in absolute terms (ml/min/gram) and myocardial flow reserve(MFR) are augmented in three vessel diffuse coronary ectasia by N13-Ammonia PET MPI. Moreover, relative qualitative MPI demonstrated moderate-sized ischemia in right coronary artery territory with chronic total occlusion in middle segment; despite regional myocardial flow reserve remains above ischemic thresholds while regional stress myocardial blood flow is mildly reduced. The British Institute of Radiology. 2020-09-29 /pmc/articles/PMC7526998/ /pubmed/33029358 http://dx.doi.org/10.1259/bjrcr.20190046 Text en © 2020 The Authors. Published by the British Institute of Radiology This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Khalil, Mohammed
Alibazoglu, Deniz
Balci, Cem Numan
Hussein, Rawan
Abuwadi, Abraham
Alibazoglu, Haluk
Discordance between invasive coronary flow reserve (CFR) and non-invasive myocardial flow reserve (MFR) in diffuse coronary ectasia (DCE)
title Discordance between invasive coronary flow reserve (CFR) and non-invasive myocardial flow reserve (MFR) in diffuse coronary ectasia (DCE)
title_full Discordance between invasive coronary flow reserve (CFR) and non-invasive myocardial flow reserve (MFR) in diffuse coronary ectasia (DCE)
title_fullStr Discordance between invasive coronary flow reserve (CFR) and non-invasive myocardial flow reserve (MFR) in diffuse coronary ectasia (DCE)
title_full_unstemmed Discordance between invasive coronary flow reserve (CFR) and non-invasive myocardial flow reserve (MFR) in diffuse coronary ectasia (DCE)
title_short Discordance between invasive coronary flow reserve (CFR) and non-invasive myocardial flow reserve (MFR) in diffuse coronary ectasia (DCE)
title_sort discordance between invasive coronary flow reserve (cfr) and non-invasive myocardial flow reserve (mfr) in diffuse coronary ectasia (dce)
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526998/
https://www.ncbi.nlm.nih.gov/pubmed/33029358
http://dx.doi.org/10.1259/bjrcr.20190046
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