PMID: 9420808Jul 1, 1995Paper

Impact on exercise single-photon emission computed tomographic thallium imaging on patient management and outcome

Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology
N NallamothuA S Iskandrian

Abstract

Stress perfusion imaging is useful in risk stratification of patients with known or suspected coronary artery disease. In the current era of managed health care, there is a need to provide data on patient outcome. This study examined the impact of exercise single-photon emission computed tomographic (SPECT) thallium imaging on patient management (the subsequent need for coronary angiography and revascularization) and outcome (the occurrence of hard cardiac events defined as cardiac death or nonfatal acute myocardial infarction) in 2700 patients who were being evaluated for diagnostic purposes. None of the patients had previous coronary angiography, coronary revascularization, or Q-wave myocardial infarction. The SPECT images were normal in 2027 patients (group 1) and abnormal in 673 patients (group 2). Within 6 months after thallium imaging 53 patients in group 1 (3%) and 242 patients in group 2 (36%) underwent coronary angiography (p = 0.0001). The patients who underwent coronary angiography had higher pretest probability of coronary disease (group 1) or more perfusion defects (group 2) than patients who did not (p = 0.0001 each). Coronary revascularization within 3 months of coronary angiography was performed in 1 of the 53 p...Continue Reading

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Citations

Dec 7, 2007·European Journal of Nuclear Medicine and Molecular Imaging·Patrick T SiegristPhilipp A Kaufmann
Nov 13, 2012·Current Treatment Options in Cardiovascular Medicine·Alicia MecklaiJudith Hochman
May 15, 2009·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Masud H KhandakerRaymond J Gibbons
Aug 6, 2004·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Daniel S BermanRory Hachamovitch
Mar 28, 2007·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Todd D MillerRaymond J Gibbons
Mar 29, 2008·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Nir N SomekhSteven R Bergmann
Jun 26, 1997·The American Journal of Cardiology·D BermanG Germano
Jul 21, 1998·Journal of the American College of Cardiology·S Iskander, A E Iskandrian
Jul 1, 1995·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·F J Wackers, B L Zaret
Nov 1, 1996·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·K A Brown
Mar 1, 1997·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·T M Bateman
Mar 22, 2013·The International Journal of Cardiovascular Imaging·Ming-Chia LinChia-Hung Kao
Jun 18, 2010·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Siu-Sun YaoFarooq A Chaudhry
Jun 14, 2014·JACC. Cardiovascular Imaging·Leslee J ShawUNKNOWN National Institutes of Health/National Heart, Lung, and Blood Institute-Sponsored ISCHEMIA Trial Investigators
Jan 16, 2007·Journal of the American College of Cardiology·Louise D MetzKirsten E Fleischmann
Jul 1, 2016·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Elizabeth Hill, Rory Hachamovitch
Jan 13, 2005·Seminars in Nuclear Medicine·Rory Hachamovitch, Daniel S Berman
Dec 18, 2013·Journal of the American Heart Association·Joseph A LadapoPamela S Douglas
Sep 17, 2017·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Shu YokotaSiert Knollema

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