Assessment of thallium scintigraphy and echocardiography during dobutamine infusion for the detection of coronary artery disease
Dobutamine infusion was performed in 16 patients following cardiac catheterization, and non‐invasive assessment was performed with thallium SPECT and echocardiography. Dobutamine thallium scintigraphy was abnormal in 93% of patients with significant coronary artery disease. In addition, individual e...
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| Veröffentlicht in: | Catheterization and cardiovascular diagnosis 1993-06, Vol.29 (2), p.122-127 |
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| container_title | Catheterization and cardiovascular diagnosis |
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| creator | Warner, Mark F. Pippin, John J. Disciascio, Germano Paulsen, Walter H. J. Arrowood, James A. Tatum, James L. Goudreau, Evelyne Vetrovec, George W. |
| description | Dobutamine infusion was performed in 16 patients following cardiac catheterization, and non‐invasive assessment was performed with thallium SPECT and echocardiography. Dobutamine thallium scintigraphy was abnormal in 93% of patients with significant coronary artery disease. In addition, individual epicardial vessel involvement was identified by a corresponding perfusion defect with 88% sensitivity and 93% specificity. Dobutamine echocardiography revealed segmental wall motion abnormalities in 62% of patients with significant coronary disease. However, in six patients baseline segmental wall motion abnormalities on echocardiography improved during dobutamine infusion. Dobutamine thallium SPECT is a safe and useful test for the detection and localization of coronary artery disease. Dobutamine echocardiography is less useful in screening for coronary disease, but may detect areas of abnormally functioning myocardium having retained viability. © 1993 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/ccd.1810290207 |
| format | Article |
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Dobutamine thallium SPECT is a safe and useful test for the detection and localization of coronary artery disease. Dobutamine echocardiography is less useful in screening for coronary disease, but may detect areas of abnormally functioning myocardium having retained viability. © 1993 Wiley‐Liss, Inc.</description><identifier>ISSN: 0098-6569</identifier><identifier>EISSN: 1097-0304</identifier><identifier>DOI: 10.1002/ccd.1810290207</identifier><identifier>PMID: 8348596</identifier><identifier>CODEN: CCDIDC</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Biological and medical sciences ; cardiac catheterization ; cardiac ultrasound ; Cardiology. 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Dobutamine echocardiography revealed segmental wall motion abnormalities in 62% of patients with significant coronary disease. However, in six patients baseline segmental wall motion abnormalities on echocardiography improved during dobutamine infusion. Dobutamine thallium SPECT is a safe and useful test for the detection and localization of coronary artery disease. Dobutamine echocardiography is less useful in screening for coronary disease, but may detect areas of abnormally functioning myocardium having retained viability. © 1993 Wiley‐Liss, Inc.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>cardiac catheterization</subject><subject>cardiac ultrasound</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Angiography</subject><subject>Coronary Circulation - drug effects</subject><subject>Coronary Circulation - physiology</subject><subject>Coronary Disease - diagnosis</subject><subject>Coronary Disease - physiopathology</subject><subject>Coronary heart disease</subject><subject>Dobutamine - adverse effects</subject><subject>Echocardiography - drug effects</subject><subject>Exercise Test - drug effects</subject><subject>Female</subject><subject>Heart</subject><subject>Hemodynamics - drug effects</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Infusions, Intravenous</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - physiopathology</subject><subject>nuclear cardiology</subject><subject>Thallium Radioisotopes</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><issn>0098-6569</issn><issn>1097-0304</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDFvFDEQhS0ECpdAS4fkgnaP8dpe22V0kIQoIooURGl5bW_OsGuf7F2RdPx0HN3pEBXVSDPvezPzEHpHYE0A2o_WujWRBFoFLYgXaEVAiQYosJdoBaBk0_FOvUanpfwAANZRdoJOJGWSq26Ffp-X4kuZfJxxGvC8NeMYlgkXG-IcHrLZbZ-wiQ57u03WZBfSoemWHOIDdqlfZjOF6HGIw1JCinhIuTp57Pzs7fzcqdY25RRNrm559rW4ULwp_g16NZix-LeHeoa-XXy-31w1N7eXXzbnN43l0IqmU1KAJIP3rSGOCisMV7Rre8ddL6nh3DE2AFDWKyOIsfVRwmRXofoxMHqG1ntfm1Mp2Q96l8NU79EE9HOSuiap_yZZgfd7YLf0k3dH-SG6Ov9wmJtizThkE20oRxmTLRfAq0ztZb_C6J_-s1RvNp_-OaHZs6HM_vHImvxTd4IKrr9_vdR37fXdNeNSE_oHFjCdKw</recordid><startdate>199306</startdate><enddate>199306</enddate><creator>Warner, Mark F.</creator><creator>Pippin, John J.</creator><creator>Disciascio, Germano</creator><creator>Paulsen, Walter H. 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| ispartof | Catheterization and cardiovascular diagnosis, 1993-06, Vol.29 (2), p.122-127 |
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| source | MEDLINE; Wiley Online Library |
| subjects | Adult Aged Biological and medical sciences cardiac catheterization cardiac ultrasound Cardiology. Vascular system Coronary Angiography Coronary Circulation - drug effects Coronary Circulation - physiology Coronary Disease - diagnosis Coronary Disease - physiopathology Coronary heart disease Dobutamine - adverse effects Echocardiography - drug effects Exercise Test - drug effects Female Heart Hemodynamics - drug effects Hemodynamics - physiology Humans Infusions, Intravenous Male Medical sciences Middle Aged Myocardial Infarction - diagnosis Myocardial Infarction - physiopathology nuclear cardiology Thallium Radioisotopes Tomography, Emission-Computed, Single-Photon |
| title | Assessment of thallium scintigraphy and echocardiography during dobutamine infusion for the detection of coronary artery disease |
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