June 15, 2017 — The American Society of Nuclear Cardiology (ASNC) has published an updated consensus statement on evidence-based treatment of stress myocardial perfusion imaging (MPI) in women. The consensus statement, “Myocardial perfusion imaging in women for the evaluation of stable ischemic heart disease—state-of-the-art evidence and clinical recommendations,” is intended to guide appropriate use of nuclear cardiology in the evaluation of women presenting with symptoms consistent with stable ischemic heart disease (SIHD).
The consensus statement, features recommendations for:
• Using cardiovascular imaging as a gatekeeper to quality testing and treatment of at-risk women
• Selecting appropriate women for testing
• Implementing radiation-dose-reduction strategies in women
• Leveraging technology to probe relevant female biology
• Investing in cardiovascular imaging for research on women’s care and outcomes
“The document is an important first step to implementing a ‘precision medicine’ approach to patient care,” says Viviany R. Taqueti, M.D., MPH, who led the writing group. “The incorporation of sex-specific and evidence-based guidance for diagnostic testing to determine risk status and management of symptomatic women with suspected ischemia is an important first step to implementing a 'precision medicine' approach to patient care.”
The writers of the document assert in the statement that for women, the evidence base for SPECT and PET MPI is robust and supports accurate detection of obstructive cardiovascular artery disease (CAD), effective risk stratification, and hopefully more appropriate utilization of invasive procedures.
“This document should help to improve patterns of care and clinical outcomes for the large sector of women requiring stress imaging procedures,” said Leslee Shaw, Ph.D., another author on the document. (Watch a video interview with Shaw on the future of cardiac CT imaging.)
Watch the VIDEO "Trends in Nuclear Cardiology Imaging," an interview with David Wolinsky, M.D., director of nuclear cardiology at Cleveland Clinic Florida and past-president of the American Society of Nuclear Cardiology (ASNC), on advancements in nuclear imaging and some of the issues facing the subspecialty.
1. Viviany R. Taqueti, Sharmila Dorbala, David Wolinsky. “Myocardial perfusion imaging in women for the evaluation of stable ischemic heart disease—state-of-the-evidence and clinical recommendations.” Journal of Nuclear Cardiology. doi:10.1007/s12350-017-0926-8. Published online June 5, 2017. Accessed June 15, 2017.
Received May 15, 2017; accepted May 15, 2017