Abstract
Studies of myocardial blood flow and substrate metabolism of the human heart with positron emission tomography (PET) have proved clinically useful in patients with coronary artery disease (CAD). The studies allow a comprehensive characterization of the extent and severity of CAD, detection of preclinical coronary disease, and, most importantly, identification of myocardial viability. More broadly, PET provides important novel insights into the physiology and biology of the normal and the diseased heart and explores beneficial effects of new therapeutic interventions and pharmaceuticals. The continued growth of an already large body of scientific literature on cardiac PET is fully acknowledged. However, a complete and well-deserved account of all these accomplishments is beyond the scope of this chapter. If some of these accomplishments are not included, this by no means implies judgment about their quality or relevance but is dictated by the need for brevity. Accordingly, the following chapter focuses on technical aspects of PET that are important for and are unique to the study of the human heart, it reviews observations made with PET in the normal heart and in cardiac disease, and it closes with a discussion of current clinical indications.
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References
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Schelbert, H.R. (2004). Positron Emission Tomography of the Heart: Methodology, Findings in the Normal and the Diseased Heart, and Clinical Applications. In: PET. Springer, New York, NY. https://doi.org/10.1007/978-0-387-22529-6_6
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