Document Detail


Comparative impact of scintigraphic parameters and B-type natriuretic peptide for the prediction of major cardiac events in the QGS-prognostic value in the elderly (Q-PROVE) study.
MedLine Citation:
PMID:  19638709     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although B-type natriuretic peptide (BNP) has emerged as an important predictor for cardiac events, its effect on scintigraphic parameters is unknown. METHODS AND RESULTS: The Q-PROVE study is a multicenter study to evaluate the prognostic value of ECG-gated SPECT in 175 Japanese elderly patients. In addition, BNP was assessed in 102 patients. Outcome assessment included cardiac events and noncardiac deaths. Twelve elderly patients (12%) had increased BNP >130 pg/ml. The summed stress score (SSS) was greater in patients with increased BNP than in those with normal BNP. Kaplan-Meier survival estimation indicated event-free survival rates at 3 years of 83%, 78%, 88%, 80%, respectively, in patients with BNP >130 pg/ml, SSS >or=7, summed difference score (SDS) >or=2, and dilated end-diastolic volume (EDV), but 98%, 98%, 100%, 94% in those with BNP <or=130 pg/ml, SSS <7, SDS <2 and normal EDV (P=0.006, P=0.005, P=0.0008, P=0.01). Multivariate analysis demonstrated that an SDS was the only independent predictor for subsequent cardiac events (hazard ratio =4.0, P=0.04). CONCLUSIONS: Although BNP may have similar prognostic value to gated SPECT volumetric measurements in elderly patients with known or suspected coronary artery disease, myocardial ischemia as documented by SPECT is still indispensable for detecting high-risk patients compared with BNP alone.
Authors:
Yuko Igarashi; Taishiro Chikamori; Satoshi Hida; Tadashi Nagao; Hirokazu Tanaka; Yasuhiro Usui; Tsuguhisa Hatano; Takayuki Morishima; Hidefumi Yanagisawa; Akira Yamashina
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2009-07-28
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  73     ISSN:  1347-4820     ISO Abbreviation:  Circ. J.     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-26     Completed Date:  2009-11-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1655-60     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Tokyo Medical University, Tokyo, Japan. yuko50@tokyo-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Biological Markers / blood
Coronary Artery Disease / blood,  complications,  diagnosis*,  mortality,  radionuclide imaging
Disease-Free Survival
Electrocardiography
Humans
Japan / epidemiology
Kaplan-Meiers Estimate
Myocardial Ischemia / blood,  etiology*,  mortality,  radionuclide imaging
Natriuretic Peptide, Brain / blood*
Predictive Value of Tests
Proportional Hazards Models
Risk Assessment
Risk Factors
Time Factors
Tomography, Emission-Computed, Single-Photon*
Up-Regulation
Chemical
Reg. No./Substance:
0/Biological Markers; 114471-18-0/Natriuretic Peptide, Brain

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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