Effect of coronary revascularization in patients with ischemic cardiomyopathy who satisfy viability criteria on gated-SPECT assessment of myocardial perfusion

被引:0
作者
Romero-Farina, Guillermo [1 ]
Candell-Riera, Jaume [1 ]
Aguade-Bruix, Santiago [2 ]
de Leon, Gustavo [1 ]
Castell-Conesa, Joan [2 ]
机构
[1] Univ Autonoma Barcelona, Hosp Univ Vall Hebron, Serv Cardiol, Barcelona 08035, Spain
[2] Univ Autonoma Barcelona, Hosp Univ Vall Hebron, Nucl Med Serv, Barcelona 08035, Spain
来源
REVISTA ESPANOLA DE CARDIOLOGIA | 2008年 / 61卷 / 05期
关键词
ischemic cardiomyopathy; myocardial viability; scintigraphy; revascularization; prognosis;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Study on the effects of coronary revascularization and medical treatment on the prognosis of patients with ischemic cardiomyopathy who satisfy myocardial viability criteria on gated single-photon emission computed tomography (SPECT) assessment of myocardial perfusion. In total, 140 consecutive patients with ischemic cardiomyopathy were studied at rest using gated-SPECT and technetium-labeled contrast agents. During a mean follow-up period of 2.3 years after gated-SPECT, the rate of cardiac death in patients who underwent coronary revascularization (n=50) was 16% compared with 26.7% in those who received medical treatment (n=90). Thus, coronary revascularization had a protective effect (hazard ratio = 0.42; 95% confidence interval, 0.17-1.02) in patients with ischemic cardiomyopathy who satisfied myocardial viability criteria.
引用
收藏
页码:540 / 544
页数:5
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