Comparison of exercise stress testing with simultaneous dobutamine stress echocardiography and technetium-99m isonitrile single-photon emission computerized tomography for diagnosis of coronary artery disease

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Kisacik H., Ozdemir K., Altinyay E., Oguzhan A., Kural T., KIR K. M., ...Daha Fazla

EUROPEAN HEART JOURNAL, cilt.17, sa.1, ss.113-119, 1996 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 17 Sayı: 1
  • Basım Tarihi: 1996
  • Doi Numarası: 10.1093/oxfordjournals.eurheartj.a014669
  • Dergi Adı: EUROPEAN HEART JOURNAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.113-119
  • Anahtar Kelimeler: stress echocardiography, technetium-99m isonitrile single-photon emission computed tomography, dobutamine, exercise, PERFUSION SCINTIGRAPHY, MYOCARDIAL-ISCHEMIA, DIPYRIDAMOLE
  • Ankara Üniversitesi Adresli: Evet

Özet

The object of our study was to compare the value of exercise stress testing with simultaneous dobutamine stress echocardiography and technetium-99m isonitrile single-photon emission computed tomography for the diagnosis of coronary artery disease. Sixty-nine patients with either suspected or proven coronary artery disease underwent simultaneous dobutamine technetium-99m isonitrile single-photon emission computed tomography and stress echocardiography, and treadmill exercise electrocardiography. Dobutamine echocardiography and technetium-99m isonitrile single-photon emission computed tomography revealed a higher overall sensitivity than exercise testing (94 vs 60%, P<0.001), but dobutamine stress echocardiography showed a higher specificity than both technetium-99m isonitrile single-photon emission computed tomography and exercise testing (86 vs 64%, P<.005, for both tests). In addition, the diagnostic accuracy of dobutamine stress echocardiography and technetium-99m isonitrile single-photon emission computed tomography was higher than that of exercise testing (91 vs 61%, P<0.001; 86 vs 61%, P<0.001, respectively).