Document Detail


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.
MedLine Citation:
PMID:  22778555     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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).
Authors:
Lixia Yang; Yuming Mu; Luiz Augusto Quaglia; Qi Tang; Lina Guan; Chunmei Wang; Ming Chi Shih
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-06-13
Journal Detail:
Title:  Journal of biomedicine & biotechnology     Volume:  2012     ISSN:  1110-7251     ISO Abbreviation:  J. Biomed. Biotechnol.     Publication Date:  2012  
Date Detail:
Created Date:  2012-07-10     Completed Date:  2013-01-07     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  101135740     Medline TA:  J Biomed Biotechnol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  806731     Citation Subset:  IM    
Affiliation:
Department of Image Center, Xuhui Central Hospital, Shanghai 200031, China.
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MeSH Terms
Descriptor/Qualifier:
Acute Coronary Syndrome / 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:
58-61-7/Adenosine
Comments/Corrections

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