Valor prognóstico da tomografia miocárdia de perfusäo com raiofármacos ligados ao tecnécio-99m no acompanhamento de pacientes submetidos à primeira cirurgia de revascularizaçäo miocárdia / Prognostic value of technetium-99m-labeled single-photon emission computerized tomography in the follow-up of patients after their first myocardial revascularization surgery
Arq. bras. cardiol
; Arq. bras. cardiol;80(1): 19-30, jan. 2003. tab, graf
Article
em Pt, En
| LILACS
| ID: lil-329078
Biblioteca responsável:
BR1.1
RESUMO
OBJECTIVE:
To assess the prognostic value of Technetium-99m-labeled single-photon emission computerized tomography (SPECT) in the follow-up of patients who had undergone their first myocardial revascularization.METHODS:
We carried out a retrospective study of 280 revascularized patients undergoing myocardial scintigraphy under stress (exercise or pharmacological stress with dipyridamole) and at rest according to a 2-day protocol. A set of clinical, stress electrocardiographic and scintigraphic variables was assessed. Cardiac events were classified as "major" (death, infarction, unstable angina) and "any" (major event or coronary angioplasty or new myocardial revascularization surgery).RESULTS:
Thirty-six major events occurred as follows 3 deaths, 11 infarctions, and 22 unstable anginas. In regard to any event, 22 angioplasties and 7 new surgeries occurred in addition to major events, resulting a total of 65 events. The sensitivity of scintigraphy in prognosticating a major event or any event was, respectively, 55 percent and 58 percent, showing a negative predictive value of 90 percent and 83 percent, respectively. Diabetes mellitus, inconclusive stress electrocardiography, and a scintigraphic visualization of left ventricular enlargement were significant variables for the occurrence of a major event. On multivariate analysis, abnormal myocardial scintigraphy was a predictor of any event.CONCLUSION:
Myocardial perfusion tomography with Technetium-99m may be used to identify high-risk patients after their first myocardial revascularization surgery
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Tomografia Computadorizada de Emissão de Fóton Único
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Tecnécio Tc 99m Sestamibi
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Compostos Radiofarmacêuticos
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Doença das Coronárias
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Infarto do Miocárdio
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Revascularização Miocárdica
Tipo de estudo:
Diagnostic_studies
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Guideline
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Aged80
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Female
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Humans
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Male
Idioma:
En
/
Pt
Revista:
Arq. bras. cardiol
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil