[When can normal stress myocardial perfusion scans be observed in patients with chest pain and known or suspected coronary artery disease?].
| Autor: | Milvidaite I; Institute of Cardiology, Kaunas University of Medicine, Sukileliu 17, 50157 Kaunas, Lithuania. kardlab@kmu.lt, Kulakiene I, Linoniene L, Gugiene L, Rusakeviciene E, Pauliute J |
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| Jazyk: | litevština |
| Zdroj: | Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2004; Vol. 40 (7), pp. 627-32. |
| Abstrakt: | Unlabelled: The aim of this study was to establish characteristic clinical data in patients with normal stress myocardial perfusion scans. Material and Methods: 99mMIBI scintigraphy was performed following a one-day protocol (stress-rest) in 806 patients (out of them 451 men) with suspected or known coronary artery disease. A bicycle exercise test response was estimated as pathological, non-pathological, borderline and non-informative. Myocardial perfusion was scored according to the size and severity of defect. Results: Myocardial perfusion was normal in 287 (35.6%) patients. Univariate analysis showed, that normal stress myocardial perfusion scans more often were established in women than in men (p=0.00001, odds ratio 8.55), in patients with atypical anginal or non-anginal chest pain than with typical angina (p=0.0001, odds ratio 1.92), in patients without previous myocardial infarction (p=0.0001, odds ratio 3.28) and without myocardial revascularization (p=0.0001, odds ratio 3.28). The characteristic bicycle exercise test data for normal scans were non-pathological response vs pathological (p=0.00001, odds ratio 3.03) and reason of discontinuance - target heart rate achieved (85% of maximum) vs ischemic changes (p=0.0005, odds ratio 2.37). Conclusions: Normal stress myocardial perfusion scans were more often present in women, in patients with atypical angina or non-anginal chest pain, in patients without myocardial infarction and without myocardial revascularization. Achieved target heart rate and non-pathological response to exercise test were commonly observed in patients with normal perfusion scans. |
| Databáze: | MEDLINE |
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