Journal of Nuclear Cardiology

, Volume 17, Issue 5, pp 848–852 | Cite as

Myocardial perfusion imaging with real-time respiratory triggering: Impact of inspiration breath-hold on left ventricular functional parameters

  • Ronny R. Buechel
  • Lars Husmann
  • Aju P. Pazhenkottil
  • Rene Nkoulou
  • Bernhard A. Herzog
  • Irene A. Burger
  • Jelena R. Ghadri
  • Mathias Wolfrum
  • Philipp A. KaufmannEmail author
Original Article


The latest gamma-camera generation with cadmium–zinc–telluride (CZT) detectors allows myocardial perfusion imaging (MPI) with respiratory triggering at breath-hold. We assessed its impact on functional left ventricular (LV) parameters.


Twenty-eight consecutive patients underwent a one-day 99mTc-tetrofosmin pharmacologic stress/rest imaging protocol on a novel CZT camera. Electrocardiogram-gated high-dose (rest) MPI was performed without and with real-time respiratory triggering by intermittent scanning confined to breath-hold at deep inspiration. We studied the effect of respiratory triggering at deep inspiration levels on LV wall motion, wall thickening, LV volumes and ejection fraction (LVEF) compared to regular MPI without respiratory triggering.


Compared to regular MPI without respiratory triggering, systolic and diastolic LV volumes and stroke volumes decreased significantly (P < 0.05) when respiratory triggering was applied. By contrast, there was no significant change in LVEF, with a high correlation (r = .939, P < 0.001) between the two measurements. Furthermore, respiratory triggering introduced a significant change (P < 0.05) in regional LV wall motion.


Respiratory-triggered MPI with breath-hold at deep inspiration levels introduces significant changes to the measured LV volumes, stroke volumes and regional wall motion but does not significantly affect global LVEF when compared to regular MPI with normal breathing.

Key Words

Myocardial perfusion imaging SPECT left ventricular function gated SPECT 



This study was supported by a grant from the Swiss National Science Foundation and by the ZIHP (Zurich Center for Integrative Human Physiology, University of Zurich, Switzerland).


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Copyright information

© American Society of Nuclear Cardiology 2010

Authors and Affiliations

  • Ronny R. Buechel
    • 1
  • Lars Husmann
    • 1
  • Aju P. Pazhenkottil
    • 1
  • Rene Nkoulou
    • 1
  • Bernhard A. Herzog
    • 1
  • Irene A. Burger
    • 1
  • Jelena R. Ghadri
    • 1
  • Mathias Wolfrum
    • 1
  • Philipp A. Kaufmann
    • 1
    • 2
    Email author
  1. 1.Cardiac ImagingUniversity Hospital ZurichZurichSwitzerland
  2. 2.Zurich Center for Integrative Human Physiology (ZIHP)University of Zurich ZurichSwitzerland

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