We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Myocardial perfusion stress test: is it worth?
- Authors
Grozdic Milojevic, Isidora; Tadic, Marijana; Sobic-Saranovic, Dragana; Milojevic, Bogomir; Artiko, Vera M.
- Abstract
To test the utility of the Tc99m-sestaMIBI myocardial perfusion stress test (MPS) over stress echo test (SEHO) in dyslipidemic patients with intermediate pre-test probability score. 56 dyslipidemic patients (42 males and 14 females) with a suspected/known ischaemic heart disease and intermediate pre-test probability score underwent MPS and SEHO. They were followed for 25.77 ± 6.19 months. The data about the new-onset cardiac events and possible coronary angiography (CA) were collected. MPS was positive in 80% of the patients, SEHO in 68% of the patients. Results of the SEHO and MPS showed a good correlation (p < 0.001, μ = 0.505). Both procedures had a good correlation with CA findings in the follow-up. Cardiac events occurred in 57% of the patients. The MPS result, SSS, SDS were significantly associated with the new-onset cardiac events (p < 0.05). The patients with higher SDS had more chance to get a cardiac event in the follow-up (ROC curve area = 0.719, p = 0.003). MPS sensitivity was 91%, specificity 56%; SEHO sensitivity 85% and specificity 61%. MPS may be useful in predicting a future cardiovascular event. It is sufficiently informative, objectified by quantification software, and with correspondingly reduced radiation doses it may be the method of choice in patients with intermediate pre-test probability score.
- Subjects
HEART function tests; RECEIVER operating characteristic curves; CORONARY angiography; PERFUSION; RADIATION doses; HEART diseases; ECHOCARDIOGRAPHY; EXERCISE tests; DISEASE progression; RESEARCH; RESEARCH evaluation; PREDICTIVE tests; MYOCARDIAL ischemia; TIME; RESEARCH methodology; CONTRAST media; PROGNOSIS; ORGANIC compounds; EVALUATION research; MEDICAL cooperation; HYPERLIPIDEMIA; COMPARATIVE studies; SINGLE-photon emission computed tomography; DRUG administration; DRUG dosage; DISEASE complications
- Publication
International Journal of Cardiovascular Imaging, 2020, Vol 36, Issue 4, p741
- ISSN
1569-5794
- Publication type
journal article
- DOI
10.1007/s10554-019-01749-9