Skip to main content
Erschienen in: Current Cardiology Reports 5/2015

01.05.2015 | Cardiac PET, CT, and MRI (SE Petersen, Section Editor)

Cardiac PET for Translational Imaging

verfasst von: C. Rischpler, Anna Paschali, Constantinos Anagnostopoulos, S. G. Nekolla

Erschienen in: Current Cardiology Reports | Ausgabe 5/2015

Einloggen, um Zugang zu erhalten

Abstract

All along, translational cardiovascular research has been dependent on non-invasive imaging (such as single-photon emission computed tomography (SPECT), positron emission tomography (PET), computed tomography (CT), echocardiography, or magnetic resonance imaging (MRI)), as these techniques allow the assessment of surrogate markers in intact living organisms non-invasively. PET offers the advantages of high sensitivity; the capability for longitudinal, quantitative imaging; and that an armamentarium of promising radiotracers is readily available. All commercially available PET scanners are equipped with a CT component, and thus, the often cited disadvantage of a lack of morphologic correlation does not really count anymore. This review aims to give an outline on PET as a promising tool for translational research in cardiology as dedicated preclinical systems with virtually the same imaging features as those used in clinical imaging allows the straightforward concept of “bench to bedside.”
Literatur
1.•
Zurück zum Zitat Chen IY, Wu JC. Cardiovascular molecular imaging: focus on clinical translation. Circulation. 2011;123(4):425–43. Excellent review on a wide range of biological mechanisms and imaging strategies for a wide range of modalities such as PET, SPECT, MRI, and optical imaging.CrossRefPubMedCentralPubMed Chen IY, Wu JC. Cardiovascular molecular imaging: focus on clinical translation. Circulation. 2011;123(4):425–43. Excellent review on a wide range of biological mechanisms and imaging strategies for a wide range of modalities such as PET, SPECT, MRI, and optical imaging.CrossRefPubMedCentralPubMed
2.
Zurück zum Zitat Martinez-Moller A, Zikic D, Botnar RM, Bundschuh RA, Howe W, Ziegler SI, et al. Dual cardiac-respiratory gated PET: implementation and results from a feasibility study. Eur J Nucl Med Mol Imaging. 2007;34(9):1447–54.CrossRefPubMed Martinez-Moller A, Zikic D, Botnar RM, Bundschuh RA, Howe W, Ziegler SI, et al. Dual cardiac-respiratory gated PET: implementation and results from a feasibility study. Eur J Nucl Med Mol Imaging. 2007;34(9):1447–54.CrossRefPubMed
3.
Zurück zum Zitat Phelps ME, Hoffman EJ, Huang SC, Ter-Pogossian MM. Effect of positron range on spatial resolution. J Nucl Med:Off Public Soc Nucl Med. 1975;16(7):649–52. Phelps ME, Hoffman EJ, Huang SC, Ter-Pogossian MM. Effect of positron range on spatial resolution. J Nucl Med:Off Public Soc Nucl Med. 1975;16(7):649–52.
4.
Zurück zum Zitat Cheng AS, Pegg TJ, Karamitsos TD, Searle N, Jerosch-Herold M, Choudhury RP, et al. Cardiovascular magnetic resonance perfusion imaging at 3-tesla for the detection of coronary artery disease: a comparison with 1.5-tesla. J Am Coll Cardiol. 2007;49(25):2440–9.CrossRefPubMed Cheng AS, Pegg TJ, Karamitsos TD, Searle N, Jerosch-Herold M, Choudhury RP, et al. Cardiovascular magnetic resonance perfusion imaging at 3-tesla for the detection of coronary artery disease: a comparison with 1.5-tesla. J Am Coll Cardiol. 2007;49(25):2440–9.CrossRefPubMed
5.
Zurück zum Zitat Tai YC, Ruangma A, Rowland D, Siegel S, Newport DF, Chow PL, et al. Performance evaluation of the microPET focus: a third-generation microPET scanner dedicated to animal imaging. J Nucl Med:Off Public Soc Nucl Med. 2005;46(3):455–63. Tai YC, Ruangma A, Rowland D, Siegel S, Newport DF, Chow PL, et al. Performance evaluation of the microPET focus: a third-generation microPET scanner dedicated to animal imaging. J Nucl Med:Off Public Soc Nucl Med. 2005;46(3):455–63.
6.•
Zurück zum Zitat Maddahi J, Packard RR. Cardiac PET perfusion tracers: current status and future directions. Semin Nucl Med. 2014;44(5):333–43. Overview of established and new flow agents in cardiac PET imaging and their application.CrossRefPubMed Maddahi J, Packard RR. Cardiac PET perfusion tracers: current status and future directions. Semin Nucl Med. 2014;44(5):333–43. Overview of established and new flow agents in cardiac PET imaging and their application.CrossRefPubMed
7.
Zurück zum Zitat Mc Ardle BA, Dowsley TF, deKemp RA, Wells GA, Beanlands RS. Does rubidium-82 PET have superior accuracy to SPECT perfusion imaging for the diagnosis of obstructive coronary disease?: a systematic review and meta-analysis. J Am Coll Cardiol. 2012;60(18):1828–37.CrossRefPubMed Mc Ardle BA, Dowsley TF, deKemp RA, Wells GA, Beanlands RS. Does rubidium-82 PET have superior accuracy to SPECT perfusion imaging for the diagnosis of obstructive coronary disease?: a systematic review and meta-analysis. J Am Coll Cardiol. 2012;60(18):1828–37.CrossRefPubMed
8.•
Zurück zum Zitat Yu M, Nekolla SG, Schwaiger M, Robinson SP. The next generation of cardiac positron emission tomography imaging agents: discovery of flurpiridaz F-18 for detection of coronary disease. Semin Nucl Med. 2011;41(4):305–13. Detailed description of the development of a new PET flow tracer from cells over isolated rodents hearts, in vivo rodents and finally into humans.CrossRefPubMed Yu M, Nekolla SG, Schwaiger M, Robinson SP. The next generation of cardiac positron emission tomography imaging agents: discovery of flurpiridaz F-18 for detection of coronary disease. Semin Nucl Med. 2011;41(4):305–13. Detailed description of the development of a new PET flow tracer from cells over isolated rodents hearts, in vivo rodents and finally into humans.CrossRefPubMed
9.
Zurück zum Zitat Huisman MC, Higuchi T, Reder S, Nekolla SG, Poethko T, Wester HJ, et al. Initial characterization of an 18F-labeled myocardial perfusion tracer. J Nucl Med:Off Public Soc Nucl Med. 2008;49(4):630–6.CrossRef Huisman MC, Higuchi T, Reder S, Nekolla SG, Poethko T, Wester HJ, et al. Initial characterization of an 18F-labeled myocardial perfusion tracer. J Nucl Med:Off Public Soc Nucl Med. 2008;49(4):630–6.CrossRef
10.
Zurück zum Zitat Higuchi T, Nekolla SG, Huisman MM, Reder S, Poethko T, Yu M, et al. A new 18F-labeled myocardial PET tracer: myocardial uptake after permanent and transient coronary occlusion in rats. J Nucl Med:Off Public Soc Nucl Med. 2008;49(10):1715–22.CrossRef Higuchi T, Nekolla SG, Huisman MM, Reder S, Poethko T, Yu M, et al. A new 18F-labeled myocardial PET tracer: myocardial uptake after permanent and transient coronary occlusion in rats. J Nucl Med:Off Public Soc Nucl Med. 2008;49(10):1715–22.CrossRef
11.
Zurück zum Zitat Sherif HM, Saraste A, Weidl E, Weber AW, Higuchi T, Reder S, et al. Evaluation of a novel (18)F-labeled positron-emission tomography perfusion tracer for the assessment of myocardial infarct size in rats. Circ Cardiovasc Imag. 2009;2(2):77–84.CrossRef Sherif HM, Saraste A, Weidl E, Weber AW, Higuchi T, Reder S, et al. Evaluation of a novel (18)F-labeled positron-emission tomography perfusion tracer for the assessment of myocardial infarct size in rats. Circ Cardiovasc Imag. 2009;2(2):77–84.CrossRef
12.
Zurück zum Zitat Nekolla SG, Reder S, Saraste A, Higuchi T, Dzewas G, Preissel A, et al. Evaluation of the novel myocardial perfusion positron-emission tomography tracer 18F-BMS-747158-02: comparison to 13N-ammonia and validation with microspheres in a pig model. Circulation. 2009;119(17):2333–42.CrossRefPubMed Nekolla SG, Reder S, Saraste A, Higuchi T, Dzewas G, Preissel A, et al. Evaluation of the novel myocardial perfusion positron-emission tomography tracer 18F-BMS-747158-02: comparison to 13N-ammonia and validation with microspheres in a pig model. Circulation. 2009;119(17):2333–42.CrossRefPubMed
13.
Zurück zum Zitat Maddahi J, Czernin J, Lazewatsky J, Huang SC, Dahlbom M, Schelbert H, et al. Phase I, first-in-human study of BMS747158, a novel 18F-labeled tracer for myocardial perfusion PET: dosimetry, biodistribution, safety, and imaging characteristics after a single injection at rest. J Nucl Med:Off Public Soc Nucl Med. 2011;52(9):1490–8.CrossRef Maddahi J, Czernin J, Lazewatsky J, Huang SC, Dahlbom M, Schelbert H, et al. Phase I, first-in-human study of BMS747158, a novel 18F-labeled tracer for myocardial perfusion PET: dosimetry, biodistribution, safety, and imaging characteristics after a single injection at rest. J Nucl Med:Off Public Soc Nucl Med. 2011;52(9):1490–8.CrossRef
14.
Zurück zum Zitat Berman DS, Maddahi J, Tamarappoo BK, Czernin J, Taillefer R, Udelson JE, et al. Phase II safety and clinical comparison with single-photon emission computed tomography myocardial perfusion imaging for detection of coronary artery disease: flurpiridaz F 18 positron emission tomography. J Am Coll Cardiol. 2013;61(4):469–77.CrossRefPubMedCentralPubMed Berman DS, Maddahi J, Tamarappoo BK, Czernin J, Taillefer R, Udelson JE, et al. Phase II safety and clinical comparison with single-photon emission computed tomography myocardial perfusion imaging for detection of coronary artery disease: flurpiridaz F 18 positron emission tomography. J Am Coll Cardiol. 2013;61(4):469–77.CrossRefPubMedCentralPubMed
15.
Zurück zum Zitat Madar I, Ravert HT, Du Y, Hilton J, Volokh L, Dannals RF, et al. Characterization of uptake of the new PET imaging compound 18F-fluorobenzyl triphenyl phosphonium in dog myocardium. J Nucl Med:Off Public Soc Nucl Med. 2006;47(8):1359–66. Madar I, Ravert HT, Du Y, Hilton J, Volokh L, Dannals RF, et al. Characterization of uptake of the new PET imaging compound 18F-fluorobenzyl triphenyl phosphonium in dog myocardium. J Nucl Med:Off Public Soc Nucl Med. 2006;47(8):1359–66.
16.
Zurück zum Zitat Ilovich O, Abourbeh G, Bocher M, Freedman N, Billauer H, Dotan S, et al. Structure–activity relationship and preclinical evaluation of carbon-11-labeled ammonium salts as PET–myocardial perfusion imaging agents. Molec Imag Biol:MIB: Off Public Acad Molec Imag. 2012;14(5):625–36.CrossRef Ilovich O, Abourbeh G, Bocher M, Freedman N, Billauer H, Dotan S, et al. Structure–activity relationship and preclinical evaluation of carbon-11-labeled ammonium salts as PET–myocardial perfusion imaging agents. Molec Imag Biol:MIB: Off Public Acad Molec Imag. 2012;14(5):625–36.CrossRef
17.
Zurück zum Zitat Jacobson O, Abourbeh G, Tsvirkun D, Mishani E. Rat imaging and in vivo stability studies using [11C]-dimethyl-diphenyl ammonium, a candidate agent for PET-myocardial perfusion imaging. Nucl Med Biol. 2013;40(8):967–73.CrossRefPubMed Jacobson O, Abourbeh G, Tsvirkun D, Mishani E. Rat imaging and in vivo stability studies using [11C]-dimethyl-diphenyl ammonium, a candidate agent for PET-myocardial perfusion imaging. Nucl Med Biol. 2013;40(8):967–73.CrossRefPubMed
18.
Zurück zum Zitat Ghosh N, Rimoldi OE, Beanlands RS, Camici PG. Assessment of myocardial ischaemia and viability: role of positron emission tomography. Eur Heart J. 2010;31(24):2984–95.CrossRefPubMed Ghosh N, Rimoldi OE, Beanlands RS, Camici PG. Assessment of myocardial ischaemia and viability: role of positron emission tomography. Eur Heart J. 2010;31(24):2984–95.CrossRefPubMed
19.
Zurück zum Zitat Lee WW, Marinelli B, van der Laan AM, Sena BF, Gorbatov R, Leuschner F, et al. PET/MRI of inflammation in myocardial infarction. J Am Coll Cardiol. 2012;59(2):153–63.CrossRefPubMedCentralPubMed Lee WW, Marinelli B, van der Laan AM, Sena BF, Gorbatov R, Leuschner F, et al. PET/MRI of inflammation in myocardial infarction. J Am Coll Cardiol. 2012;59(2):153–63.CrossRefPubMedCentralPubMed
20.
Zurück zum Zitat Schwaiger M, Hicks R. The clinical role of metabolic imaging of the heart by positron emission tomography. J Nucl Med:Off Public Soc Nucl Med. 1991;32(4):565–78. Schwaiger M, Hicks R. The clinical role of metabolic imaging of the heart by positron emission tomography. J Nucl Med:Off Public Soc Nucl Med. 1991;32(4):565–78.
21.
Zurück zum Zitat Bengel FM, Ueberfuhr P, Ziegler SI, Nekolla SG, Odaka K, Reichart B, et al. Non-invasive assessment of the effect of cardiac sympathetic innervation on metabolism of the human heart. Eur J Nucl Med. 2000;27(11):1650–7.CrossRefPubMed Bengel FM, Ueberfuhr P, Ziegler SI, Nekolla SG, Odaka K, Reichart B, et al. Non-invasive assessment of the effect of cardiac sympathetic innervation on metabolism of the human heart. Eur J Nucl Med. 2000;27(11):1650–7.CrossRefPubMed
22.
Zurück zum Zitat Fallavollita JA, Heavey BM, Luisi Jr AJ, Michalek SM, Baldwa S, Mashtare Jr TL, et al. Regional myocardial sympathetic denervation predicts the risk of sudden cardiac arrest in ischemic cardiomyopathy. J Am Coll Cardiol. 2014;63(2):141–9.CrossRefPubMedCentralPubMed Fallavollita JA, Heavey BM, Luisi Jr AJ, Michalek SM, Baldwa S, Mashtare Jr TL, et al. Regional myocardial sympathetic denervation predicts the risk of sudden cardiac arrest in ischemic cardiomyopathy. J Am Coll Cardiol. 2014;63(2):141–9.CrossRefPubMedCentralPubMed
23.
Zurück zum Zitat Nguyen NT, DeGrado TR, Chakraborty P, Wieland DM, Schwaiger M. Myocardial kinetics of carbon-11-epinephrine in the isolated working rat heart. J Nucl Med:Off Public Soc Nucl Med. 1997;38(5):780–5. Nguyen NT, DeGrado TR, Chakraborty P, Wieland DM, Schwaiger M. Myocardial kinetics of carbon-11-epinephrine in the isolated working rat heart. J Nucl Med:Off Public Soc Nucl Med. 1997;38(5):780–5.
24.
Zurück zum Zitat Munch G, Nguyen NT, Nekolla S, Ziegler S, Muzik O, Chakraborty P, et al. Evaluation of sympathetic nerve terminals with [(11)C]epinephrine and [(11)C]hydroxyephedrine and positron emission tomography. Circulation. 2000;101(5):516–23.CrossRefPubMed Munch G, Nguyen NT, Nekolla S, Ziegler S, Muzik O, Chakraborty P, et al. Evaluation of sympathetic nerve terminals with [(11)C]epinephrine and [(11)C]hydroxyephedrine and positron emission tomography. Circulation. 2000;101(5):516–23.CrossRefPubMed
25.
Zurück zum Zitat Raffel DM, Corbett JR, del Rosario RB, Mukhopadhyay SK, Gildersleeve DL, Rose P, et al. Sensitivity of [11C]phenylephrine kinetics to monoamine oxidase activity in normal human heart. J Nucl Med:Off Public Soc Nucl Med. 1999;40(2):232–8. Raffel DM, Corbett JR, del Rosario RB, Mukhopadhyay SK, Gildersleeve DL, Rose P, et al. Sensitivity of [11C]phenylephrine kinetics to monoamine oxidase activity in normal human heart. J Nucl Med:Off Public Soc Nucl Med. 1999;40(2):232–8.
26.
Zurück zum Zitat Raffel DM, Corbett JR, del Rosario RB, Gildersleeve DL, Chiao PC, Schwaiger M, et al. Clinical evaluation of carbon-11-phenylephrine: MAO-sensitive marker of cardiac sympathetic neurons. J Nucl Med:Off Public Soc Nucl Med. 1996;37(12):1923–31. Raffel DM, Corbett JR, del Rosario RB, Gildersleeve DL, Chiao PC, Schwaiger M, et al. Clinical evaluation of carbon-11-phenylephrine: MAO-sensitive marker of cardiac sympathetic neurons. J Nucl Med:Off Public Soc Nucl Med. 1996;37(12):1923–31.
27.
Zurück zum Zitat Jacobson AF, Senior R, Cerqueira MD, Wong ND, Thomas GS, Lopez VA, et al. Myocardial iodine-123 meta-iodobenzylguanidine imaging and cardiac events in heart failure. Results of the prospective ADMIRE-HF (AdreView Myocardial Imaging for Risk Evaluation in Heart Failure) study. J Am Coll Cardiol. 2010;55(20):2212–21.CrossRefPubMed Jacobson AF, Senior R, Cerqueira MD, Wong ND, Thomas GS, Lopez VA, et al. Myocardial iodine-123 meta-iodobenzylguanidine imaging and cardiac events in heart failure. Results of the prospective ADMIRE-HF (AdreView Myocardial Imaging for Risk Evaluation in Heart Failure) study. J Am Coll Cardiol. 2010;55(20):2212–21.CrossRefPubMed
28.
Zurück zum Zitat Yu M, Bozek J, Lamoy M, Guaraldi M, Silva P, Kagan M, et al. Evaluation of LMI1195, a novel 18F-labeled cardiac neuronal PET imaging agent, in cells and animal models. Circ Cardiovasc Imag. 2011;4(4):435–43.CrossRef Yu M, Bozek J, Lamoy M, Guaraldi M, Silva P, Kagan M, et al. Evaluation of LMI1195, a novel 18F-labeled cardiac neuronal PET imaging agent, in cells and animal models. Circ Cardiovasc Imag. 2011;4(4):435–43.CrossRef
29.
Zurück zum Zitat Sinusas AJ, Lazewatsky J, Brunetti J, Heller G, Srivastava A, Liu YH, et al. Biodistribution and radiation dosimetry of LMI1195: first-in-human study of a novel 18F-labeled tracer for imaging myocardial innervation. J Nucl Med:Off Public Soc Nucl Med. 2014;55(9):1445–51.CrossRef Sinusas AJ, Lazewatsky J, Brunetti J, Heller G, Srivastava A, Liu YH, et al. Biodistribution and radiation dosimetry of LMI1195: first-in-human study of a novel 18F-labeled tracer for imaging myocardial innervation. J Nucl Med:Off Public Soc Nucl Med. 2014;55(9):1445–51.CrossRef
30.
Zurück zum Zitat Elsinga PH, van Waarde A, Visser TJ, Vaalburg W. Visualization of beta-adrenoceptors using PET. Clin Positron Imag:Off J Inst Clin PET. 1998;1(2):81–94.CrossRef Elsinga PH, van Waarde A, Visser TJ, Vaalburg W. Visualization of beta-adrenoceptors using PET. Clin Positron Imag:Off J Inst Clin PET. 1998;1(2):81–94.CrossRef
31.
Zurück zum Zitat Le Guludec D, Delforge J, Syrota A, Desruennes M, Valette H, Gandjbakhch I, et al. In vivo quantification of myocardial muscarinic receptors in heart transplant patients. Circulation. 1994;90(1):172–8.CrossRefPubMed Le Guludec D, Delforge J, Syrota A, Desruennes M, Valette H, Gandjbakhch I, et al. In vivo quantification of myocardial muscarinic receptors in heart transplant patients. Circulation. 1994;90(1):172–8.CrossRefPubMed
32.
Zurück zum Zitat Jeong JM, Hong MK, Chang YS, Lee YS, Kim YJ, Cheon GJ, et al. Preparation of a promising angiogenesis PET imaging agent: 68Ga-labeled c(RGDyK)-isothiocyanatobenzyl-1,4,7-triazacyclononane-1,4,7-triacetic acid and feasibility studies in mice. J Nucl Med:Off Public Soc Nucl Med. 2008;49(5):830–6.CrossRef Jeong JM, Hong MK, Chang YS, Lee YS, Kim YJ, Cheon GJ, et al. Preparation of a promising angiogenesis PET imaging agent: 68Ga-labeled c(RGDyK)-isothiocyanatobenzyl-1,4,7-triazacyclononane-1,4,7-triacetic acid and feasibility studies in mice. J Nucl Med:Off Public Soc Nucl Med. 2008;49(5):830–6.CrossRef
33.
Zurück zum Zitat Lehner S, Todica A, Vanchev Y, Uebleis C, Wang H, Herrler T, et al. In vivo monitoring of parathyroid hormone treatment after myocardial infarction in mice with [68Ga]annexin A5 and [18F]fluorodeoxyglucose positron emission tomography. Mol Imaging. 2014;13:1–8. Lehner S, Todica A, Vanchev Y, Uebleis C, Wang H, Herrler T, et al. In vivo monitoring of parathyroid hormone treatment after myocardial infarction in mice with [68Ga]annexin A5 and [18F]fluorodeoxyglucose positron emission tomography. Mol Imaging. 2014;13:1–8.
Metadaten
Titel
Cardiac PET for Translational Imaging
verfasst von
C. Rischpler
Anna Paschali
Constantinos Anagnostopoulos
S. G. Nekolla
Publikationsdatum
01.05.2015
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 5/2015
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-015-0581-0

Weitere Artikel der Ausgabe 5/2015

Current Cardiology Reports 5/2015 Zur Ausgabe

Lipid Abnormalities and Cardiovascular Prevention (G De Backer, Section Editor)

New Insights into the Role of Nutrition in CVD Prevention

Lipid Abnormalities and Cardiovascular Prevention (G De Backer, Section Editor)

Statin Intolerance: Diagnosis and Remedies

Ischemic Heart Disease (D Mukherjee, Section Editor)

Cardiovascular, Renal and Overall Health Outcomes After Bariatric Surgery

Diabetes and Cardiovascular Disease (S Malik, Section Editor)

Next Generation of Weight Management Medications: Implications for Diabetes and CVD Risk

Cardiac PET, CT, and MRI (SE Petersen, Section Editor)

Interventional CMR: Clinical Applications and Future Directions

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Adipositas-Medikament auch gegen Schlafapnoe wirksam

24.04.2024 Adipositas Nachrichten

Der als Antidiabetikum sowie zum Gewichtsmanagement zugelassene Wirkstoff Tirzepatid hat in Studien bei adipösen Patienten auch schlafbezogene Atmungsstörungen deutlich reduziert, informiert der Hersteller in einer Vorab-Meldung zum Studienausgang.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.