EDITORIAL The use of vasodilator myocardial perfusion imaging in severe aortic stenosis: Is it time for a new prospective study? a a Ioannis Parastatidis, MD, PhD, and Stamatios Lerakis, MD Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, GA Received Mar 3, 2016; accepted Mar 4, 2016 doi:10.1007/s12350-016-0468-5 of aortic stenosis resulted in the consideration for aortic See related editorial, pp. 1200–1213 valve replacement of signiﬁcantly older patients and patients that would have previously deemed inoperable. Not surprisingly, these patients frequently have coronary Aortic stenosis often coexists with coronary atherosclerotic lesions, which need further ischemic atherosclerotic disease, and with the exception of men assessment. Therefore, vasodilator stress imaging can be less than 40 years old and premenopausal women, part a valuable tool for the clinician in order to evaluate of the workup in clinical practice includes assessment the ischemic burden and guide the revascularization for coronary disease. Conversely, the presence of angina strategy. in patients with aortic stenosis is less speciﬁc for coro- In this issue of the journal, Hussain et al examined nary obstructive disease, since chest pain could be a retrospectively the safety of vasodilator stress imaging result of increased myocardial wall stress,
Journal of Nuclear Cardiology – Springer Journals
Published: Mar 21, 2016
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