[Use of SPECT-scanning of the heart in estimating of influence of drugs of the background therapy of ischemic heart disease on myocardial perfusion]

Voen Med Zh. 2012 Oct;333(10):27-36.
[Article in Russian]

Abstract

Some new facts about the influence of different groups of drugs on myocardial perfusion were educed during the research. Educed facts conduce representation extension by matching the optimal therapy of ischemic heart disease. With the help of SPECT-scanning were educed myocardial blood flow, areas of maximal hypoperfusion and its influence on time pattern and redistribution of myocardial blood flow in patients receiving disease-modifying agents and statins. Some regularities of change of myocardial blood flow depending on applied group of drugs and peculiarities of influence of myocardial perfusion in certain time interval were revealed. Criteria with prognostic significance in prospective individual effectiveness of anti-ischemic drugs were pointed out. New approach, based on choice of anti-ischemic therapy depending on extent of influence on myocardial perfusion and also individual clinical and functional traits of patients, was applied.

MeSH terms

  • Amlodipine / administration & dosage*
  • Antihypertensive Agents / administration & dosage*
  • Blood Flow Velocity / drug effects
  • Cardiac-Gated Single-Photon Emission Computer-Assisted Tomography*
  • Coronary Angiography*
  • Coronary Circulation / drug effects*
  • Fatty Acids, Monounsaturated / administration & dosage*
  • Female
  • Fluvastatin
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Indoles / administration & dosage*
  • Male
  • Metoprolol / administration & dosage*
  • Myocardial Ischemia* / diagnostic imaging
  • Myocardial Ischemia* / drug therapy
  • Myocardial Ischemia* / physiopathology
  • Myocardial Reperfusion / methods

Substances

  • Antihypertensive Agents
  • Fatty Acids, Monounsaturated
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Indoles
  • Amlodipine
  • Fluvastatin
  • Metoprolol