Impact of Diabetes on the Risk Stratification Using Stress Single-Photon Emission Computed Tomography Myocardial Perfusion Imaging in Patients With Symptoms Suggestive of Coronary Artery Disease
作者： Satyendra Giri , Leslee J. Shaw , Dakshina R. Murthy , Mark I. Travin , D. Douglas Miller
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摘要: Background— Coronary artery disease can develop prematurely and is the leading cause of death among diabetics, making noninvasive risk stratification desirable. Methods Results— Patients with symptoms coronary who were undergoing stress myocardial perfusion imaging (MPI) from 5 centers prospectively followed (2.5±1.5 years) for subsequent occurrence cardiac death, infarction (MI), revascularization. Stress MPI results categorized as normal or abnormal (fixed ischemic defects 1, 2, 3 vessel distribution). Of 4755 patients, 929 (19.5%) diabetic. diabetes, despite an increased revascularization rate, had 80 events (8.6%; 39 deaths 41 MIs) compared 172 (4.5%; 69 103 in nondiabetic cohort (P<0.0001). Abnormal was independent predictor MI both populations. Diabetics number (P<0.001), w...
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sci-hub.se 参考文章(33)
Steven A. Finkler, Cost Accounting for Health Care Organizations: Concepts and Applications ,(1999)
B.H.R. Wolffenbuttel, Hope Hope Study Investigators, Effects of ramipril on cardiovascular and microvascular outcomes in people with diabetes mellitus: results of the HOPE study and MICRO-HOPE substudy The Lancet. ,vol. 22, pp. 253- 259 ,(2000)
Michael G Levine, Carol C McGill, Alan W Ahlberg, Michael P White, Satyendra Giri, Babar Shareef, David Waters, Gary V Heller, Functional assessment with electrocardiographic gated single-photon emission computed tomography improves the ability of technetium-99m sestamibi myocardial perfusion imaging to predict myocardial viability in patients undergoing revascularization. American Journal of Cardiology. ,vol. 83, pp. 1- 5 ,(1999) , 10.1016/S0002-9149(98)00772-3
L SHAW, R HACHAMOVITCH, E EISENSTEIN, K KESLER, G HELLER, D MILLER, A primer of biostatistic and economic methods for diagnostic and prognostic modeling in nuclear cardiology: Part II Journal of Nuclear Cardiology. ,vol. 4, pp. 52- 60 ,(1996) , 10.1016/S1071-3581(96)90062-8
Kenneth A. Brown, Gary V. Heller, Ronald S. Landin, Leslee J. Shaw, George A. Beller, Michael J. Pasquale, Stephen B. Haber, Early Dipyridamole
99m
Tc-Sestamibi Single Photon Emission Computed Tomographic Imaging 2 to 4 Days After Acute Myocardial Infarction Predicts In-Hospital and Postdischarge Cardiac Events Circulation. ,vol. 100, pp. 2060- 2066 ,(1999) , 10.1161/01.CIR.100.20.2060
K BROWN, Prognostic value of myocardial perfusion imaging: State of the art and new developments Journal of Nuclear Cardiology. ,vol. 3, pp. 516- 537 ,(1996) , 10.1016/S1071-3581(96)90061-6
David B Pryor, Linda Shaw, Charles B McCants, Kerry L Lee, Daniel B Mark, Frank E Harrell, Lawrence H Muhlbaier, Robert M Califf, Value of the History and Physical in Identifying Patients at Increased Risk for Coronary Artery Disease Annals of Internal Medicine. ,vol. 118, pp. 81- 90 ,(1993) , 10.7326/0003-4819-118-2-199301150-00001
D. Douglas Miller, Henry G. Stratmann, Leslee Shaw, Beaver R. Tamesis, Mark D. Wittry, Liwa T. Younis, Bernard R. Chaitman, Dipyridamole technetium 99m sestamibi myocardial tomography as an independent predictor of cardiac event-free survival after acute ischemic events. Journal of Nuclear Cardiology. ,vol. 1, pp. 72- 82 ,(1994) , 10.1007/BF02940014
T BATEMAN, Clinical relevance of a normal myocardial perfusion scintigraphic study Journal of Nuclear Cardiology. ,vol. 4, pp. 172- 173 ,(1997) , 10.1016/S1071-3581(97)90068-4
RICHARD W Nesto, Roland T Phillips, KEVIN G Kett, THOMAS Hill, Edward Perper, ELIOT Young, OS Leland Jr, Angina and Exertional Myocardial Ischemia in Diabetic and Nondiabetic Patients: Assessment by Exercise Thallium Scintigraphy Annals of Internal Medicine. ,vol. 108, pp. 170- 175 ,(1988) , 10.7326/0003-4819-108-2-170