ArticleEuropean journal of nuclear medicine and molecular imaging2026
Prognostic interplay between cardiac allograft vasculopathy and coronary vascular function by hybrid rubidium-82 PET/CT imaging in heart transplant population.
Article in European journal of nuclear medicine and molecular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Non-invasive imaging in heart transplant recipients: state of art and future direction.European journal of nuclear medicine and molecular imaging · 2026Review
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14 authors.
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Abstract
purposeWe evaluated the interrelation of cardiac allograft vasculopathy (CAV) and both coronary artery calcium and coronary vascular function, as assessed rubidium-82 (
methodsA total of 100 (mean age 60 ± 13 years) consecutive patients were studied. CAC score was measured according to the Agatston method and patients were categorized into 2 groups (< 100, and ≥100). Baseline and hyperemic MBF were automatically quantified. MPR was calculated as the ratio of hyperemic to baseline MBF and it was considered reduced when < 2.
resultsDuring the mean time of 27 ± 8 months, 35 events occurred. Patients with events showed a higher prevalence of CAV, MPR impairment and CAC score > 100 as compared to patients without events. At multivariable COX analysis, CAC score, CAV and reduced MPR were independent predictors of events. In patients without previous CAV, the presence of reduced MPR was associated with higher event rate compared to normal MPR.
conclusionsIn heart transplanted patients, the presence of CAV and reduced MPR were associated with a poor prognosis and higher risk of adverse events. In patients without CAV the presence of reduced MPR was associated with worst prognosis. Thus, the early noninvasive evaluation of microcirculatory dysfunction in HT patients has important clinical implication, providing a better risk stratification and subsequent modification of treatment strategies, with a potential impact on patient management at follow-up. CLINICAL TRIAL NUMBER: not applicable.
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