1. Metabolic Activity in Central Neural Structures of Patients With Myocardial Injury
- Author
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Michael Fiechter, Andrea Roggo, Ahmed Haider, Susan Bengs, Irene A. Burger, Monika Marędziak, Angela Portmann, Valerie Treyer, Anton S. Becker, Michael Messerli, Urs J. Mühlematter, Ken Kudura, Elia von Felten, Dominik C. Benz, Tobias A. Fuchs, Christoph Gräni, Aju P. Pazhenkottil, Ronny R. Buechel, Philipp A. Kaufmann, and Catherine Gebhard
- Subjects
brainstem ,caudate nucleus ,corpus callosum ,fluor‐18‐deoxyglucose positron emission tomography/computed tomography ,myocardial perfusion imaging ,nervous system, autonomic ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background Increasing evidence suggests a psychosomatic link between neural systems and the heart. In light of the growing burden of ischemic cardiovascular disease across the globe, a better understanding of heart‐brain interactions and their implications for cardiovascular treatment strategies is needed. Thus, we sought to investigate the interaction between myocardial injury and metabolic alterations in central neural areas in patients with suspected or known coronary artery disease. Methods and Results The association between resting metabolic activity in distinct neural structures and cardiac function was analyzed in 302 patients (aged 66.8±10.2 years; 70.9% men) undergoing fluor‐18‐deoxyglucose positron emission tomography and 99mTc‐tetrofosmin single‐photon emission computed tomography myocardial perfusion imaging. There was evidence for reduction of callosal, caudate, and brainstem fluor‐18‐deoxyglucose uptake in patients with impaired left ventricular ejection fraction (
- Published
- 2019
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