123I-MIBG imaging in heart failure: impact of comorbidities on cardiac sympathetic innervation.

Purpose: Heart failure (HF) is a primary cause of morbidity and mortality worldwide, with significant impact on life quality and extensive healthcare costs. Assessment of myocardial sympathetic innervation function plays a central role in prognosis assessment in HF patients. The aim of this review i...

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Published in:European Journal of Nuclear Medicine & Molecular Imaging Vol. 50; no. 3; pp. 813 - 825
Main Authors: Gargiulo, Paola, Acampa, Wanda, Asile, Gaetano, Abbate, Vincenza, Nardi, Ermanno, Marzano, Federica, Assante, Roberta, Nappi, Carmela, Parlati, Antonio Luca Maria, Basile, Christian, Dellegrottaglie, Santo, Paolillo, Stefania, Cuocolo, Alberto, Perrone-Filardi, Pasquale
Format: Journal Article
Published: Springer Nature Feb2023
Online Access:View this record in EBSCOhost
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      dt: Feb2023
      vid: 50
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      pub: Springer Nature
      place: New York, New York
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        161397708
        10.1007/s00259-022-05941-3
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        atl: 123I-MIBG imaging in heart failure: impact of comorbidities on cardiac sympathetic innervation.
      aug:
        au:
          Gargiulo, Paola
          Acampa, Wanda
          Asile, Gaetano
          Abbate, Vincenza
          Nardi, Ermanno
          Marzano, Federica
          Assante, Roberta
          Nappi, Carmela
          Parlati, Antonio Luca Maria
          Basile, Christian
          Dellegrottaglie, Santo
          Paolillo, Stefania
          Cuocolo, Alberto
          Perrone-Filardi, Pasquale
        affil: Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy
      sug:
      ab: Purpose: Heart failure (HF) is a primary cause of morbidity and mortality worldwide, with significant impact on life quality and extensive healthcare costs. Assessment of myocardial sympathetic innervation function plays a central role in prognosis assessment in HF patients. The aim of this review is to summarize the most recent evidence regarding the clinical applications of iodine-123 metaiodobenzylguanidine (123I-MIBG) imaging in patients with HF and related comorbidities. Methods: A comprehensive literature search was conducted on PubMed and Web of Science databases. Articles describing the impact of 123I-MIBG imaging on HF and related comorbidities were considered eligible for the review. Results: We collected several data reporting that 123I-MIBG imaging is a safe and non-invasive tool to evaluate dysfunction of cardiac sympathetic neuronal function and to assess risk stratification in HF patients. HF is frequently associated with comorbidities that may affect cardiac adrenergic innervation. Furthermore, HF is frequently associated with comorbidities and chronic conditions, such as diabetes, obesity, kidney disease and others, that may affect cardiac adrenergic innervation. Conclusion: Comorbidities and chronic conditions lead to more severe impairment of sympathetic nervous system in patients with HF, with a negative impact on disease progression and outcome. Cardiac imaging with 123I-MIBG can be a useful tool to reduce morbidity and prevent adverse events in HF patients.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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