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Published on: July 12, 2024
REGADENOSON MYOCARDIAL PERFUSION SCINTIGRAPHY: A SINGLE CENTRE EXPERIENCE.
Muhammad Adil1, Zaigham Salim Dar1, Shahbaz Afsar Khan2
1Nuclear Medical Centre, Armed Forces Institute of Pathology, Rawalpindi-Pakistan.
Regadenoson is a safe stress agent for myocardial perfusion scintigraphy, causing only minor, temporary side effects like shortness of breath and headache in patients. This study confirms its safety profile for cardiac imaging.
Area of Science:
- Cardiology
- Nuclear Medicine
- Pharmacology
Background:
- Regadenoson is a selective A2A adenosine receptor agonist.
- It is utilized for stress myocardial perfusion scintigraphy.
Purpose of the Study:
- To evaluate the safety and initial experience of using Regadenoson as a myocardial perfusion stress agent.
- To assess adverse events associated with Regadenoson in scintigraphy.
Main Methods:
- Adult patients undergoing stress myocardial perfusion scintigraphy were included after ethical approval.
- Exclusion criteria included specific cardiac conditions like AV block and recent myocardial infarction.
- Demographic data, comorbidities, vitals, and adverse events were systematically recorded.
Main Results:
- Sixty-three patients (63.5% male, mean age 56.81 years) were analyzed.
- The most common comorbidity was hyperlipidemia (47.6%).
- Transient decreases in blood pressure were observed, normalizing within 60 minutes. No serious adverse effects were reported, with transient ST depression in 8.3% and common side effects including dyspnea (23.8%) and headache (21.4%).
Conclusions:
- Regadenoson is associated with transient hemodynamic alterations.
- Reported adverse effects were non-serious and transient.
- The study supports Regadenoson's safety for stress myocardial perfusion scintigraphy.
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