Incremental prognostic value of thallium imaging and coronary angiography in patients with a symptom-limited ECG stress test(248 views visite) PETRETTA M, BONADUCE D, CUOCOLO A, MORGANO G, NICOLAI E, PULCINO A, BIANCHI V, SALVATORE M
Keywords Parole chiave: Thallium 201, Adult, Aged, Angiocardiography, Article, Bicycle Ergometry, Data Analysis, Diagnostic Accuracy, Diagnostic Imaging, Exercise Test, Follow Up, Heart Infarction, Human, Major Clinical Study, Population Research, Prognosis, Qualitative Diagnosis, Revascularization, Scintigraphy, Coronary Angiography, Coronary Disease, Electrocardiography, Follow-Up Studies, Middle Age, Predictive Value Of Tests,
Affiliations Affiliazioni: Via Aniello Falcone, 394, 80127 Napoli, Italy
References Riferimenti: Not available. Non disponibili.
Incremental prognostic value of thallium imaging and coronary angiography in patients with a symptom-limited ECG stress test
Background: This study evaluates the incremental prognostic value of qualitative thallium-201 imaging and coronary angiography in patients with suspected or known coronary artery disease. Methods: Within 1 month, 150 patients underwent diagnostic symptom-limited ECG stress test, thallium imaging, and coronary angiography. The incremental power of sequentially performed tests was evaluated by the overall likelihood ratio statistic. Results: At 3-year follow-up, 16 patients had died from a cardiac cause, 12 had suffered a nonfatal myocardial infarction, and 34 had undergone revascularization procedures more than 60 days after testing. Considering hard events, thallium imaging did not improve the prognostic information provided by clinical exercise stress test data, while coronary angiography increased the predictive power of the combined, exercise stress test, and scintigraphic data (P
Incremental prognostic value of thallium imaging and coronary angiography in patients with a symptom-limited ECG stress test
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