Timing of Regadenoson-induced Peak Hyperemia and the Effects on Coronary Flow Reserve. (Record no. 14281)

MARC details
000 -LEADER
fixed length control field 02931nam a22003617a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 240723s20242024 xxu||||| |||| 00| 0 eng d
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC10896412 [pmc]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 38410488
245 ## - TITLE STATEMENT
Title Timing of Regadenoson-induced Peak Hyperemia and the Effects on Coronary Flow Reserve.
251 ## - Source
Source MedRxiv : the Preprint Server for Health Sciences. 2024 Jan 16
252 ## - Abbreviated Source
Abbreviated source medRxiv. 2024 Jan 16
253 ## - Journal Name
Journal name medRxiv : the preprint server for health sciences
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2024
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Publication date 2024 Jan 16
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2024
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status PubMed-not-MEDLINE
520 ## - SUMMARY, ETC.
Abstract Background: Regadenoson is used to induce hyperemia in cardiac imaging, facilitating diagnosis of ischemia and assessment of coronary flow reserve (CFR). While the regadenoson package insert recommends administration of radionuclide tracer 10-20 seconds after injection, peak hyperemia has been observed at approximately 100 seconds after injection in healthy volunteers undergoing cardiovascular magnetic resonance imaging (CMR). It is unclear when peak hyperemia occurs in a patient population.
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Abstract Conclusion: Imaging at 90 seconds following regadenoson injection is the optimal approach to capture peak hyperemia. Imaging at 30 seconds, which is more aligned with the package insert recommendation, would yield an underestimate of CFR and confound assessment of microvascular dysfunction.
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Abstract Methods: Healthy volunteers (n=15) and patients (n=25) underwent stress CMR, including phase-contrast imaging of the coronary sinus at rest and multiple timepoints after 0.4 mg regadenoson injection. Coronary sinus flow (ml/min) was divided by resting values to yield CFR. Smoothed, time-resolved curves for CFR were generated with pointwise 95% confidence intervals.
520 ## - SUMMARY, ETC.
Abstract Objectives: The goal of this study was to determine time to peak hyperemia after regadenoson injection in healthy volunteers and patients, and whether the recommended image timing in the package insert underestimates CFR.
520 ## - SUMMARY, ETC.
Abstract Results: CFR between 60 and 120 seconds was significantly higher than CFR at 30 seconds after regadenoson injection (p < 0.05) as shown by non-overlapping 95% confidence intervals for both healthy volunteers (30 s, [2.8, 3.4]; 60 s, [3.8, 4.4]; 90 s, [4.1, 4.7]; 120 s, [3.6, 4.3]) and patients (30 s, [2.1, 2.5]; 60 s, [2.6, 3.1]; 90 s, [2.7, 3.2]; 120 s, [2.5, 3.1]).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Indexing Automated
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Heart & Vascular Institute
657 ## - INDEX TERM--FUNCTION
Medline publication type Preprint
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Barac, Ana
Institution Code MHVI
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Local Authors Weissman, Gaby
Institution Code MHVI
790 ## - Authors
All authors Kattapuram N, Shadman S, Morgan EE, Benton C, Awojoodu S, Kim DY, Ramos J, Barac A, Bandettini WP, Kellman P, Weissman G, Carlsson M
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1101/2024.01.15.23300449">https://dx.doi.org/10.1101/2024.01.15.23300449</a>
Public note https://dx.doi.org/10.1101/2024.01.15.23300449
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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              07/23/2024   38410488 38410488 07/23/2024 07/23/2024 Journal Article

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