Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
ONE-YEAR PROGNOSIS OF PATIENTS WITH NORMAL PLANAR OR SINGLE-PHOTON EMISSION COMPUTED TOMOGRAPHIC TECHNETIUM 99M-LABELED SESTAMIBI EXERCISE IMAGING
Autore:
RAIKER K; SINUSAS AJ; WACKERS FJT; ZARET BL;
Indirizzi:
YALE UNIV,SCH MED,DEPT DIAGNOST RADIOL & MED CARDIOL,333 CEDAR ST NEWHAVEN CT 06520 YALE UNIV,SCH MED,DEPT DIAGNOST RADIOL,CARDOVASC NUCL IMAGING LAB NEWHAVEN CT 06520 YALE UNIV,SCH MED,DEPT INTERNAL MED,CARDIOVASC MED SECT NEW HAVEN CT 06520
Titolo Testata:
Journal of nuclear cardiology
fascicolo: 5, volume: 1, anno: 1994,
parte:, 1
pagine: 449 - 456
SICI:
1071-3581(1994)1:5<449:OPOPWN>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-ARTERY DISEASE; METHOXY ISOBUTYL ISONITRILE; TL-201 STRESS SCINTIGRAPHY; HIGH-DOSE DIPYRIDAMOLE; MYOCARDIAL PERFUSION; CHEST PAIN; SPECT; TECHNETIUM-99M-SESTAMIBI; INFARCTION; TESTS;
Keywords:
TECHNETIUM 99M-LABELED SESTAMIBI; SINGLE-PHOTON EMISSION COMPUTED TOMOGRAPHY; PLANAR; PROGNOSIS; PRETEST LIKELIHOOD; EXERCISE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
38
Recensione:
Indirizzi per estratti:
Citazione:
K. Raiker et al., "ONE-YEAR PROGNOSIS OF PATIENTS WITH NORMAL PLANAR OR SINGLE-PHOTON EMISSION COMPUTED TOMOGRAPHIC TECHNETIUM 99M-LABELED SESTAMIBI EXERCISE IMAGING", Journal of nuclear cardiology, 1(5), 1994, pp. 449-456

Abstract

Background. The favorable prognostic significance of normal Tl-201 stress perfusion images, even in the presence of known coronary artery disease, has been well documented. Relatively few data are available with regard to the prognostic significance of normal planar and single-photon emission computed tomographic (SPECT) stress Tc-99m-labeled sestamibi (Tc-99m-sestamibi) images. Methods and Results. The prognostic significance of normal exercise Tc-99m-sestamibi myocardial perfusion imaging was evaluated in 208 consecutive patients. All patients were referred for evaluation of chest pain syndrome. One hundred eight patients (52%) underwent SPECT imaging, 79 patients (38%) underwent planar imaging, and 21 patients(10%) underwent both planar and SPECT imaging. One hundred seventy-five patients (84%) had a normal or nondiagnostic exercise electrocardiogram, and 33 patients (16%) had a positive exercise electrocardiogram. Follow-up was 13.5 +/- 2 months and was complete in 99.5% of patients. No patient died of cardiac causes during follow-up. One patient (0.5%) had a nonfatal myocardial infarction and fourpatients (2%) had unstable angina necessitating revascularization. There was no difference in rate of cardiac events between men and women or whether SPECT or planar imaging was used. However, 33 patients withnormal Tc-99m-sestamibi imaging and a positive exercise electrocardiogram had a significantly higher cardiac event rate than had patients with negative exercise electrocardiograms (9% vs 1%, p < 0.025). Conclusion: Patients with normal Tc-99m-sestamibi exercise SPECT or planar imaging results and a normal or nondiagnostic exercise electrocardiogram have a favorable 1-year prognosis. Patients with normal Tc-99m-sestamibi images and a positive stress electrocardiogram have a less favorable outcome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 21:49:41