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Journals / MN Kardiyoloji / 2002 / Cilt: 9 - Sayı: 5

The role of dobutamine stress echocardiography in women with suspected coronary artery disease: A comparison with myocardial perfusion imaging

Kadınlarda koroner arter hastalığı tanısında Dobutamin-Atropin stres ekokardiyografinin yeri: Egzersiz spect miyokard perfüzyon sintigrafisi ile karşılaştırmalı bir çalışma

Sait DOĞAN
Barış ÖKÇÜN
Türker BARAN
Arat Alev ÖZKAN
İlham TOKATLI
ZERRİN YİĞİT
Serdar KÜÇÜKOĞLU
Pages
330–334
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CONCLUSION: In conclusion diagnostic value of DSE in women with suspected CAD is comparable with MPS.

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: Atypical symptoms as well as different limitations of noninvasive tests like exercise stress test (EST) and myocardial perfusion scintigraphy (MPS) in women make the diagnosis of coronary artery disase in this patient population more difficult.
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Key Findings & Data:MATERIAL AND METHOD: 73 women with suspected CAD underwent DSE, MPS and coronary angiography.
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Conclusion & Impact:CONCLUSION: In conclusion diagnostic value of DSE in women with suspected CAD is comparable with MPS.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Koroner anjiyografi · Tanı teknikleri · kalp damar

Abstract

AIM: Atypical symptoms as well as different limitations of noninvasive tests like exercise stress test (EST) and myocardial perfusion scintigraphy (MPS) in women make the diagnosis of coronary artery disase in this patient population more difficult. This study is designed to estimate the he diagnostic value of another noninvasive test, dobutamine stress echocardiography (DSE) compared to MPS in women with suspected CAD. MATERIAL AND METHOD: 73 women with suspected CAD underwent DSE, MPS and coronary angiography. Accepting coronary angiography as gold standart the results of DSE and MPS were compared. RESULT: Sensitivity, specifity and diagnostic accuracy of DSE and MPS were 76% vs 86%; 87% vs 8% and 82% vs 86% respectively. ROC analysis of kappa values of both tests revealed similar results. The results of both tests corresponded well with angiographic findings. CONCLUSION: In conclusion diagnostic value of DSE in women with suspected CAD is comparable with MPS. DSE gives additional information about ventricular and valvular pathologies that may cause chest pain.

Özet

AMAÇ: Kadın hasta grubunda gerek atipik semptomların sık oluşu gerekse efor testi (ET) ve miyokard perfüzyon sintigrafisi (MPS) gibi noninvaziv yöntemlerin değişik kısıtlılıkları nedeniyle koroner arter hastalığı (KAH) tanısı güçtür. Bu çalışmada kadın hasta grubunda diğer bir noninvaziv yöntem olan dobutamin stres ekokardiyografinin (DSE) KAH tanısındaki yeri MPS ile karşılaştırmalı olarak incelenmiştir. GEREÇ VE YÖNTEM: KAH düşünülen 73 kadın hastaya DSE, MPS ve koroner anjiyografi (KA) yapılmış KA "altın standart" kabul edilerek duyarlılık, özgüllük ve tanısal doğruluk değerleri karşılaştırılmıştır. BULGULAR: Duyarlılık, özgüllük ve tanısal doğruluk DSE ve MPS'de sırasıyla %76 ve %82; %87 ve %88; %82 ve %86 bulunmuştur. Her iki testin kappa değeri ROC analizi ile karşılaştırıldığında sonuçlar benzer bulunmuştur. Ayrıca her iki testin koroner anjiyografi ile uyumu da yüksektir. SONUÇ: Sonuç olarak DSE ve MPS'nin KAH için tanısal özellikleri benzerdir ancak ekokardiyografi ek olarak kapak ve ventrikül fonksiyonlarını da değerlendirerek iskemi dışı göğüs ağrısı nedenlerine de (örn. MVP) ışık tutabilir.

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Cite This Article

DOĞAN, S., ÖKÇÜN, B., BARAN, T., ÖZKAN, A. A., TOKATLI, İ., YİĞİT, Z., KÜÇÜKOĞLU, S. (2002). The role of dobutamine stress echocardiography in women with suspected coronary artery disease: A comparison with myocardial perfusion imaging. MN Kardiyoloji, Cilt: 9 - Sayı: 5, 330–334. https://ajindex.com/articles/297688

References (5)

  1. The American Heart Association Biostatiscal Fact Sheets,Women Papülations. Dallas, American Heart Association, 1997; 1. Kaunel WB, Feinleib M: Natural history of angina pectoris in the Framingham Study. Prognosis and survival. Am J Cardiol 1972; 29:154. Goldberg RJ, O'Donnel C, Yarzebski J, et al: Sex differences in synptom presentation associated with acute myocardial infarction: A population-based perspective. Am Heart J 1998; 136:189. Heinsimer JA, Dewitt CM: Exercise testing in women. J Am Coll Cardiol 1989; 14:1448. Clark PI, Glasser SP, Lyman GH, et al: Relation of results of exercise stress test in young women to phases of the menstrual cycle. Am J Cardiol 1988; 61:197. Barrett-Connor E, Wilcosky T, Wallace RB: Resting and exercise electrocardiography abnormalities associated with sex hormone use in women: The Lipid Research Clinics Program Prevalenve study. Am J Epidemiol 1985; 123:81. Depuey EG,. Garcia EV: Optimal specificity of TI-201 SPECT through recognition of imaging artifacts. J Nucl Med 1989; 30:441-9.
  2. Sawada SG, Segar DS, Ryan T, et al: Echocardiographic detection of coronary artery disease during dobutamine infusion. Circulation 1991; 83:1605. Cohen J, Greene T, Qttenweller J, et al: Dobutamine digital echocardiography for detecting coronary artery disease. Am J Cardiol 1991; 67:1311-8.
  3. Marcowitz PA, Armstrong WF. Accuracy of dobutamine stress echocardiography in detecting coronary artery disease. Am J Cardiol 1992; 69:1269. Wu C-C, Ho YL, Kao H-L, Chen W-J, Lee C-M, Chen M-F, et al: Dobutamine stress echocardiography in detecting coronary artery disease. Cardiology 1996; 87:244-9.
  4. Ho Y-L, Wu C-C, Chao C-L, Lin L-C, Tseng W-K, Chen W-l, et al: Localizing individual coronary artery obstructions with the dobutamine stress echocardiography. Cardiology 1996; 88:197-202.
  5. Boley J. J, Heinle SK, Kisslo J: Dobutamine stress echocardiography: Influence of gender on test accuracy (abstract). J Am Coll Cardiol 1996; 27:404A. Dionisopoulos PN, Collins JD, Smart SC, et al: The value of dobutamine stress echocardiography for the detection of coronary artery disease in women. J Am Soc Echocardiogr 1997; 10:811. Elhendy A, Geleijnse ML, Domburg RT, et al: Gender differences in the accuracy of dobutamine stress echocardiography for the diagnosis of coronary artery disease. Am J Cardiol 1997; 80:1414. Ho YL, Wu CC, Huang PJ, et al: Assessment of coronary artery disease in women by dobutamine stress echocardiography: Comparision with stress TI-201 SPECT an