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Relationship between exercise echocardiography and perfusion single-photon emission computed tomography in patients with single-vessel coronary artery disease.

Abstract：

:The aim of this study was to assess the relative value of exercise echocardiography and perfusion single-photon emission computed tomography (SPECT) in identifying the presence and severity of coronary artery stenosis. Accordingly, 44 consecutive patients with stenosis in one vessel performed simultaneous postexercise echocardiography and perfusion SPECT (with either thallium-201 [n = 19] or 99m-Tc-methoxyisobutyl isonitrile [n = 25]) in conjunction with symptom-limited bicycle exercise testing. Positive test results were based on the presence of new or worsened exercise-induced wall motion abnormalities and transient perfusion defects, respectively. Moreover, an "ischemic" score index was derived for semiquantitative assessment of both echocardiography (with a 14-segment model of left ventricular wall on a 4-point scale) and SPECT (47-segment model on a 5-point scale). All patients underwent correlative coronary arteriography, assessed by digital caliper. Significant coronary artery disease (diameter stenosis greater than or equal to 50%) was present in 30 patients. There was a good overall concordance between the two tests in terms of result (79%); compared with patients with positive results of both tests, in the seven patients with positive SPECT and negative echocardiography the time of recording echocardiographic images was longer (p = 0.05). When analyzing patients according to the percent diameter stenosis (greater than 70%, 50% to 70%, and less than 50%) for both echocardiography and SPECT, the prevalence of an ischemic response was directly related to the severity of the coronary stenosis (p less than 0.001); moreover, a negative test result was highly predictive of a diameter coronary stenosis less than 70%.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Am Heart J

journal_title

American heart journal

authors

Salustri A,Pozzoli MM,Hermans W,Ilmer B,Cornel JH,Reijs AE,Roelandt JR,Fioretti PM

doi

10.1016/0002-8703(92)90922-i

subject

Has Abstract

pub_date

1992-07-01 00:00:00

pages

75-83

issue

eissn

0002-8703

issn

1097-6744

pii

0002-8703(92)90922-I

journal_volume

124

pub_type

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Relationship between exercise echocardiography and perfusion single-photon emission computed tomography in patients with single-vessel coronary artery disease.