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Prueba de esfuerzo nuclear - Risks

Nombres alternativos

Pruebas de esfuerzo con sestamibi; Prueba de esfuerzo con MIBI; Gammagrafía de perfusión miocárdica; Prueba de provocación con dobutamina; Prueba de esfuerzo con talio; Prueba de esfuerzo - nuclear; Prueba de esfuerzo con persantina; Prueba de esfuerzo con adenosina; Prueba de esfuerzo con Regadenoson

Riesgos:

Las complicaciones son poco frecuentes, pero pueden abarcar:

Arritmias
Aumento del dolor anginoso durante el examen
Dificultad respiratoria o reacciones similares al asma
Fluctuaciones extremas en la presión arterial
Erupciones cutáneas

El médico explicará los riesgos antes del examen.

Consideraciones:

El tejido mamario en las mujeres y los tejidos no cardíacos como el diafragma algunas veces pueden causar resultados falsos positivos en exámenes, cuando se usan métodos antiguos (reposo-esfuerzo) para mostrar qué tan bien circula la sangre hacia el miocardio. Técnicas especiales pueden prevenir este problema y reducir la necesidad de exámenes adicionales.

Los exámenes adicionales pueden incluir un cateterismo cardíaco.

Barrido nuclear

Arterias cardíacas anteriores

Reviewed last on: 5/23/2011
Michael A. Chen, MD, PhD, Assistant Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Udelson JE, Dilsizian V, Bonow RO. Nuclear cardiology. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. St. Louis, Mo: WB Saunders; 2011:chap. 17.

Mahajan N, Polavaram L, Vankayala H, et al. Diagnostic accuracy of myocardial perfusion imaging and stress echocardiography for the diagnosis of left main and triple vessel coronary artery disease: a comparative meta-analysis. Heart. 2010;96(12):956-966.

Fraker TD Jr, Fihn SD, Gibbons RJ, et al. 2007 chronic angina focused update of the ACC/AHA 2002 Guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Writing Group to develop the focused update of the 2002 Guidelines for the management of patients with chronic stable angina. Circulation. 2007;116:2762-2772.

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