Prognostic value of dipyridamole thallium scintigraphy in patients with cronary artery disease treated medically.
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- CHIKAMORI T
- Section of Cardiology, Department of Medicine and Geriatrics Kochi Medical School
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- DoI YOSHINORI L.
- Section of Cardiology, Department of Medicine and Geriatrics Kochi Medical School
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- YAMADA MITSUTOSHI
- Section of Cardiology, Department of Medicine and Geriatrics Kochi Medical School
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- TAKATA JUN
- Section of Cardiology, Department of Medicine and Geriatrics Kochi Medical School
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- YONEZAWA YOSHIHIRO
- Section of Cardiology, Department of Medicine and Geriatrics Kochi Medical School
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- OZAWA TOSHIO
- Section of Cardiology, Department of Medicine and Geriatrics Kochi Medical School
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To evaluate the prognosis of patients with coronary artery disease treated medically using dipyridamole thallium scintigraphy, 277 consecutive patients were followed prospectively. During 2.8±1.8 years of follow-up, 21 patients experienced nonfatal myocardial infarction or died from cardiac causes. Stepwise discriminant analysis using clinical and angiographic variables revealed that the combination of ejection fraction, number of diseased vessels, previous myocardial infarction and left ventricular asynergic score was most statistically significant (chi-square=24, p=0.0001) in predicting events. After including scintigraphic findings, the analysis revealed that the combination of negative washout rate, ejection fraction, ST depression during dipyridamole loading, previous myocardial infarction, coronary artery narrowing of >90%, left ventricular asynergic score and number of diseased vessels (chi-square=39, p< 0.0001) was the best predictor of events. These results indicate that the addition of dipyridamole thallium scintigraphic data to established angiographic markers can help better identify patients with coronary artery disease who are at high risk of cardiac events.
収録刊行物
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- Jpn Circ J
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Jpn Circ J 57 851-861, 1993
社団法人日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1571417127078357376
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- NII論文ID
- 110002595810
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- NII書誌ID
- AA00690731
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- ISSN
- 00471828
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- 本文言語コード
- en
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- データソース種別
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- CiNii Articles