Coronary Artery Disease, Myocardial Ischemia
Conditions
Brief summary
We propose a single-scan two-injection myocardial perfusion imaging protocol using ammonia. Subjects will undergo single-scan two-injection imaging as well as regular stress single-scan single-injection protocol and the myocardial blood flow of both techniques will be compared.
Interventions
Single-Scan Two-Injection Protocol
Sponsors
Study design
Eligibility
Inclusion criteria
Healthy Volunteers: Inclusion Criteria: * Subjects must be ≥30 and ≤75 years of age; * Subjects must provide informed consent prior to study procedures;
Exclusion criteria
* History of CAD, including: * Prior abnormal myocardial perfusion study * History of MI * History of angina * Coronary artery obstruction \>50% on CTA and/or angiography * Left ventricular ejection fraction \<50% * Any relative or absolute contraindication to adenosine stress, including: * 2nd or 3rd degree heart block * Bradycardia (HR\<50 bpm) * Recent acute coronary syndrome (ACS) * Unstable angina * Severe heart failure (left ventricular ejection fraction \<15%) * Ventricular arrhythmia * Severe asthma and/or chronic obstructive pulmonary disease (COPD) * Baseline hypotension defined as systolic blood pressure \< 90 mmHg * Caffeine intake within 24 hours prior to imaging * Current use of theophylline, dipyridamole, or carbamazepine * Allergy or intolerance to adenosine * Positive serum and/or urine pregnancy test, or lactating, or possibility of pregnancy cannot be ruled out prior to dosing; Subjects with CAD: Inclusion criteria * Subjects must be ≥30 and ≤75 years of age; * Subjects must provide informed consent prior to study procedures; * Abnormal myocardial perfusion study within the past 12 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stress MBF | Single session (<2 hours) | Difference in stress myocardial blood flow measured by the single-scan two-injection protocol versus conventional single-scan single-injection stress protocol |
Countries
United States