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Decreased myocardial beta-adrenergic receptor density in relation to increased sympathetic tone in patients with nonischemic cardiomyopathy.

Decreased myocardial beta-adrenergic receptor density in relation to increased sympathetic tone in patients with nonischemic cardiomyopathy. Research Abstract Details 

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  • Decreased myocardial beta-adrenergic receptor density in relation to increased sympathetic tone in patients with nonischemic cardiomyopathy. Abstract Text:

    takahiro tsukamotoTakahiro Tsukamoto,koichi moritaKoichi Morita,masanao nayaMasanao Naya,masayuki inubushiMasayuki Inubushi,chietsugu katohChietsugu Katoh,kenichi nishijimaKenichi Nishijima,yuji kugeYuji Kuge,hiroshi okamotoHiroshi Okamoto,hiroyuki tsutsuiHiroyuki Tsutsui,nagara tamakiNagara Tamaki,takahiro tsukamotoTakahiro Tsukamoto,koichi moritaKoichi Morita,masanao nayaMasanao Naya,masayuki inubushiMasayuki Inubushi,chietsugu katohChietsugu Katoh,kenichi nishijimaKenichi Nishijima,yuji kugeYuji Kuge,hiroshi okamotoHiroshi Okamoto,hiroyuki tsutsuiHiroyuki Tsutsui,nagara tamakiNagara Tamaki,

    Cardiac sympathetic function plays an important role in the regulation of left ventricular (LV) function and the pathophysiology of LV dysfunction. (11)C-CGP-12177 ((11)C-CGP) has been used to assess myocardial beta-adrenergic receptor (beta-AR) density in vivo using PET. The aim of this study is to measure myocardial beta-AR density in patients with nonischemic cardiomyopathy and to compare the measurements with various standard parameters of heart failure (HF), particularly with presynaptic function assessed by (123)I- metaiodobenzylguanidine ((123)I-MIBG) imaging. METHODS: (11)C-CGP PET was performed on 16 patients with nonischemic cardiomyopathy and 8 age-matched healthy volunteers using a double injection method. A (11)C-CGP dynamic scan for 75 min was performed after the injection of (11)C-CGP with a high specific activity. After 30 min, (11)C-CGP with a low specific activity was injected. The beta-AR density of the whole LV was calculated on the basis of the graphical analysis method. Additionally, beta-AR density was compared with LV ejection fraction (LVEF), sympathetic presynaptic function assessed using (123)I-MIBG kinetics, and neurohormonal parameters. RESULTS: The beta-AR density of patients was significantly lower than that of healthy volunteers (3.80 +/- 0.96 vs. 7.70 +/- 1.92 pmol/mL; P < 0.0001). In the patients, beta-AR density correlated significantly with LVEF (r = 0.62, P < 0.05). Furthermore, beta-AR density correlated significantly with the (123)I-MIBG washout rate (r = -0.68, P < 0.01) and delayed heart-to-mediastinum ratio (H/M ratio) (r = 0.61, P < 0.05). On the other hand, the correlation between beta-AR density and early H/M ratio was not significant (r = 0.40, P = 0.13). The beta-AR density of patients with severe HF (New York Heart Association functional [NYHA] class III) was significantly lower than that of those with NYHA functional class I or class II HF (3.24 +/- 0.96 vs. 4.24 +/- 0.73 pmol/mL; P < 0.05). CONCLUSION: A reduction in beta-AR density measured by (11)C-CGP PET was observed in patients with nonischemic cardiomyopathy. This downregulation may be due to the increased presynaptic sympathetic tone as assessed by (123)I-MIBG imaging.

    Decreased myocardial beta-adrenergic receptor density in relation to increased sympathetic tone in patients with nonischemic cardiomyopathy. Publishing Authors By Initials

    t tsukamotoT Tsukamoto,k moritaK Morita,m nayaM Naya,m inubushiM Inubushi,c katohC Katoh,k nishijimaK Nishijima,y kugeY Kuge,h okamotoH Okamoto,h tsutsuiH Tsutsui,n tamakiN Tamaki,t tsukamotoT Tsukamoto,k moritaK Morita,m nayaM Naya,m inubushiM Inubushi,c katohC Katoh,k nishijimaK Nishijima,y kugeY Kuge,h okamotoH Okamoto,h tsutsuiH Tsutsui,n tamakiN Tamaki,

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    Decreased myocardial beta-adrenergic receptor density in relation to increased sympathetic tone in patients with nonischemic cardiomyopathy. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Journal of nuclear medicine : official publication

    VOLUME: 48

    Page Numbers: 1777-82

    Journal Abbreviation: J. Nucl. Med.

    ISSN: 0161-5505

    DAY: 17

    MONTH: 10

    YEAR: 2007

    Decreased myocardial beta-adrenergic receptor density in relation to increased sympathetic tone in patients with nonischemic cardiomyopathy. Information

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    LANGUAGE: eng

    NlmUniqueID: 217410

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    Grant and Affiliation Information for Decreased myocardial beta-adrenergic receptor density in relation to increased sympathetic tone in patients with nonischemic cardiomyopathy.

    AFFILIATION: Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: J Nucl Med

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