Patterns of use and clinical utility of exercise thallium-201 single photon emission-computed tomography in a community hospital.

Abstract:

:Single photon emission computed tomographic (SPECT) imaging with thallium-201 was evaluated in 492 consecutive, unselected patients to ascertain the patterns of use and additive value to the exercise electrocardiogram in the diagnosis of myocardial ischemia in a community hospital setting. Myocardial perfusion images were interpreted by a single observer employing visual and confirmatory quantitative analysis. The majority of patients (69%) were studied to evaluate the functional consequences of known coronary artery disease and not primarily to aid in diagnosis. Relationships among exercise electrocardiograms, SPECT information and coronary angiography were analyzed in 303 patients. The sensitivity was 92% and improved to 96% when multivessel disease was present. Overall, the positive predictive value of tomographic imaging in the detection of coronary disease was 94%. These findings demonstrate the changing pattern of use of myocardial perfusion imaging and confirm the value and applicability of this technique in routine clinical practice.

journal_name

Cardiology

journal_title

Cardiology

authors

McClellan JR,Dugan TM,Heller GV

doi

10.1159/000177076

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

134-40

issue

2

eissn

0008-6312

issn

1421-9751

journal_volume

87

pub_type

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