PMID: 9420673Jan 1, 1994Paper

Dipyridamole technetium 99m sestamibi myocardial tomography as an independent predictor of cardiac event-free survival after acute ischemic events

Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology
D D MillerB R Chaitman

Abstract

A total of 137 consecutive patients with recent uncomplicated myocardial infarction (n = 31) or unstable angina (n = 106) were studied to determine the relative prognostic value of predischarge clinical risk stratification and intravenous dipyridamole stress sestamibi (MIBI) myocardial tomography in patients unable to exercise maximally after an acute ischemic coronary event. Patients were followed up after the index study for 10 +/- 5 months (range 1 to 23 months) to ascertain cardiac events that occurred in 20 patients (15%): nonfatal myocardial infarction (n = 5) or cardiac death (n = 15). Cardiac event rates were 35% in patients with a recent myocardial infarction and 8% in the group with unstable angina (p < 0.001). Patients with these cardiac events had more frequent abnormal MIBI study results, fixed defects, and reversible plus fixed (combined) defects (all p < 0.05). The univariate relative risk of death or myocardial infarction associated with an abnormal MIBI study was 6.0 (95% confidence limits 0.8 to 44.7). Multivariate stepwise logistic regression models identified an abnormal MIBI study and either fixed or reversible MIBI defects as being predictive of death or myocardial infarction (all p < 0.05). The Mantel-Hae...Continue Reading

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Citations

Dec 8, 2011·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Faisal NabiJohn J Mahmarian
Feb 1, 2005·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Kenneth A Brown
Feb 6, 2007·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·John J Mahmarian
Jun 30, 2007·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·John J Mahmarian
Nov 21, 2007·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Sarkis B Baghdasarian, Gary V Heller
Feb 5, 2008·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Alan W AhlbergGary V Heller
Jul 21, 1998·Journal of the American College of Cardiology·S Iskander, A E Iskandrian
Mar 1, 1997·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·P ZancoG Ferlin
Mar 1, 1997·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·R O Bonow
Oct 5, 2001·European Journal of Nuclear Medicine·J J BormE K Pauwels
Sep 1, 2001·European Journal of Nuclear Medicine·J J BormE K Pauwels
Dec 20, 2007·Nuclear Medicine Communications·Sarah Bleichner-PerezMarc Steinling

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