Comparison of exercise stress testing with dobutamine stress echocardiography and exercise technetium-99m isonitrile single photon emission computerized tomography for diagnosis of coronary artery disease

被引:0
|
作者
Oguzhan, A [1 ]
Kisacik, HL [1 ]
Ozdemir, K [1 ]
Altunkeser, BB [1 ]
Durmaz, T [1 ]
Altinyay, E [1 ]
Kural, T [1 ]
Korkmaz, S [1 ]
Kir, M [1 ]
Kutuk, E [1 ]
Goksel, S [1 ]
机构
[1] ANKARA YUKSEK IHTISAS HOSP,DEPT CARDIOL,ANKARA,TURKEY
来源
JAPANESE HEART JOURNAL | 1997年 / 38卷 / 03期
关键词
dobutamine; exercise; stress echocardiography; technetium 99m isonitrile single-photon emission computed tomography;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To compare the value of exercise electrocardiography with dobutamine stress echocardiography and exercise technetium-99m isonitrile single-photon emission computed tomography for coronary artery disease, 70 patients with either suspected or proven coronary artery disease underwent dobutamine stress echocardiography, exercise technetium-99m isonitrile single-photon emission computed tomography (mibi-SPECT) and treadmill exercise electrocardiography (EGG). Dobutamine echocardiography and exercise mibi-SPECT revealed a higher overall sensitivitiy than exercise testing (90 vs 57%, p < 0.001; 96 vs 57%, P < 0.001, respectively). Dobutamine stress echocardiography showed a higher specificity than both exercise mibi-SPECT and treadmill exercise electrocardiography (90 vs 71%, P > 0.05; 90 and 62% p < 0.05, respectively) but the difference between dobutamine stress echocardiography and exercise mibi-SPECT was not statistically significant. Diagnostic accuracy of dobutamine stress echocardiography and exercise mibi-SPECT was higher than that of exercise testing (90 vs 59%, P < 0.001; 89 vs 59%, P < 0.001, respectively). Dobutamine stress echocardiography and exercise mibi-SPECT have superiority over exercise testing in the diagnosis of coronary artery disease and dobutamine stress echocardiography is an alternative for exercise mibi-SPECT.
引用
收藏
页码:333 / 344
页数:12
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