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Prognostic significance of ischemic electrocardiographic changes with regadenoson stress myocardial perfusion imaging
- Source :
- Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 27(5)
- Publication Year :
- 2018
-
Abstract
- In patients undergoing regadenoson SPECT myocardial perfusion imaging (MPI), the prognostic value of ischemic ST-segment depression (ST↓) and the optimal ST↓ threshold have not been studied. A retrospective cohort study of consecutive patients referred for regadenoson stress MPI was conducted. Patients with uninterpretable ECG were excluded. Two diagnostic thresholds of horizontal or downsloping ST↓ were studied, ≥ 0.5 mm and ≥ 1.0 mm. The primary endpoint was the composite major adverse cardiac events (MACE) of cardiac death, myocardial infarction, or coronary revascularization. Among 8615 subjects (mean age 62 ± 13 years; 55% women), 89 (1.0%) had ST↓ ≥ 1.0 mm and 133 (1.5%) had ST↓ ≥ 0.5 mm. Regadenoson-induced ST↓ was more common in women (P
- Subjects :
- Male
medicine.medical_specialty
Adenosine A2 Receptor Agonists
Myocardial Ischemia
030204 cardiovascular system & hematology
030218 nuclear medicine & medical imaging
Coronary artery disease
03 medical and health sciences
Myocardial perfusion imaging
Electrocardiography
0302 clinical medicine
Predictive Value of Tests
Internal medicine
medicine
Clinical endpoint
Humans
Radiology, Nuclear Medicine and imaging
Myocardial infarction
Aged
Retrospective Studies
Tomography, Emission-Computed, Single-Photon
medicine.diagnostic_test
business.industry
Myocardial Perfusion Imaging
Retrospective cohort study
Middle Aged
medicine.disease
Prognosis
Regadenoson
Purines
Cohort
Cardiology
Exercise Test
Pyrazoles
Female
Cardiology and Cardiovascular Medicine
business
Mace
medicine.drug
Subjects
Details
- ISSN :
- 15326551
- Volume :
- 27
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
- Accession number :
- edsair.doi.dedup.....c11ecff4f8e2527cfff4a3ac8f7d6628