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Higenamine as a Potential Pharmacologic Stress Agent in the Detection of Coronary Artery Disease
Na-Na Zhang1, Zi-Jian Li2, Hai-Bo Zhu3
1Institute of Food Science and Technology, Chinese Academy of Agricultural Sciences, Beijing 100050, China.
Insights
Higenamine (HG) shows promise as a safe and effective stress agent for myocardial perfusion imaging (MPI) in detecting coronary artery disease (CAD). This review explores HG
Area of Science:
- Cardiology
- Nuclear Medicine
- Pharmacology
Background:
- Myocardial perfusion imaging (MPI) is crucial for diagnosing and managing coronary artery disease (CAD).
- Current pharmacologic stress agents for MPI, like vasodilators and adrenergic agents, have limitations including contraindications and adverse effects.
- There is a need for alternative stress agents suitable for a broader patient population.
Approach:
- This review focuses on Higenamine (HG), a beta-adrenergic agonist.
- It examines HG's potential as a stress agent in MPI for CAD detection.
- The review covers HG's mechanism of action, stress protocols, efficacy, and safety.
Key Points:
- Higenamine (HG) is being investigated as a stress agent for myocardial infarction and shows promise in MPI for CAD.
- HG acts as a beta-adrenergic receptor agonist.
- Preclinical and clinical studies suggest HG's value in MPI for CAD detection.
Conclusions:
- Higenamine (HG) presents a potentially safer and more broadly applicable alternative stress agent for MPI.
- Further research into HG's application in MPI for CAD is warranted.
Abstract:
Myocardial perfusion imaging (MPI) is valuable for the diagnosis, prognosis, and management of coronary artery disease (CAD). The most commonly used pharmacologic stress agents at present are vasodilators and adrenergic agents. However, these agents have contraindications and may cause adverse effects in some patients. Thus, other stress agents feasible for more patients are required. Higenamine (HG) is a β-adrenergic receptor agonist currently approved for clinical trials as a stress agent for myocardial infarction. It also has a promising value in MPI for the detection of CAD in preclinical and clinical studies. This review summarizes the application of HG on MPI, including its mechanism of action, stress protocol, efficacy, and safety.
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