Summary

Eligibility
for people ages 21 years and up (full criteria)
Location
at San Francisco, California
Dates
study started
estimated completion
Principal Investigator
Youngho Seo, Phd
Photo of Youngho Seo
Youngho Seo

Description

Summary

The investigators propose a 4 year prospective, observational study of 40 patients yearly, comparing conventional clinically indicated SPECT and PET perfusion with dynamic rest/stress MPI studies with coronary angiography, in some cases performed with quantitative coronary anatomy and flow as well as quantitative 13N-ammonia PET MPI. Methods will also be assessed for their ability to determine myocardial viability by comparing regional wall motion (WM) on clinically indicated serial ventriculography, echocardiography or gated SPECT MPI in those protocol patients with WM abnormalities who subsequently undergo revascularization. Patient studies will begin in the first study year based on those methods already developed and integrate new advances as they become evident.

Keywords

Coronary Artery Disease Single-Photon Emission-Computed Tomography Myocardial Perfusion Imaging Ischemia Stress test Coronary Artery Disease (CAD) Coronary Flow Reserve (CFR) Coronary Angiography Myocardial Ischemia Coronary Disease

Eligibility

You can join if…

Open to people ages 21 years and up

  • Patients who have had clinically indicated stress MPI with a low pre-test likelihood (0 - 15% ) of coronary disease based on the criteria of Diamond and Forrester.
  • Patients who have already had a clinically indicated stress MPI in the last three years with a low likelihood of having active coronary disease with no significantly narrowed coronary arteries.
  • Patients whose clinically indicated stress MPI demonstrates clear abnormalities and who are likely to go on to SCA for clinical indications.
  • If, after conventional and dynamic MPI some of these patients do not have SCA, they will still be followed for events for up to 3 years following participation in the protocol. To avoid delays and unnecessary procedures among patients in Group II who will have the dynamic imaging protocol studies after SCA, patients will be selected for protocol enlistment only if the decision is made by the patient's physician, based totally on clinical and social factors, that any considered revascularization intervention would not be performed on the day of diagnostic SCA and will be performed electively, at least 4 to 7 days later.
  • Patients found at SCA to have lesions of "borderline" clinical significance, preferably in the absence of other associated lesions.

You CAN'T join if...

  • Cannot give informed consent
  • Unable or unwilling to return for a second stress imaging study
  • Cannot cooperate for adequate SPECT or PET supine and/or prone imaging
  • Pregnant females
  • Patients under 21 years old
  • Active bronchospasm - No theophylline for 48 hours prior to study
  • Heart block more severe than Wenckebach block
  • Patients with uncomplicated infarction will not be included if they cannot have an exercise test later than 8 weeks of the event or a vasodilator pharmacologic stress test at least 24 hours or more after the event
  • Coronary bypass surgery within 8 weeks
  • Symptoms of congestive heart failure at rest
  • Has had an event or change in drug regimen since the initial stress test.
  • Has serious response to or side effect from initial clinical stress test induced ST elevation, hypotension, prolonged arrhythmia, bronchospasm.
  • Has had a clinical event since last coronary angiogram, angioplasty, or coronary surgery.
  • Has had 201Tl rest SPECT MPI prior to dynamic imaging

Location

  • University of California, San Francisco Imaging Center accepting new patients
    San Francisco California 94107 United States

Lead Scientist at UCSF

  • Youngho Seo, Phd
    Youngho Seo, PhD, is a Professor in Residence and Director of Nuclear Imaging Physics in the Department of Radiology and Biomedical Imaging, Professor in Residence in the Department of Radiation Oncology, Faculty Affiliate at the Bakar Computational Health Sciences Institute, Program Member of Pediatric Malignancies and Prostate Cancer programs at the UCSF Helen Diller Family …

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, San Francisco
ID
NCT01934985
Study Type
Observational
Last Updated