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[VIRTUAL] ELEVATED TROPONIN WITH NO MYOCARDIAL INJURY: HETEROPHILE ANTIBODY CROSS-REACTION (FIT Clinical Decision Making Moderated Poster Theater 2_eAbstract Virtual Hall) - Dec 22, 2019 - Abstract #ACC2020ACC_3436; Often times, modern practice disproportionately emphasizes laboratory troponin I assay in the evaluation of patients with chest pain. This case highlights the importance of integrating patient’s presentation, medical history and a high suspicion for false positive laboratory results to guide management.
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Trial completion, Enrollment change, Trial completion date, Trial primary completion date: Microvascular Dysfunction in Nonischemic Cardiomyopathy: Insights From CMR Assessment of Coronary Flow Reserve (clinicaltrials.gov) - Dec 12, 2019 P4, N=31, Completed, This case highlights the importance of integrating patient’s presentation, medical history and a high suspicion for false positive laboratory results to guide management. Recruiting --> Completed | N=75 --> 31 | Trial completion date: Sep 2019 --> Mar 2019 | Trial primary completion date: Sep 2019 --> Mar 2019
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Journal: Review of cardiovascular imaging in the Journal of Nuclear Cardiology in 2017. Part 2 of 2: Myocardial perfusion imaging. (Pubmed Central) - Nov 28, 2019 In the first article of this 2-part series, we focused on publications dealing with positron emission tomography, computed tomography, and magnetic resonance. This review will place emphasis on myocardial perfusion imaging using single-photon emission computed tomography summarizing advances in the field including prognosis, safety and tolerability, the impact of imaging on management, and the use of novel imaging protocols.
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Enrollment closed, Trial completion date, Trial primary completion date: Stress Test in Detecting Heart Damage in Premenopausal Women With Stage I-III Breast Cancer (clinicaltrials.gov) - Nov 27, 2019 P=N/A, N=25, Active, not recruiting, This review will place emphasis on myocardial perfusion imaging using single-photon emission computed tomography summarizing advances in the field including prognosis, safety and tolerability, the impact of imaging on management, and the use of novel imaging protocols. Recruiting --> Active, not recruiting | Trial completion date: Dec 2020 --> Mar 2020 | Trial primary completion date: Dec 2019 --> Mar 2020
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Preclinical, Journal: Influence of hemodialysis on regadenoson clearance in an in vitro hemodialysis model. (Pubmed Central) - Nov 11, 2019 Hemodialysis enhances the clearance of regadenoson independent of hemodialyzer permeability and blood/dialysate flow rate. This clearance is modest relative to total body clearance and is unlikely to produce a clinically significant outcome.
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Journal: Regadenoson use in chronic kidney disease and end-stage renal disease: A focused review. (Pubmed Central) - Nov 11, 2019 Based on accumulating data since its initial approval, the FDA has recently outlined the use of regadenoson in patients with ESRD in a label update on January 17, 2017. In this review, we discuss the evidence leading to the recent label update, focusing on the pharmacokinetics of regadenoson in patients with impaired kidney function, the safety and tolerability of regadenoson in patients with chronic kidney disease and ESRD, and the prognostic value of regadenoson stress MPI in this patient population.
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Trial completion: Assessment of Global Myocardial Perfusion Reserve Using Coronary Sinus Flow Measurements (clinicaltrials.gov) - Oct 26, 2019 P=N/A, N=183, Completed, Herein, we summarize literature to date on the combination of vasodilator and exercise stress testing in light of the recently published Exercise to Regadenoson in Recovery Trial (EXERRT). Recruiting --> Completed
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A CASE OF STEMI FOLLOWING NUCLEAR STRESS TEST: NOT JUST STEAL PHENOMENON (Ernest N. Morial Convention Center - Exhibit Hall - Poster Area 4) - Sep 25, 2019 - Abstract #CHEST2019CHEST_1353; In our case, patient had a clearly defined ST segment elevation indicative of ongoing ischemia which could be secondary to possible coronary steal syndrome. There should be more research into the importance of ST segment elevation during the regadenoson stress testing along with other variables to provide more accurate diagnostic and prognostic predictions.
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Trial completion, Enrollment change: Reducing Radioisotope Dose: the Half-Dose CZT Study (clinicaltrials.gov) - Sep 6, 2019 P=N/A, N=74, Completed, Therefore, careful observation and scrutiny of all ECG changes, especially new, isolated T-wave inversion in multiple ECG leads during regadenoson MPI is advisable to identify potential obstructive CAD despite normal MPI findings. Recruiting --> Completed | N=50 --> 74
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Arm Exercise ECG is Equivalent to Regadenoson Stress for Detection of Obstructive Coronary Artery Disease (Moderated Posters 8, Science and Technology Hall) - Aug 21, 2019 - Abstract #AHA2019AHA_7075; Sensitivity, specificity, + and - predictive values (PPV and NPV, respectively) of ARM are equivalent to RMPI for detection of severe obstructive (≥ 70%) left main or 3-vessel (3VD) or ≥ 70% CAD in any artery or graft (ANY) by CTA or ICA in veterans referred for cardiac stress testing. Thus, ARM may be a viable and cost-effective alternative in patients unable to perform leg exercise.
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Aortic Stiffness is Associated With a Reduced Coronary Flow Reserve (Zone 4, Science and Technology Hall) - Aug 21, 2019 - Abstract #AHA2019AHA_3282; We assessed the relationship between coronary flow reserve and carotid-femoral pulse wave velocity (CF-PWV) among 101 patients referred for a clinically indicated regadenoson stress cardiac MRI study. Consistent with its important hemodynamic effect on coronary perfusion pressure, our study demonstrated that increased large artery stiffness is associated with a reduced myocardial perfusion reserve.
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Clinical, Journal: Feasibility, safety and effectiveness in measuring microvascular resistance with regadenoson invasive coronary flow assessment with regadenoson. (Pubmed Central) - Aug 11, 2019 There was a significant drop in transit mean time from baseline to hyperemia of more than 50% (1.0 ± 0.6 s vs. 0.4 ± 0.2 s, p < 0.01). Patients' mean IMR value was 23.4, and IMR values above 75th percentile significantly correlated with metformin demanding diabetes mellitus with OR 21.76 and nicotine abuse with OR 10.28.CONCLUSIONA single intravenous regadenoson bolus via peripheral line increases coronary blood flow without harmful systemic side effects enabling interventionists to simultaneously assess FFR, CFR and IMR in patients with stable coronary artery disease.
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Trial completion date, Trial primary completion date: Quantitative 13N-Ammonia Cardiac Rest/Stress Digital PET/CT (clinicaltrials.gov) - Jul 17, 2019 P=N/A, N=30, Recruiting, Patients' mean IMR value was 23.4, and IMR values above 75th percentile significantly correlated with metformin demanding diabetes mellitus with OR 21.76 and nicotine abuse with OR 10.28.CONCLUSIONA single intravenous regadenoson bolus via peripheral line increases coronary blood flow without harmful systemic side effects enabling interventionists to simultaneously assess FFR, CFR and IMR in patients with stable coronary artery disease. Trial completion date: Mar 2019 --> Mar 2020 | Trial primary completion date: Mar 2019 --> Mar 2020
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Trial completion date, Trial primary completion date: Microvascular Blood Flow in Sickle Cell Anemia (clinicaltrials.gov) - Jul 10, 2019 P=N/A, N=200, Active, not recruiting, Trial completion date: Mar 2019 --> Mar 2020 | Trial primary completion date: Mar 2019 --> Mar 2020 Trial completion date: Dec 2019 --> Jan 2022 | Trial primary completion date: Dec 2017 --> Jan 2022
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Trial completion date, Trial primary completion date: Allograft Dysfunction in Heart Transplant (clinicaltrials.gov) - Jul 9, 2019 P4, N=36, Recruiting, Trial completion date: Dec 2019 --> Jan 2022 | Trial primary completion date: Dec 2017 --> Jan 2022 Trial completion date: Apr 2019 --> Apr 2020 | Trial primary completion date: Apr 2019 --> Apr 2020
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