CardioNerd Amit Goyal is joined by Dr. Erika Hutt (Cleveland Clinic general cardiology fellow), Dr. Aldo Schenone (Brigham and Women’s advanced cardiovascular imaging fellow), and Dr. Wael Jaber (Cleveland Clinic cardiovascular imaging staff and co-founder of Cardiac Imaging Agora) to discuss nuclear and complimentary multimodality cardiovascular imaging for the evaluation of coronary ischemia. Show notes were created by Dr. Hussain Khalid (University of Florida general cardiology fellow and CardioNerds Academy fellow in House Thomas). To learn more about multimodality cardiovascular imaging, check out Cardiac Imaging Agora! 

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Show Notes & Take Home Pearls

Five Take Home Pearls

* We can broadly differentiate non-invasive testing into two different categories—functional and anatomical. Functional tests allow us to delineate the functional consequence of coronary disease rather than directly characterizing the burden of disease. This is done by inducing ischemia via exercise or pharmacologic "stress” and then using a functional assessment (ex. EKG +/- echocardiography, radionuclide imaging, or cardiac MRI) to assess any impact on patient symptoms, electrical activity, and myocardial function or perfusion. Anatomical tests such as coronary CTA, on the other hand, allow us to directly visualize possible obstructive epicardial disease. * In general PET imaging provides higher quality images than SPECT imaging for a variety of reasons. The radiotracers used in PET imaging have a higher “keV” of energy (in general, the higher the “keV” the better the image quality) and PET cameras do not require physical collimation. The tradeoff is that PET scanners have a higher main...