Regadenosón y tetrofosmina, la perfecta combinación diagnóstica en Cardiología Nuclear

54 PUNTO CLAVE El uso de regadenosón a las 48 horas de SCACEST sometido a revascularización percutánea es seguro en pacientes asintomáticos, estables hemodinámicamente y sin cambios ECG dinámicos. BIBLIOGRAFÍA 1. Ibanez B, James S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, Caforio A, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation The Task Force for the management of acute myocardial infarction. Eur Hear J 2018;39:119-77. 2. Phillips LM, Vitola J, Shaw LJ, Giubbini R, Karthikeyan G, Alexanderson E, et al. Value of gated-SPECT MPI for ischemia-guided PCI of non-culprit vessels in STEMI patients with multivessel disease after primary PCI. J Nucl Cardiol 2018;24:1616-20. 3. Alsadat N, Hyun K, D´Souza M, Chew D, Weaver J, Juergens C, et al. Revascularization Strategies in Patients With STEMI: Cul- prit-Only vs Mutivessel Revascularization Using Percutaneous Coronary Intervention. J Invasive Cardiol [Internet] 2019;31(11):314-8. 4. Mehta SR, Wood DA, Storey RF, Mehran R, Bainey KR, Nguyen H, et al. Complete Revascularization with Multivessel PCI for Myocardial Infarction. N Engl J Med 2019;381(15):1411-21. 5. Henzlova MJ, Duvall WL, Einstein AJ, Travin MI, Verberne HJ. ASNC IMAGING GUIDELINES ASNC imaging guidelines for SPECT nuclear cardiology procedures: Stress, protocols and tracers. Blood Pressure 2016;23:606-39. 6. Rai M, Ahlberg AW, Marwell J, Chaudhary W, Iii AS, Alter EL, et al. Safety of vasodilator stress myocardial perfusion imaging in patients with elevated cardiac biomarkers. J Nucl Cardiol 2017;24:724-34. 7. Doukky R, Golzar Y. Safety of stress testing in patients with elevated cardiac biomarkers : Are all modalities created equal ? J Nucl Cardiol 2017;24:735-7. Fig. 5. Mapas polares y parámetros cuantitativos de perfusión post-estrés y en reposo.