| Prognostic risk stratification of myocardial ischaemia evaluated by gated myocardial perfusion SPECT in patients with chronic kidney disease. | |
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MedLine Citation:
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PMID: 19471925 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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PURPOSE: The aim of this study was to identify useful predictors of cardiac events in patients with chronic kidney disease (CKD). METHODS: Among 4,031 patients identified from the Japanese Assessment of Cardiac Events and Survival Study (J-ACCESS) database with suspected or known ischaemic heart disease, we selected 820 with an estimated glomerular filtration rate (eGFR) of < 60 ml/min per 1.73 m(2). RESULTS: A total of 75 cardiac events developed among these 820 patients. The incidence of cardiac events was higher in the group with a lower eGFR. Multivariate Cox analysis indicated that age, diabetes mellitus, end-systolic volume, summed stress score (SSS) and eGFR were predictors of cardiac events. Event rates of patients with SSS >or= 9 were significantly higher in groups with lower eGFR values (< 40 and 40-49 ml/min). CONCLUSION: The SSS value (>or= 9) is a reliable predictor of cardiac events and myocardial single photon emission computed tomography has incremental value for predicting cardiac events and survival in CKD. |
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Authors:
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Tsuguru Hatta; Shigeyuki Nishimura; Tsunehiko Nishimura |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-05-28 |
Journal Detail:
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Title: European journal of nuclear medicine and molecular imaging Volume: 36 ISSN: 1619-7089 ISO Abbreviation: Eur. J. Nucl. Med. Mol. Imaging Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-10-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101140988 Medline TA: Eur J Nucl Med Mol Imaging Country: Germany |
Other Details:
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Languages: eng Pagination: 1835-41 Citation Subset: IM |
Affiliation:
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Division of Nephrology, Department of Medicine, Ohmihachiman Community Medical Center, Ohmihachiman-Shi, Shiga 523-0082, Japan. tsuguhatta@hotmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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