PMID: 9420708May 1, 1994Paper

Prognostic value of adenosine single-photon emission computed tomographic thallium imaging in medically treated patients with angiographic evidence of coronary artery disease

Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology
A M KamalA S Iskandrian

Abstract

This study examined the prognostic value of adenosine single-photon emission computed tomographic thallium imaging in medically treated patients with angiographic evidence of coronary artery disease (CAD). Patients who underwent coronary revascularization within 3 months of this study were excluded. There were 177 patients aged 64 +/- 11 years; 74 had one-vessel, 57 had two-vessel, and 46 had three-vessel CAD (> or = 50% diameter stenosis). During a mean follow-up of 22 +/- 13 months, there were 14 events (cardiac death or nonfatal myocardial infarction). Cox survival analysis with important clinical, catheterization, and scintigraphic variables identified the size of perfusion abnormality as the strongest predictor of events (chi 2 = 9). Life-table analysis showed that patients with perfusion defects of 15% or greater of the myocardium had a worse prognosis than had patients with no or smaller defects (Mantel-Cox statistic = 13; p < 0.001). Thus adenosine single-photo emission computed tomographic thallium imaging provides important prognostic data in medically treated patients with CAD. The extent of thallium abnormality is the most important predictor of events.

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Citations

Sep 1, 1994·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·S B PancholyA S Iskandrian
May 8, 2004·European Journal of Nuclear Medicine and Molecular Imaging·S R UnderwoodUNKNOWN Royal College of Radiologists
Jun 11, 2010·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Jyoti SharmaYumiko Kanei
Mar 31, 2004·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Leslee J Shaw, Ami E Iskandrian
Oct 9, 2004·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Sachin M NavareGary V Heller
Sep 6, 2003·International Journal of Cardiology·Isabelle L'HuillierJean Eric Wolf
Mar 1, 1995·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·S B PancholyA S Iskandrian
Dec 10, 2003·Current Cardiology Reports·Jennifer H MieresLeslee J Shaw
Dec 21, 2002·Current Cardiology Reports·Sachin M NavareGary V Heller
Feb 25, 2009·Current Cardiology Reports·James A Arrighi
Nov 12, 2013·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Sergio Raposeiras-RoubinJose Ramón González-Juanatey
Oct 23, 2008·Metabolism: Clinical and Experimental·Ming-Chia HsiehPi-Chen Lin
Mar 17, 2001·Current Problems in Cardiology·D S BermanG Germano
Oct 10, 2006·The American Journal of Cardiology·Fadi G HageAmi E Iskandrian
Feb 14, 2015·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Fadi G HageAmi E Iskandrian
Jun 30, 2001·Seminars in Nuclear Medicine·J A Parker

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