St. Luke's Hospital

FALL-WINTER 2018

Spirit of Women magazine is a national publication presented to women by hospitals and their physicians. The magazine provides up-to-date, evidence-based healthcare information and promotes our hospitals as leaders in women's health excellence.

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STRESS-LESS HEART NEW CARDIAC PET IMAGING PROVIDES GREATER ACCURACY AND REDUCED EXAM TIMES While there are common signs and symptoms of heart disease, it is important to understand the ways that men and women experience heart disease differently. Over the last three decades, more women have died from heart disease than men; yet women actually have heart disease less often. Why is there this discrepancy? Part of the reason that women die from heart disease more often is because of under-testing and under-treatment of those women who are at high-risk for the disease. And the way we test for heart disease also matters. Traditional screening tests, such as stress tests and cardiac catheterization, can be limited in what they detect. Nearly 1 in 2 women, compared to only about 1 in 5 men, who undergo this type of traditional evaluation do not show significant blockages on cardiac catheterization, meaning that some evidence of disease may be missed. In these cases, cardiac PET imaging can make all the difference. "A cardiac stress PET can potentially identify microvascular disease, by accurately measuring blood flow to the heart both at rest and during the stress test, and can provide pivotal clues for this diagnosis," says Dr. Vikram Agarwal, the director of non-invasive cardiology and an expert in multi-modality cardiovascular imaging at St. Luke's Hospital. "This not only helps attain a diagnosis which could have been missed by traditional tests, but also helps tailor treatment to the management of this challenging disease process," says Dr. Agarwal. To increase the accuracy during the diagnosis process, St. Luke's Hospital offers Cardiac PET Rubidium-82 myocardial perfusion imaging, an exam used to evaluate the health of your heart by measuring the blood flow that it receives. This exam will help your doctor determine if you should have follow-up treatment, or if you are already being treated for a heart-related condition, it can help your doctor manage your treatment. The Cardiac PET Rubidium imaging exam must be ordered by a physician and authorized by insurance for any patient with symptoms of heart disease or who needs a stress test to assess blood flow to the heart. For more information about a physician order, insurance or for exam details, please call 314-205-6538 . St. Luke's Hospital's Heart & Vascular Institute is the only hospital in the St. Louis Metropolitan Area offering Cardiac PET Rubidium-82 myocardial perfusion imaging and studies show the following advantages over other methods: Greatest accuracy of all stress testing Performs in as little as 30 minutes Substantially lower radiation* Performs well for patients with high BMI or inconclusive previous stress tests *Compared to other methods. In alliance with St. Luke's Hospital's Heart and Vascular Institute is in alliance with Cleveland Clinic Heart & Vascular Institute, ranked No. 1 in the nation for heart care since 1995 by U.S. News & World Report. St. Luke's Hospital named one of America's 50 Best Hospitals for Cardiac Surgery and is the only Missouri hospital to achieve this recognition. Vikram Agarwal, MD 8 S P I R I T O F W O M E N | W I N T E R 2 0 1 8 | s t l u k e s - s t l . s p i r i t h e a l t h . c o m Healthy Body

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