Prognostic implications of stress modality on mortality risk and cause of death in patients undergoing office-based SPECT myocardial perfusion imaging

Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology
Marie-France PoulinRami Doukky

Abstract

Patients requiring vasodilator single-photon emission computed-tomography myocardial perfusion imaging (SPECT-MPI) have a higher mortality risk than those selected for exercise or vasodilator with low-level exercise SPECT-MPI. However, it is unknown whether the increased mortality is driven by cardiac deaths alone or cardiac and non-cardiac deaths. In a prospective cohort of 1,511 consecutive patients referred for SPECT-MPI, patients were classified according to stress test modality: exercise, adenosine with low-level exercise (AdenoEx), and adenosine. Subjects were followed for events of all-cause mortality and cause of death. Survival analyses using multivariate Cox regression and propensity score matching methods were performed. During a follow-up of 4.9 ± 0.9 years, a total of 68 (4.5%) deaths occurred: 50 non-cardiac and 18 cardiac. The adenosine group had the highest annual mortality (all-cause 3.65%, non-cardiac 2.36%, cardiac 1.29%), while exercise stress had the lowest mortality (all-cause 0.42%, non-cardiac 0.37%, cardiac 0.05%) and AdenoEx had an intermediate mortality (all-cause 1.3%, non-cardiac 0.91%, cardiac 0.39%); all P values <0.001. The majority of non-cardiac deaths were attributed to cancer. Using exercise ...Continue Reading

References

Jun 14, 1979·The New England Journal of Medicine·G A Diamond, J S Forrester
Aug 25, 2000·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·R G GroutarsE E van der Wall
Jan 6, 2001·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·M D ElliottR C Hendel
Jul 21, 2004·The American Journal of Cardiology·Gregory S Thomas, Michael I Miyamoto
Dec 19, 2006·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Milena J HenzlovaUNKNOWN Quality Assurance Committee of the American Society of Nuclear Cardiology
Nov 16, 2010·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Alan RozanskiDaniel S Berman
Jan 25, 2011·The American Journal of Cardiology·Nils P JohnsonThomas A Holly
Mar 12, 2013·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Rami DoukkyRobert C Hendel

❮ Previous
Next ❯

Citations

Mar 31, 2015·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Seth Uretsky
Aug 16, 2016·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Katherine Standbridge, Eliana Reyes
Oct 9, 2016·Trends in Cardiovascular Medicine·Pelbreton C BalfourChristopher M Kramer
Feb 26, 2016·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Edgar ArgulianAlan Rozanski
Nov 20, 2015·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Rami DoukkyAmjad Ali
Apr 8, 2017·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Fadi G Hage, Wael A AlJaroudi
Jul 12, 2017·British Journal of Hospital Medicine·Mark J Davies, James D Newton
Dec 14, 2017·Journal of the American Heart Association·Clara CarpeggianiEugenio Picano
May 10, 2019·Cardiovascular Innovations and Applications·Saurabh Malhotra, Rami Doukky
May 23, 2015·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Rami Doukky
Aug 26, 2015·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Rami DoukkyNathan Frogge
Jul 8, 2017·Current Cardiovascular Imaging Reports·Yasmeen Golzar, Rami Doukky
May 30, 2020·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Gursukhmandeep S Sidhu, Robert C Hendel
May 10, 2020·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Ajoe John KattoorRami Doukky
Oct 14, 2020·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Alan RozanskiDaniel S Berman
Oct 10, 2020·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Muhammad Shahzeb KhanRami Doukky
Oct 20, 2020·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Alan RozanskiAmi E Iskandrian
Nov 27, 2020·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Patricia Rodriguez Lozano, Jamieson M Bourque
Mar 6, 2021·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Kameel Kassab, Rami Doukky
Apr 8, 2021·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Kameel Kassab, Rami Doukky
Mar 31, 2019·Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine·Javier Gomez, Rami Doukky
Jul 2, 2021·Mayo Clinic Proceedings. Innovations, Quality & Outcomes·Alan RozanskiDaniel S Berman
Oct 6, 2021·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Alan RozanskiDaniel S Berman

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.