Cited by 39Cardiac Imaging and DiagnosticsCoffee research and impactsCoronary Interventions and Diagnostics

The impact of caffeine on vasodilator stress perfusion studies

Lapeyre, Andre C, Goraya, Tauqir Y, Johnston, Donald L, Gibbons, Raymond J·2004·Journal of Nuclear Cardiology

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Crossref · 10.1016/j.nuclcard.2004.04.003

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  • Caffeine is a nonselective competitive A2A receptor antagonist and its use has been contraindicated before vasodilator MPI because it attenuates coronary hyperemia caused by adenosine and dipyridamole in a dose-dependent manner.

    “The use of caffeine, a nonselective competitive A 2A receptor antagonist, has been contraindicated before vasodilator MPI (3) because it attenuates the coronary hyperemia caused by the nonselective adenosine receptor agonists adenosine and dipyridamole in a dose-dependent manner (4).”
  • Previous studies found a dose-dependent attenuation of adenosine-induced and dipyridamole-induced CFR by caffeine.

    “Previous studies found a dose-dependent attenuation of adenosine-induced and dipyridamole-induced CFR by caffeine (4).”
  • The interaction of caffeine with adenosine-induced, dipyridamole-induced, and exercise-induced MBF changes may limit correct detection of coronary artery disease and proper management, leading to recommendation to withhold caffeine for 24 h before vasodilator stress testing.

    “The interaction of caffeine with adenosine-induced, dipyridamoleinduced, and even exercise-induced MBF changes (4,6) may limit the correct detection of coronary artery disease and subsequently the proper management of the patient, leading to the general recommendation to withhold caffeine for 24 h before vasodilator stress testing (3).”

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References 42 · Cited by 39

Authors
Lapeyre, A. C., Goraya, T. Y., Johnston, D. L., & Gibbons, R. J.
Affiliations
Mayo Clinic (US)
Venue
Journal of Nuclear Cardiology
Publisher
Elsevier BV
Published
2004-07
Volume
11
Issue
4
Pages
506-511
ISSN
1071-3581 (ISSN-L)
OpenAlex
W1976047728
Cited by
39
References
42
Citations by year
2026: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 2 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 2
FWCI
0.24
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Nuclear Cardiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
  • Health Sciences › Medicine › Pharmacology › Coffee research and impacts
  • Health Sciences › Medicine › Surgery › Coronary Interventions and Diagnostics
Keywords
caffeine, myocardial perfusion imaging, myocardial blood flow
MeSH terms
Caffeine, Coronary Artery Disease, Coronary Vessels, Drug Interactions, Exercise Test, Heart, Humans, Radionuclide Imaging, Sensitivity and Specificity, Vasodilator Agents, Reproducibility of Results, Artifacts

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