Document Detail


Stress-only or stress/rest myocardial perfusion imaging in patients undergoing evaluation for bariatric surgery.
MedLine Citation:
PMID:  21761375     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Bariatric surgery for management of obesity is being used with increasing frequency. Stress testing with myocardial perfusion imaging is often employed as part of the workup prior to anticipated bariatric surgery. The incidence of clinically significant abnormalities on stress MPI performed for this indication, however, has not been established. METHODS AND RESULTS: We retrospectively reviewed a series of 383 consecutive stress MPI studies performed on patients undergoing workup prior to planned bariatric surgery. The study population had a mean age 42 ± 10 years, and was 83% female, with a body mass index of 49 ± 8. The majority of patients (81%) were able to exercise using either the Bruce or Modified Bruce protocol, and 67% underwent stress-only imaging. Overall SPECT MPI findings were normal in 89% and equivocal in 6% of patients. The incidence of abnormal findings on MPI was 5% (3% mild and 2% moderate-to-severe abnormalities). At 1 year, overall survival was 99.5%, with no difference between those with and without MPI abnormalities. Similarly, the incidence of post-operative cardiac events was very low (2%), and mostly due to atrial arrhythmias or borderline elevations of troponin. CONCLUSION: In a typical pre-bariatric surgery population, the incidence of abnormal stress MPI is low. The majority of patients were able to use a stress-only strategy for assessment of perfusion. At 1 year the incidence of adverse cardiovascular outcomes is very low. Additional studies should be focused on determining whether any subgroup of such patients may benefit more from pre-operative stress testing.
Authors:
Anthony S Gemignani; Stephan G Muhlebach; Brian G Abbott; G Dean Roye; David T Harrington; James A Arrighi
Related Documents :
16003685 - A new procedure for gastrostomy tube replacement verification: a case report.
17009995 - Severe prolonged gastroparesis after cytoreductive surgery in an advanced ovarian cance...
1777445 - Modification to the ritard surgical model.
10794215 - Laparoscopic repair of the leaking percutaneous endoscopic gastrostomy.
12369005 - Pancreatectomy extension in persistent hyperinsulinaemic hypoglycaemia: a new strategy.
21317055 - New protocols for the manufacture of surgical splints in surgical-orthodontic treatment.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-7-15
Journal Detail:
Title:  Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology     Volume:  -     ISSN:  1532-6551     ISO Abbreviation:  -     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-7-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9423534     Medline TA:  J Nucl Cardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Division of Cardiology, Department of Medicine, Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Development and validation of a new automatic algorithm for quantification of left ventricular volum...
Next Document:  Preparing the personal physician for practice (p?): site-specific innovations, hypotheses, and measu...