Document Detail


Comparison of exercise stress testing with dobutamine stress echocardiography and exercise technetium-99m isonitrile single photon emission computerized tomography for diagnosis of coronary artery disease.
MedLine Citation:
PMID:  9290568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To compare the value of exercise electrocardiography with dobutamine stress echocardiography and exercise technetium-99m isonitrile single-photon emission computed tomography for coronary artery disease, 70 patients with either suspected or proven coronary artery disease underwent dobutamine stress echocardiography, exercise technetium-99m isonitrile single-photon emission computed tomography (mibi-SPECT) and treadmill exercise electrocardiography (ECG). Dobutamine echocardiography and exercise mibi-SPECT revealed a higher overall sensitivity than exercise testing (90 vs 57%, p < 0.001; 96 vs 57%, p < 0.001, respectively). Dobutamine stress echocardiography showed a higher specificity than both exercise mibi-SPECT and treadmill exercise electrocardiography (90 vs 71%, p > 0.05; 90 and 62% p < 0.05, respectively) but the difference between dobutamine stress echocardiography and exercise mibi-SPECT was not statistically significant. Diagnostic accuracy of dobutamine stress echocardiography and exercise mibi-SPECT was higher than that of exercise testing (90 vs 59%, p < 0.001; 89 vs 59%, p < 0.001, respectively). Dobutamine stress echocardiography and exercise mibi-SPECT have superiority over exercise testing in the diagnosis of coronary artery disease and dobutamine stress echocardiography is an alternative for exercise mibi-SPECT.
Authors:
A Oğuzhan; H L Kisacik; K Ozdemir; B B Altunkeser; T Durmaz; E Altinyay; T Kural; S Korkmaz; M Kir; E Kütük; S Göksel
Related Documents :
8422718 - False-positive tc-99m sestamibi spect in a patient with left bundle branch block.
2585098 - Effects of heart rate on myocardial thallium-201 uptake and clearance.
9211378 - Skeletal muscle perfusion measurements using adiabatic inversion of arterial water.
6701318 - Leg perfusion evaluated by delayed administration of thallium-201.
21876848 - Reduced cardiorespiratory fitness after stroke: biological consequences and exercise-in...
24744468 - Influence of a low-dose cox-2 inhibitor drug on exercise-induced inflammation, muscle d...
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Japanese heart journal     Volume:  38     ISSN:  0021-4868     ISO Abbreviation:  Jpn Heart J     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-09-24     Completed Date:  1997-09-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401175     Medline TA:  Jpn Heart J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  333-44     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Ankara Yüksek Ihtisas Hospital, Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Pressure
Coronary Angiography
Coronary Disease / diagnosis*,  radionuclide imaging,  ultrasonography
Dobutamine / diagnostic use*
Echocardiography*
Electrocardiography
Exercise Test*
Female
Heart / radionuclide imaging*
Heart Rate
Humans
Male
Middle Aged
Myocardial Contraction
Predictive Value of Tests
Sensitivity and Specificity
Technetium Tc 99m Sestamibi / diagnostic use*
Tomography, Emission-Computed, Single-Photon
Chemical
Reg. No./Substance:
109581-73-9/Technetium Tc 99m Sestamibi; 34368-04-2/Dobutamine

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


Previous Document:  Alterations of signal transduction system in heart failure.
Next Document:  Use of the body surface recovery time for detection of coronary artery disease.