Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Processing Request
ISCHAEMIA-DRIVEN OPTIMAL THERAPEUTIC APPROACH IN ASYMPTOMATIC PATIENTS WITH HIGH CARDIOVASCULAR RISK: THE VALUE OF CLINICAL, LABORATORY AND MYOCARDIAL SPECT IMAGING FINDINGS.
Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Processing Request
- المؤلفون: Mitevska, Irena Peovska; Pavlovska, Jelka Davceva; Srbinovska, Elizabeta; Bosevski, Marijan; Zdravkovska, Maja; Gorceva, Daniela Pop; Zdravevska, Marina
- المصدر:
Contributions / Prilozi (1857-9345); 2015, Vol. 35 Issue 3, p141-148, 8p
- الموضوع:
- معلومة اضافية
- نبذة مختصرة :
Background: We wanted to evaluate the presense of myocardial ischaemia in asymptomatic patients with high cardiovascular risk, the influencing clinical and laboratory factors and the impact of ischaemia on final management decision. Material and methods: We evaluated 60 asymptomatic patients with high CV risk, who underwent SPECT myocardial perfusion imaging (MPI) for detection of suspected CAD. We used the 17 segment model for quantitative and semiquantitative scan perfusion and function analysis using perfusion scores. All patients had full blood laboratory analyses including lipid values, presence of albuminuria, rest and stress ECG. Logistic regression analysis was used to assess the impact of clinical and laboratory parameters on myocardial ischaemia prevalence. Results: Stress-inducible ischaemia was found in 19 pts (33%), fixed defects were found in 13% and mixed defects in 9% of cases. The average ischaemia amount was 10%. Mild ischaemia was found in 12 patients (64%) -- summed stress score (SDS) < 4, moderate ischaemia in 5 patients (26%) -- SDS 5-7 and severely abnormal scans in 2 patients (10%) -- SDS > 7. Severe ischaemia was only related to the duration of diabetes. Six pts with severe ischaemia had ST depression > 2 mm on stress study, and a higher wall motion index and LVEF fall > 5% during stress study (p < 0.01). Stepwise logistic regression analysis for prediction of stress-induced ischaemia showed OR 2.4 (95% CI 1.7-3.6) for stress-induced ECG changes and OR 3.9 for presence of DM over 10y (95% CI 2.3-6.6). Seven patients with ischaemia > 10%, were referred for coronary angiography. Conclusions: MPI is a valuable method for preclinical assessment of myocardial ischaemia in patients with high CV risk, which can improve prognosis and guide treatment decision. [ABSTRACT FROM AUTHOR]
- نبذة مختصرة :
Copyright of Contributions / Prilozi (1857-9345) is the property of Sciendo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
No Comments.