Τόμος 25 (2011) – Τεύχος 2 – Άρθρο 2 – Review of Clinical Pharmacology and Pharmacokinetics-Διεθνής Έκδοση – Volume 25 (2011) – Issue 2 – Article 2 – Review of Clinical Pharmacology and Pharmacokinetics -International Edition

Title Diagnostic role of nuclear medicine in dilated cardiomyopathy
Authors Nikolaos Boussios¹, Evaggelos Karathanos¹, Adina Thomaidi² and Athanassios Zissimopoulos¹

1. Department of Nuclear Medicine and 2. University Cardiology Department, Democritus University of Thrace, University Hospital of Alexandroupolis, Greece

Citation Boussios, N., Karathanos, E., Thomaidi, A., Zissimopoulos, A.: Diagnostic role of nuclear medicine in dilated cardiomyopathy, Epitheorese Klin. Farmakol. Farmakokinet. 25(2): 55-58 (2011)
Publication Date Accepted for publication (Final version): July 1, 2011
Full Text Language English
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Keywords Dilated cardiomyopathy, myocardial perfusion imaging, radionuclide ventriculography, 123I-MIBG scintigraphy, BMIPP scintigraphy.
Other Terms review article
Summary Cardiomyopathies are primary diseases of the heart muscle associated with systolic heart failure. Dilated cardiomyopathy (DCM) is the most common form of cardiomyopathy and occurs at any age. It is often difficult to distinguish clinically between ischemic and non-ischemic DCM. Nuclear imaging methods, such as myocardial perfusion imaging and radionuclide ventriculography, are non-invasive tests often used for the above differential diagnosis. Iodine-123 metaiodobenzylguanidine (MIBG) scintigraphy can be useful in predicting treatment response and subsequent prognosis in patients with DCM and congestive heart failure and could help in selecting appropriate candidates for heart transplantation. Beta-methyl-p-[123I]-iodophenylpentadecanoic acid (BMIPP) scintigraphy is an emerging technique for imaging myocardial fatty acid metabolism. Myocardial metabolic abnormality evaluated by 123I-BMIPP scintigraphy is related to the severity of congestive heart failure. Furthermore, it may be useful as a predictor for cardiac events in patients with DCM.
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