| Effectiveness of myocardial contrast echocardiography quantitative analysis during adenosine stress versus visual analysis before percutaneous therapy in acute coronary pain: a coronary artery TIMI grading comparing study. | |
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MedLine Citation:
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PMID: 22778555 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The study aim was to compare two different stress echocardiography interpretation techniques based on the correlation with thrombosis in myocardial infarction (TIMI ) flow grading from acute coronary syndrome (ACS) patients. Forty-one patients with suspected ACS were studied before diagnostic coronary angiography with myocardial contrast echocardiography (MCE) at rest and at stress. The correlation of visual interpretation of MCE and TIMI flow grade was significant. The quantitative analysis (myocardial perfusion parameters: A, β, and A × β) and TIMI flow grade were significant. MCE visual interpretation and TIMI flow grade had a high degree of agreement, on diagnosing myocardial perfusion abnormality. If one considers TIMI flow grade <3 as abnormal, MCE visual interpretation at rest had 73.1% accuracy with 58.2% sensitivity and 84.2% specificity and at stress had 80.4% accuracy with 76.6% sensitivity and 83.3% specificity. The MCE quantitative analysis has better accuracy with 100% of agreement with different level of TIMI flow grading. MCE quantitative analysis at stress has showed a direct correlation with TIMI flow grade, more significant than the visual interpretation technique. Further studies could measure the clinical relevance of this more objective approach to managing acute coronary syndrome patient before percutaneous coronary intervention (PCI). |
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Authors:
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Lixia Yang; Yuming Mu; Luiz Augusto Quaglia; Qi Tang; Lina Guan; Chunmei Wang; Ming Chi Shih |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2012-06-13 |
Journal Detail:
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Title: Journal of biomedicine & biotechnology Volume: 2012 ISSN: 1110-7251 ISO Abbreviation: J. Biomed. Biotechnol. Publication Date: 2012 |
Date Detail:
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Created Date: 2012-07-10 Completed Date: 2013-01-07 Revised Date: 2013-04-08 |
Medline Journal Info:
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Nlm Unique ID: 101135740 Medline TA: J Biomed Biotechnol Country: United States |
Other Details:
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Languages: eng Pagination: 806731 Citation Subset: IM |
Affiliation:
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Department of Image Center, Xuhui Central Hospital, Shanghai 200031, China. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Coronary Syndrome
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physiopathology,
ultrasonography* Adenosine / administration & dosage, diagnostic use* Adult Aged Analysis of Variance Coronary Angiography Echocardiography / methods* Female Hemodynamics Humans Male Middle Aged Myocardial Infarction / physiopathology, ultrasonography Pain / etiology Reproducibility of Results Sensitivity and Specificity Severity of Illness Index |
| Chemical | |
Reg. No./Substance:
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58-61-7/Adenosine |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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