Coronary Heart Disease
Conditions
Keywords
Coronary heart disease, computed tomography myocardial perfusion, positron emission tomography, oxygen 15 labelled water, myocardial perfusion, myocardial blood flow
Brief summary
Coronary heart disease is a very common condition caused by narrowings in the blood vessel supplying the heart. the investigators are studying new tests to diagnose heart disease. In this study the investigators plan to investigate a special scan called a PET/CT (Positron emission tomography/computed tomography) and a new type of CT (Computed tomography) scan to tell us about the flow of blood to the heart muscle.
Detailed description
Participants will undergo PET/CT with oxygen-15 labelled water and computed tomography myocardial perfusion imaging.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* suspected coronary artery disease
Exclusion criteria
* inability or unwillingness to undergo CT or PET imaging * renal failure (serum creatinine \>200 um/L or eGFR \<30 ml/min) * hepatic failure * allergy to iodinated contrast * pregnancy * contraindication to adenosine * inability to give informed consent * atrial fibrillation with a fast ventricular rate (\>70 beats per minute)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Myocardial blood flow | 1 month | Myocardial blood flow ( ml/g/min) measured by oxygen-15 water positron emission tomography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fractional flow reserve | 1 month | Fractional flow reserve measured during invasive coronary angiography |
| Myocardial perfusion | 1 month | Myocardial perfusion measured as hypoperfusion on adenosine computed tomography myocardial perfusion imaging |
Countries
United Kingdom