Two-dimensional Doppler echocardiographic correlation of dipyridamole-thallium stress testing with isometric handgrip
To determine how frequently new wall-motion abnormalities that are indicative of ischemia accompany thallium redistribution, 47 consecutive patients underwent two-dimensional echocardiography during routine dipyridamole-thallium stress testing. A secondary aim of the study was to determine whether t...
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| Veröffentlicht in: | The American heart journal 1991-05, Vol.121 (5), p.1367-1373 |
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| creator | Whitfield, Steven Aurigemma, Gerard Pape, Linda Leppo, Jeffrey |
| description | To determine how frequently new wall-motion abnormalities that are indicative of ischemia accompany thallium redistribution, 47 consecutive patients underwent two-dimensional echocardiography during routine dipyridamole-thallium stress testing. A secondary aim of the study was to determine whether the addition of isometric handgrip exercises to the standard dipyridamole imaging protocol increased the frequency of wall-motion abnormalities or thallium redistribution. Echocardiograms and thallium scans were independently interpreted, and wall-motion abnormalities that appeared with dipyridamole, handgrip exercise, or both were compared with results of thallium imaging. Five of 24 patients with thallium redistribution had new wall-motion abnormalities, and the extent (number of segments) of thallium redistribution in these five patients was significantly greater than in those who did not have wall-motion abnormalities (
p < 0.03). The addition of isometric handgrip exercises to the imaging protocol did not distinguish between patients with and without new wall-motion abnormalities or thallium redistribution. Thus new wall-motion abnormalities infrequently accompany thallium redistribution in routine dipyridamole stress testing in spite of the addition of handgrip exercises, but when new wall-motion abnormalites are present, they are associated with a greater area of thallium redistribution. |
| doi_str_mv | 10.1016/0002-8703(91)90140-D |
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p < 0.03). The addition of isometric handgrip exercises to the imaging protocol did not distinguish between patients with and without new wall-motion abnormalities or thallium redistribution. Thus new wall-motion abnormalities infrequently accompany thallium redistribution in routine dipyridamole stress testing in spite of the addition of handgrip exercises, but when new wall-motion abnormalites are present, they are associated with a greater area of thallium redistribution.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/0002-8703(91)90140-D</identifier><identifier>PMID: 2017969</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>550601 - Medicine- Unsealed Radionuclides in Diagnostics ; Biological and medical sciences ; BODY ; Cardiology. Vascular system ; CARDIOVASCULAR AGENTS ; CARDIOVASCULAR DISEASES ; CARDIOVASCULAR SYSTEM ; Coronary Disease - diagnosis ; Coronary heart disease ; CORRELATIONS ; COUNTING TECHNIQUES ; DIAGNOSIS ; DIAGNOSTIC TECHNIQUES ; Dipyridamole ; DISEASES ; DRUGS ; Echocardiography, Doppler ; Evaluation Studies as Topic ; Exercise Test - methods ; Female ; HEART ; Heart - diagnostic imaging ; Humans ; IMAGE PROCESSING ; ISOTOPES ; Male ; Medical sciences ; Middle Aged ; Myocardial Contraction - physiology ; ORGANS ; PATIENTS ; PROCESSING ; RADIOISOTOPE SCANNING ; RADIOLOGY AND NUCLEAR MEDICINE ; Radionuclide Imaging ; SCINTISCANNING ; Space life sciences ; THALLIUM ISOTOPES ; Thallium Radioisotopes ; ULTRASONOGRAPHY ; VASODILATORS</subject><ispartof>The American heart journal, 1991-05, Vol.121 (5), p.1367-1373</ispartof><rights>1990</rights><rights>1991 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-32237956e33e3a30f67a19261bb49d6614eba34ffcf71c600ff479b2251726183</citedby><cites>FETCH-LOGICAL-c329t-32237956e33e3a30f67a19261bb49d6614eba34ffcf71c600ff479b2251726183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/000287039190140D$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19707730$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2017969$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/5683214$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Whitfield, Steven</creatorcontrib><creatorcontrib>Aurigemma, Gerard</creatorcontrib><creatorcontrib>Pape, Linda</creatorcontrib><creatorcontrib>Leppo, Jeffrey</creatorcontrib><title>Two-dimensional Doppler echocardiographic correlation of dipyridamole-thallium stress testing with isometric handgrip</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>To determine how frequently new wall-motion abnormalities that are indicative of ischemia accompany thallium redistribution, 47 consecutive patients underwent two-dimensional echocardiography during routine dipyridamole-thallium stress testing. A secondary aim of the study was to determine whether the addition of isometric handgrip exercises to the standard dipyridamole imaging protocol increased the frequency of wall-motion abnormalities or thallium redistribution. Echocardiograms and thallium scans were independently interpreted, and wall-motion abnormalities that appeared with dipyridamole, handgrip exercise, or both were compared with results of thallium imaging. Five of 24 patients with thallium redistribution had new wall-motion abnormalities, and the extent (number of segments) of thallium redistribution in these five patients was significantly greater than in those who did not have wall-motion abnormalities (
p < 0.03). The addition of isometric handgrip exercises to the imaging protocol did not distinguish between patients with and without new wall-motion abnormalities or thallium redistribution. Thus new wall-motion abnormalities infrequently accompany thallium redistribution in routine dipyridamole stress testing in spite of the addition of handgrip exercises, but when new wall-motion abnormalites are present, they are associated with a greater area of thallium redistribution.</description><subject>550601 - Medicine- Unsealed Radionuclides in Diagnostics</subject><subject>Biological and medical sciences</subject><subject>BODY</subject><subject>Cardiology. Vascular system</subject><subject>CARDIOVASCULAR AGENTS</subject><subject>CARDIOVASCULAR DISEASES</subject><subject>CARDIOVASCULAR SYSTEM</subject><subject>Coronary Disease - diagnosis</subject><subject>Coronary heart disease</subject><subject>CORRELATIONS</subject><subject>COUNTING TECHNIQUES</subject><subject>DIAGNOSIS</subject><subject>DIAGNOSTIC TECHNIQUES</subject><subject>Dipyridamole</subject><subject>DISEASES</subject><subject>DRUGS</subject><subject>Echocardiography, Doppler</subject><subject>Evaluation Studies as Topic</subject><subject>Exercise Test - methods</subject><subject>Female</subject><subject>HEART</subject><subject>Heart - diagnostic imaging</subject><subject>Humans</subject><subject>IMAGE PROCESSING</subject><subject>ISOTOPES</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Contraction - physiology</subject><subject>ORGANS</subject><subject>PATIENTS</subject><subject>PROCESSING</subject><subject>RADIOISOTOPE SCANNING</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Radionuclide Imaging</subject><subject>SCINTISCANNING</subject><subject>Space life sciences</subject><subject>THALLIUM ISOTOPES</subject><subject>Thallium Radioisotopes</subject><subject>ULTRASONOGRAPHY</subject><subject>VASODILATORS</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUuLFDEUhYMoYzv6DxQKQdFFaV6dVDaCTPuCATfjOqRSN12RVKVMUg7z703ZzbhzFcL97uHccxB6TvA7gol4jzGmbScxe6PIW4UJx-3hAdoRrGQrJOcP0e4eeYye5PyzfgXtxAW6oJhIJdQOrTe3sR38BHP2cTahOcRlCZAasGO0Jg0-HpNZRm8bG1OCYErlmuiawS93yQ9migHaMpoQ_Do1uSTIuSmQi5-Pza0vY-NznKCkKjGaeTgmvzxFj5wJGZ6d30v04_Onm6uv7fX3L9-uPl63llFVWkYpk2ovgDFghmEnpCGKCtL3XA1CEA69Ydw56ySxAmPnuFQ9pXsiK9WxS_TypBurHZ2tL_UsG-cZbNF70TFKeIVen6AlxV9rNa4nny2EYGaIa9YdrnKEqgryE2hTzDmB00vyk0l3mmC9VaK3vPWWt1ZE_61EH-rai7P-2k8w3C-dO6jzV-e5ydYEl8xsff6nrSSWkuHKfThxUBP77SFtB8FsYfBpu2eI_v9G_gD_Rakx</recordid><startdate>199105</startdate><enddate>199105</enddate><creator>Whitfield, Steven</creator><creator>Aurigemma, Gerard</creator><creator>Pape, Linda</creator><creator>Leppo, Jeffrey</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>199105</creationdate><title>Two-dimensional Doppler echocardiographic correlation of dipyridamole-thallium stress testing with isometric handgrip</title><author>Whitfield, Steven ; Aurigemma, Gerard ; Pape, Linda ; Leppo, Jeffrey</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-32237956e33e3a30f67a19261bb49d6614eba34ffcf71c600ff479b2251726183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>550601 - Medicine- Unsealed Radionuclides in Diagnostics</topic><topic>Biological and medical sciences</topic><topic>BODY</topic><topic>Cardiology. Vascular system</topic><topic>CARDIOVASCULAR AGENTS</topic><topic>CARDIOVASCULAR DISEASES</topic><topic>CARDIOVASCULAR SYSTEM</topic><topic>Coronary Disease - diagnosis</topic><topic>Coronary heart disease</topic><topic>CORRELATIONS</topic><topic>COUNTING TECHNIQUES</topic><topic>DIAGNOSIS</topic><topic>DIAGNOSTIC TECHNIQUES</topic><topic>Dipyridamole</topic><topic>DISEASES</topic><topic>DRUGS</topic><topic>Echocardiography, Doppler</topic><topic>Evaluation Studies as Topic</topic><topic>Exercise Test - methods</topic><topic>Female</topic><topic>HEART</topic><topic>Heart - diagnostic imaging</topic><topic>Humans</topic><topic>IMAGE PROCESSING</topic><topic>ISOTOPES</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Contraction - physiology</topic><topic>ORGANS</topic><topic>PATIENTS</topic><topic>PROCESSING</topic><topic>RADIOISOTOPE SCANNING</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Radionuclide Imaging</topic><topic>SCINTISCANNING</topic><topic>Space life sciences</topic><topic>THALLIUM ISOTOPES</topic><topic>Thallium Radioisotopes</topic><topic>ULTRASONOGRAPHY</topic><topic>VASODILATORS</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Whitfield, Steven</creatorcontrib><creatorcontrib>Aurigemma, Gerard</creatorcontrib><creatorcontrib>Pape, Linda</creatorcontrib><creatorcontrib>Leppo, Jeffrey</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Whitfield, Steven</au><au>Aurigemma, Gerard</au><au>Pape, Linda</au><au>Leppo, Jeffrey</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Two-dimensional Doppler echocardiographic correlation of dipyridamole-thallium stress testing with isometric handgrip</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>1991-05</date><risdate>1991</risdate><volume>121</volume><issue>5</issue><spage>1367</spage><epage>1373</epage><pages>1367-1373</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>To determine how frequently new wall-motion abnormalities that are indicative of ischemia accompany thallium redistribution, 47 consecutive patients underwent two-dimensional echocardiography during routine dipyridamole-thallium stress testing. A secondary aim of the study was to determine whether the addition of isometric handgrip exercises to the standard dipyridamole imaging protocol increased the frequency of wall-motion abnormalities or thallium redistribution. Echocardiograms and thallium scans were independently interpreted, and wall-motion abnormalities that appeared with dipyridamole, handgrip exercise, or both were compared with results of thallium imaging. Five of 24 patients with thallium redistribution had new wall-motion abnormalities, and the extent (number of segments) of thallium redistribution in these five patients was significantly greater than in those who did not have wall-motion abnormalities (
p < 0.03). The addition of isometric handgrip exercises to the imaging protocol did not distinguish between patients with and without new wall-motion abnormalities or thallium redistribution. Thus new wall-motion abnormalities infrequently accompany thallium redistribution in routine dipyridamole stress testing in spite of the addition of handgrip exercises, but when new wall-motion abnormalites are present, they are associated with a greater area of thallium redistribution.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>2017969</pmid><doi>10.1016/0002-8703(91)90140-D</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0002-8703 |
| ispartof | The American heart journal, 1991-05, Vol.121 (5), p.1367-1373 |
| issn | 0002-8703 1097-6744 |
| language | eng |
| recordid | cdi_osti_scitechconnect_5683214 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | 550601 - Medicine- Unsealed Radionuclides in Diagnostics Biological and medical sciences BODY Cardiology. Vascular system CARDIOVASCULAR AGENTS CARDIOVASCULAR DISEASES CARDIOVASCULAR SYSTEM Coronary Disease - diagnosis Coronary heart disease CORRELATIONS COUNTING TECHNIQUES DIAGNOSIS DIAGNOSTIC TECHNIQUES Dipyridamole DISEASES DRUGS Echocardiography, Doppler Evaluation Studies as Topic Exercise Test - methods Female HEART Heart - diagnostic imaging Humans IMAGE PROCESSING ISOTOPES Male Medical sciences Middle Aged Myocardial Contraction - physiology ORGANS PATIENTS PROCESSING RADIOISOTOPE SCANNING RADIOLOGY AND NUCLEAR MEDICINE Radionuclide Imaging SCINTISCANNING Space life sciences THALLIUM ISOTOPES Thallium Radioisotopes ULTRASONOGRAPHY VASODILATORS |
| title | Two-dimensional Doppler echocardiographic correlation of dipyridamole-thallium stress testing with isometric handgrip |
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