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Titolo:
ROUTINE PERIOPERATIVE DIPYRIDAMOLE TL-201 IMAGING IN DIABETIC-PATIENTS UNDERGOING VASCULAR-SURGERY - IS IT NECESSARY
Autore:
ZARICH SW; COHEN MC; LANE SE; MITTLEMAN MA; NESTO RW; HILL T; CAMPBELL D; LEWIS SM;
Indirizzi:
HARVARD UNIV,NEW ENGLAND DEACONESS HOSP,SCH MED,DIV CARDIOVASC,185 PILGRIM RD BOSTON MA 02215 HARVARD UNIV,NEW ENGLAND DEACONESS HOSP,SCH MED,DEPT MED BOSTON MA 02215 HARVARD UNIV,NEW ENGLAND DEACONESS HOSP,SCH MED,DEPT RADIOL BOSTON MA02215 HARVARD UNIV,NEW ENGLAND DEACONESS HOSP,SCH MED,DEPT SURG BOSTON MA 02215
Titolo Testata:
Diabetes care
fascicolo: 4, volume: 19, anno: 1996,
pagine: 355 - 360
SICI:
0149-5992(1996)19:4<355:RPDTII>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-ARTERY DISEASE; CARDIAC RISK; THALLIUM SCINTIGRAPHY; CARDIOVASCULAR RISK; NONCARDIAC SURGERY; PREDICTIVE VALUE; MELLITUS; STRATIFICATION; SEVERITY; ONSET;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
35
Recensione:
Indirizzi per estratti:
Citazione:
S.W. Zarich et al., "ROUTINE PERIOPERATIVE DIPYRIDAMOLE TL-201 IMAGING IN DIABETIC-PATIENTS UNDERGOING VASCULAR-SURGERY - IS IT NECESSARY", Diabetes care, 19(4), 1996, pp. 355-360

Abstract

OBJECTIVE - To assess the utility of dipyridamole thallium testing insymptomatic and asymptomatic patients with diabetes undergoing vascular surgery. RESEARCH DESIGN AND METHODS - Dipyridamole Tl-201 myocardial scintigraphy was performed preoperatively in 93 consecutive patients with diabetes undergoing peripheral vascular procedures. The utilityof clinical and thallium variables in predicting cardiovascular complications was assessed. RESULTS - Two groups oi patients were identified: group A (36 patients) without clinical evidence of cardiac disease and group B (57 patients) with clinical evidence of cardiac disease. Dipyridamole thallium scans were abnormal in 21 of 36 (58%) of group A patients compared with 53 of 57 (93%) of group B patients (P < 0.0001). Compared with group B patients with perfusion defects, group A patients with perfusion abnormalities tended to have fewer defects per scan(2.7 +/- 1.5 vs. 3.6 +/- 1.9, P = 0.05). No perioperative cardiac complications occurred in group A patients while perioperative cardiac complications occurred in 9 of 57 (16%, 95% CI 7-28%) group B patients (P = 0.01). For the entire study population, the complication rate was 10%. CONCLUSIONS - Diabetic individuals without clinical markers for coronary artery disease appear to be at low risk for adverse postoperative cardiac events after vascular surgery. Preoperative myocardial perfusion imaging may add little to cardiovascular risk assessment in this subgroup of patients with diabetes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/11/20 alle ore 13:27:05