Evidence map›Paper›PMID 28160263›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2018

Effect of prolonged fasting and low molecular weight heparin or warfarin therapies on 2-deoxy-2-[18F]-fluoro-D-glucose PET cardiac uptake.

Assuero Giorgetti, Gavino Marras, Dario Genovesi, Elena Filidei, Antonio Bottoni, Maurizio Mangione, Michele Emdin, Paolo Marzullo

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In one paragraph

Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Meta-analysis of the effectiveness of heparin in suppressing physiological myocardial FDG uptake in PET/CT.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Standardized uptake values in FDG PET/CT for prosthetic heart valve endocarditis: a call for standardization.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  8. Optimizing myocardial metabolism for fluorine-18 fluorodeoxyglucose positron emission tomography imaging of cardiac inflammation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Assuero GiorgettiFondazione CNR/Regione Toscana "G. Monasterio", Via Moruzzi n.1, 56124, Pisa, Italy. asso@ftgm.it.
Gavino MarrasFondazione CNR/Regione Toscana "G. Monasterio", Via Moruzzi n.1, 56124, Pisa, Italy.
Dario GenovesiFondazione CNR/Regione Toscana "G. Monasterio", Via Moruzzi n.1, 56124, Pisa, Italy.
Elena FilideiFondazione CNR/Regione Toscana "G. Monasterio", Via Moruzzi n.1, 56124, Pisa, Italy.
Antonio BottoniFondazione CNR/Regione Toscana "G. Monasterio", Via Moruzzi n.1, 56124, Pisa, Italy.
Maurizio MangioneFondazione CNR/Regione Toscana "G. Monasterio", Via Moruzzi n.1, 56124, Pisa, Italy.
Michele EmdinFondazione CNR/Regione Toscana "G. Monasterio", Via Moruzzi n.1, 56124, Pisa, Italy.
Paolo MarzulloFondazione CNR/Regione Toscana "G. Monasterio", Via Moruzzi n.1, 56124, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhether anticoagulants other than unfractionated heparin are able to suppress cardiac PET uptake of 2-deoxy-2-[18F]-fluoro-D-glucose (18F-FDG) is unknown.

methodsOne-hundred-seventy-four patients without history and clinical evidence of cardiac dysfunction and/or coronary heart disease underwent a 18F-FDG PET/CT study. All patients were studied with a >12-hours fasting and divided into 2 groups: group-1 without anticoagulant therapy (n:75); group-2 patients on low molecular weight heparin (n:60) or warfarin therapy (n:39). Cardiac 18F-FDG uptake was estimated qualitatively using a 4-point scale and semiquantitatively as total LV glycolysis (LVG) and metabolic volume (MV), drawing isocontour volume of interest (VOI) including the whole LV.

resultsQualitatively, LV 18-FDG uptake was scored 0 or 1, indicating a good suppression, in 10/75 (13%) patients of group-1 and 77/99 (78%) of group-2 (p < .001). Semiquantitatively, patients of group-1 showed higher values of 18-FDG uptake than patients of group-2, assessed as LVG (802,649 ± 468,442 vs 198,989 ± 261,439, p < .0001) or MV (219 ± 77 vs 57 ± 48 cm

conclusionsProlonged fasting combined to anticoagulants other than unfractionated heparin is able to minimize glucose cardiac metabolism. Our data confirm previous observation on the possibility to influence the metabolic pattern of the heart before the PET scan and broadens the spectrum of pharmacological options.

Indexed as

AgedAged, 80 and overAnticoagulantsFastingFemaleFluorodeoxyglucose F18Heparin, Low-Molecular-WeightHumansMaleMiddle AgedMyocardiumPositron Emission Tomography Computed TomographyWarfarinAnticoagulantsFluorodeoxyglucose F18Heparin, Low-Molecular-WeightWarfarin18F-FDG PET/CTanticoagulantslow molecular weight heparinmyocardial metabolismwarfarin

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.