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Re: cardiac PET scan

Started by Andrew Kerr · · Last activity · 6 posts · 298 views

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General fitness, health and nutrition
Published
7 August 2003
Last activity
9 August 2003
Original author
Andrew Kerr
Posts
6
Discussion status
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  1. "John Wendel" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    1) If a person wants to know if he has coronary artery disease (CAD)
    and has a choice of having an cardiac PET scan test with FDG,rubidium
    and stress agent persantine on one hand and half PET/half SPECT test
    with FDG,cardiolite and exercise treadmill (instead of stress agents) on
    the other hand and taking into consideration the safety of both tests,
    which test would be safer for patient to do? 2)Does cardiac viability
    study only cost the same as both rest and stress?Thanks

    1. They are equally safe.
    2. I don't know, I'm in Ontario, Canada.

    Andrew

  2. No. I think they would equally be safe if exercise treadmill is used
    instead of persantine during PET study.Are stress PET studies done
    without stress agents,like persantine,adenosine,and dobutamie?Thanks

  3. "John Wendel" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    No. I think they would equally be safe if exercise treadmill is used
    instead of persantine during PET study.Are stress PET studies done
    without stress agents,like persantine,adenosine,and dobutamie?Thanks

    The risk of a "myocardial event" using pharmacological stress is essentially
    the same as the risk during a treadmill.

    I don't know if PET is done with the treadmill, but I don't think so.

    Andrew

  4. If the risk of myocardial event is the same with both tests why most
    labs prefer patients using exercise treadmill (if they can walk) instead
    of persantine?Thanks

  5. "John Wendel" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    If the risk of myocardial event is the same with both tests why most
    labs prefer patients using exercise treadmill (if they can walk) instead
    of persantine?Thanks

    Persantine costs more. Plus the treadmill is a natural exercise, it gives
    you an idea of the patient's overall condition. There are extra bits of
    information you pick up on a treadmill, such as the blood pressure response
    and recovery rate after exercise.

    Andrew

  6. What about side effects of persantine.I know a friend who almost died
    as result of persantine during the scan.He had unbearable chest pain
    and sob as result of injected persantine that they had to do invasive
    cardiac catheterization which came out as a negative.I would certainly
    not need unnecessary invasive catheterization test as result of
    persantine. 1) If a person wants to rule out all old small heart
    attacks what iv drugs (isotopes) have to be injected during PET or SPECT
    scans? 2) If a person wants to rule out CAD what drugs(isotopes) have to
    be injected during PET or SPECT scans? 3) In ruling out all old small
    heart attacks are both rest and stress parts of the test indicated or
    only rest is indicated?Thanks

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