1. The incremental significance of heart rate recovery as a predictor during exercise-stress myocardial perfusion SPECT imaging in individuals with suspected coronary artery disease
- Author
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Shuai Yang, Rui Xi, Bing-Bing Li, Xin-Chao Wang, Li-Wei Song, Tian-Xiong Ji, Hui-Zhu Ma, Hai-Li Lu, Jing-Ying Zhang, Si-Jin Li, and Zhi-Fang Wu
- Subjects
heart rate recovery ,major adverse cardiac events ,prognostic ,myocardial perfusion imaging (MPI) ,SPECT ,coronary artery disease ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
BackgroundMajor adverse cardiac events (MACE) are more likely to occur when abnormal heart rate recovery (HRR). This study aimed to assess the incremental predictive significance of HRR over exercise stress myocardial perfusion single-photon emission computed tomography (MPS) results for MACE in individuals with suspected coronary artery disease (CAD).MethodsBetween January 2014 and December 2017, we continually gathered data on 595 patients with suspected CAD who received cycling exercise stress MPS. HRR at 1, 2, 3, and 4 min were used as study variables to obtain the optimal cut-off values of HRR for MACE. The difference between the peak heart rate achieved during exercise and the heart rate at 1, 2, 3, and 4 min was used to calculate the HRR, as shown in HRR3. Heart rate variations between two locations in time, such as HRR2 min−1 min, were used to establish the slope of HRR. All patients were followed for a minimum of 4 years, with MACE as the follow-up goal. The associations between HRR and MACE were assessed using Cox proportional hazards analyses.ResultsPatients with MACE were older (P = 0.001), and they also had higher rates of hypertension, dyslipidemia, diabetes, abnormal MPS findings (SSS ≥ 5%), medication history (all P
- Published
- 2023
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