The clinical value of cardiac sympathetic imaging in heart failure

Clin Physiol Funct Imaging. 2014 May;34(3):178-82. doi: 10.1111/cpf.12091. Epub 2013 Oct 21.

Abstract

The autonomic nervous system plays an important role in the pathology of heart failure. The single-photon emission computed tomography tracer iodine-123-metaiodobenzylguanidine ((123) I-MIBG) can be used to investigate the activity of the predominant neurotransmitter of the sympathetic nervous system, norepinephrine. Also, positron emission tomography tracers are being developed for the same purpose. With (123) I-MIBG as a starting point, this brief review introduces the modalities used for cardiac sympathetic imaging.

Keywords: cardiac positron emission tomography; cardiac single-photon emission computed tomography; heart failure; iodine-123-metaiodobenzylguanidine; norepinephrine; prognostic marker; sympathetic nervous system.

Publication types

  • Review

MeSH terms

  • 3-Iodobenzylguanidine
  • Heart / innervation*
  • Heart / physiopathology
  • Heart Failure / diagnostic imaging*
  • Heart Failure / physiopathology
  • Humans
  • Positron-Emission Tomography*
  • Predictive Value of Tests
  • Prognosis
  • Radiopharmaceuticals
  • Sympathetic Nervous System / diagnostic imaging*
  • Tomography, Emission-Computed, Single-Photon*

Substances

  • Radiopharmaceuticals
  • 3-Iodobenzylguanidine