Prognostic value of heart rate reserve in patients with suspected coronary artery disease undergoing stress myocardial perfusion imaging (109 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2021 Aug 3; N/D: N/D-N/D.
Export to BibTeX Export to EndNote
Paper type: Journal Article,
Impact factor: 2.811, 5-year impact factor: 2.865
Url: Not available.
Keywords: Mpi , Spect , Diagnostic And Prognostic Application,
Affiliations:
*** IBB - CNR ***
Department of Advanced Biomedical Sciences, University Federico II, Via Pansini 5, 80131, Naples, Italy.
IRCCS SDN, Naples, Italy.
Institute of Biostructure and Bioimaging, National Council of Research, Naples, Italy.
References:
Not available.
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2021 Aug 3; N/D: N/D-N/D.
Export to BibTeX Export to EndNote
Paper type: Journal Article,
Impact factor: 2.811, 5-year impact factor: 2.865
Url: Not available.
Keywords: Mpi , Spect , Diagnostic And Prognostic Application,
Affiliations:
*** IBB - CNR ***
Department of Advanced Biomedical Sciences, University Federico II, Via Pansini 5, 80131, Naples, Italy.
IRCCS SDN, Naples, Italy.
Institute of Biostructure and Bioimaging, National Council of Research, Naples, Italy.
References:
Not available.
Prognostic value of heart rate reserve in patients with suspected coronary artery disease undergoing stress myocardial perfusion imaging
BACKGROUND: Chronotropic incompetence is common in patients with cardiovascular disease and is associated with increased risk of adverse events. We assessed the incremental prognostic value of heart rate reserve (HRR) over stress myocardial perfusion single-photon emission computed tomography (MPS) findings in patients with suspected coronary artery disease (CAD). METHODS: We studied 866 patients with suspected CAD undergoing exercise stress-MPS as part of their diagnostic program. The primary study endpoint was all-cause mortality. All patients were followed for at least 5 years. HRR was calculated as the difference between peak exercise and resting HR, divided by the difference of age-predicted maximal and resting HR and expressed as percentage. RESULTS: During 7 years follow-up, 61 deaths occurred, with a 7% cumulative event rate. Patients experiencing death were older (P < .001), and had a higher prevalence of male gender (P < .001) and diabetes (P < .05). Patients with event also had lower values of HRR (65% ± 27% vs 73% ± 18%, P < .0001) and higher prevalence of stress-induced myocardial ischemia (25% vs 8%, P < .0001). Male gender, HRR and stress-induced ischemia were independent predictors of all-cause mortality (all P < .01). HRR improved the prognostic power of a model including clinical data and MPS findings, increasing the global χ(2) from 66 to 82 (P < .005). CONCLUSIONS: Chronotropic incompetence has independent and incremental prognostic value in predicting all-cause mortality in patients with suspected CAD undergoing exercise stress-MPS. Hence, the evaluation of HRR may further improve patients' risk stratification.
BACKGROUND: Chronotropic incompetence is common in patients with cardiovascular disease and is associated with increased risk of adverse events. We assessed the incremental prognostic value of heart rate reserve (HRR) over stress myocardial perfusion single-photon emission computed tomography (MPS) findings in patients with suspected coronary artery disease (CAD). METHODS: We studied 866 patients with suspected CAD undergoing exercise stress-MPS as part of their diagnostic program. The primary study endpoint was all-cause mortality. All patients were followed for at least 5 years. HRR was calculated as the difference between peak exercise and resting HR, divided by the difference of age-predicted maximal and resting HR and expressed as percentage. RESULTS: During 7 years follow-up, 61 deaths occurred, with a 7% cumulative event rate. Patients experiencing death were older (P < .001), and had a higher prevalence of male gender (P < .001) and diabetes (P < .05). Patients with event also had lower values of HRR (65% ± 27% vs 73% ± 18%, P < .0001) and higher prevalence of stress-induced myocardial ischemia (25% vs 8%, P < .0001). Male gender, HRR and stress-induced ischemia were independent predictors of all-cause mortality (all P < .01). HRR improved the prognostic power of a model including clinical data and MPS findings, increasing the global χ(2) from 66 to 82 (P < .005). CONCLUSIONS: Chronotropic incompetence has independent and incremental prognostic value in predicting all-cause mortality in patients with suspected CAD undergoing exercise stress-MPS. Hence, the evaluation of HRR may further improve patients' risk stratification.
Prognostic value of heart rate reserve in patients with suspected coronary artery disease undergoing stress myocardial perfusion imaging
No results. |
Prognostic value of heart rate reserve in patients with suspected coronary artery disease undergoing stress myocardial perfusion imaging
Other filter: ([btitle,keywords] "Diagnostic And Progn ...
Petretta M, Megna R, Assante R, Zampella E, Nappi C, Gaudieri V, Mannarino T, Green R, Cantoni V, D , #xantonio A, Panico M, Acampa W, Cuocolo A
* External validation and update of the J-ACCESS model in an Italian cohort of patients undergoing stress myocardial perfusion imaging (147 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2023 Jan 4; N/D: N/D-N/D.
Impact Factor: 2.811
View Export to BibTeX Export to EndNote
Megna R, Petretta M, Assante R, Zampella E, Nappi C, Gaudieri V, Mannarino T, Green R, Cantoni V, Buongiorno P, D , #antonio A, Acampa W, Cuocolo A
* External validation of the CRAX2MACE model in an Italian cohort of patients with suspected coronary artery disease undergoing stress myocardial perfusion imaging (139 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2021 Nov 3; N/D: N/D-N/D.
Impact Factor: 2.811
View Export to BibTeX Export to EndNote
Megna R, Zampella E, Assante R, Nappi C, Gaudieri V, Mannarino T, Cantoni V, Green R, Daniele S, Mainolfi CG, Acampa W, Petretta M, Cuocolo A
* Temporal trends of abnormal myocardial perfusion imaging in a cohort of Italian subjects: Relation with cardiovascular risk factors (380 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2020 Dec; 27(6): 2167-2177.
Impact Factor: 3.847
View Export to BibTeX Export to EndNote
Megna R, Nappi C, Gaudieri V, Mannarino T, Assante R, Zampella E, Green R, Cantoni V, D'Antonio A, Arumugam P, Acampa W, Petretta M, Cuocolo A
* Diagnostic value of clinical risk scores for predicting normal stress myocardial perfusion imaging in subjects without coronary artery calcium (166 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2020 Jun 29; N/D: N/D-N/D.
Impact Factor: 3.847
View Export to BibTeX Export to EndNote
Nappi C, Acampa W, Nicolai E, Daniele S, Zampella E, Assante R, Gaudieri V, Mannarino T, Petretta M, Cuocolo A
* Long-term prognostic value of low-dose normal stress-only myocardial perfusion imaging by wide beam reconstruction: A competing risk analysis (337 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2020 Apr; 27(2): 547-557.
Impact Factor: 3.847
View Export to BibTeX Export to EndNote
Megna R, Assante R, Zampella E, Gaudieri V, Nappi C, Cuocolo R, Mannarino T, Genova A, Green R, Cantoni V, Acampa W, Petretta M, Cuocolo A
* Pretest models for predicting abnormal stress single-photon emission computed tomography myocardial perfusion imaging (190 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2019 Nov 11; N/D: N/D-N/D.
Impact Factor: 4.112
View Export to BibTeX Export to EndNote
* External validation and update of the J-ACCESS model in an Italian cohort of patients undergoing stress myocardial perfusion imaging (147 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2023 Jan 4; N/D: N/D-N/D.
Impact Factor: 2.811
View Export to BibTeX Export to EndNote
Megna R, Petretta M, Assante R, Zampella E, Nappi C, Gaudieri V, Mannarino T, Green R, Cantoni V, Buongiorno P, D , #antonio A, Acampa W, Cuocolo A
* External validation of the CRAX2MACE model in an Italian cohort of patients with suspected coronary artery disease undergoing stress myocardial perfusion imaging (139 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2021 Nov 3; N/D: N/D-N/D.
Impact Factor: 2.811
View Export to BibTeX Export to EndNote
Megna R, Zampella E, Assante R, Nappi C, Gaudieri V, Mannarino T, Cantoni V, Green R, Daniele S, Mainolfi CG, Acampa W, Petretta M, Cuocolo A
* Temporal trends of abnormal myocardial perfusion imaging in a cohort of Italian subjects: Relation with cardiovascular risk factors (380 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2020 Dec; 27(6): 2167-2177.
Impact Factor: 3.847
View Export to BibTeX Export to EndNote
Megna R, Nappi C, Gaudieri V, Mannarino T, Assante R, Zampella E, Green R, Cantoni V, D'Antonio A, Arumugam P, Acampa W, Petretta M, Cuocolo A
* Diagnostic value of clinical risk scores for predicting normal stress myocardial perfusion imaging in subjects without coronary artery calcium (166 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2020 Jun 29; N/D: N/D-N/D.
Impact Factor: 3.847
View Export to BibTeX Export to EndNote
Nappi C, Acampa W, Nicolai E, Daniele S, Zampella E, Assante R, Gaudieri V, Mannarino T, Petretta M, Cuocolo A
* Long-term prognostic value of low-dose normal stress-only myocardial perfusion imaging by wide beam reconstruction: A competing risk analysis (337 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2020 Apr; 27(2): 547-557.
Impact Factor: 3.847
View Export to BibTeX Export to EndNote
Megna R, Assante R, Zampella E, Gaudieri V, Nappi C, Cuocolo R, Mannarino T, Genova A, Green R, Cantoni V, Acampa W, Petretta M, Cuocolo A
* Pretest models for predicting abnormal stress single-photon emission computed tomography myocardial perfusion imaging (190 views)
J Nucl Cardiol (ISSN: 1071-3581linking, 1532-6551electronic), 2019 Nov 11; N/D: N/D-N/D.
Impact Factor: 4.112
View Export to BibTeX Export to EndNote
6 Records (6 excluding Abstracts).
Total impact factor: 21.275 (21.275 excluding Abstracts).
Total 5 year impact factor: 18.2 (18.2 excluding Abstracts).
Total impact factor: 21.275 (21.275 excluding Abstracts).
Total 5 year impact factor: 18.2 (18.2 excluding Abstracts).
109 views. Last view on Tuesday 08 October 2024, 4:29:05
ibb.cnr.it
