Association of the positive results of the myocardial perfusion SPECT with
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Abstract
The paper is aimed at establishing the association of the dyslipidemia with the positive results of the myocardial perfusion SPECT, for the optimization of the use. 152 MPSPECT were analyzed, different day, for an average age: 58.32 years, 86 (56.6%), were males. Considerating the presence of dyslipidemia , the patients were divided into two groups: dyslipidemia n=37(24.3%) and not-dyslipidemia, n=115 (75.7%). No significant differences were present in the age average (59.59/57.90 p=0.284), in body mass index (24.85/25.03, p=0.739), nor in the frequency of mature. Therefore , only dyslipidemia contributes to therefore the additional risk. Result: 102 (67.1%) MPSPECT were positive. In the comparison among groups no significant difference in the incidence of positive results was observed (67.60/67.00, p=0.945) and the same situation remained when the groups were subdivided into symptomatic and asymptomatic: As a result of the study, it was concluded that dyslipidemia does not represent a significant risk of ischemic cardiopathy in patient within the ages of risk, therefore there is no significant association with the positive results of the SPECTPM, within patient in ages of risk.
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Rochela Vázquez, L. M., Peix González, A., & Batista Cuellar, J. F. (1). Association of the positive results of the myocardial perfusion SPECT with. Nucleus, (51). Retrieved from http://nucleus.cubaenergia.cu/index.php/nucleus/article/view/562
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Ciencias Nucleares
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23- ROCHELA VÁZQUEZ LM, et. al. Correlación de los resultados del SPECT de Perfusión Miocárdica con 99mTc-MIBI con la presencia de Factores Mayores de Riesgo Aterosclerótico, en pacientes 40 años de edad (resultados preliminares). Alasbimn Journal. 2008; 10(41). Article N° AJ41-3. http://www.alasbimnjournal.cl/
24- PEÑA QUIÁN Y; FERNÁNDEZ BRITTO RODRÍGUEZ J; COCA PÉREZ MA, et. al. Niveles de lípidos en sangre y SPECT de perfusión miocárdica en pacientes diabéticos tipo 2 asintomáticos. Alasbimn Journal. 2006; 8(33).
http://www2.alasbimnjournal.cl/alasbimn/CDA/sec_b/0,1206,SCID%253D17528,00.html
25- SOMAN P, DAVE DM, UDELSON JE, et. al. Vascular endothelial dysfunction is associated with reversible myocardial perfusion defects in the absence of obstructive coronary artery disease. J Nucl Cardiol. 2006; 13(6): 756-60.
26- HOILUND-CARLSEN PF, JOHANSEN A, CHRISTENSEN HW, et. al. Potential impact of myocardial perfusion scintigraphy as gatekeeper for invasive examination and treatment in patients with stable angina pectoris: observational study without post-test referral bias. Eur Heart J. 2006; 27(1): 29-34.
27- HOILUND-CARLSEN PF, JOHANSEN A, VACH W, et. al. High probability of disease in angina pectoris patients: is clinical estimation reliable? Can J Cardiol. 2007; 23(8): 641-7.
28- ELHENDY A, SCHINKEL AF, VAN DOMBURG RT, et. al. Prediction of cardiac death in hypertensive patients with suspected or known coronary artery disease by stress technetium-99m tetrofosmin myocardial perfusion imaging. J Hypertens. 2003; 21(10): 1945-51.
29- ELHENDY A, SCHINKEL AF, VAN DOMBURG RT, et. al. Prognostic value of exercise stress technetium-99m-tetrofosmin myocardial perfusion imaging in patients with normal baseline electrocardiograms. Am J Cardiol. 2006; 98(5): 585-90.
2- NASIFF HADAD A; PÉREZ PÉREZ LM. Primer consenso nacional de dislipoproteinemias: Guía nacional para la prevención, detección, diagnóstico y tratamiento de las dislipoproteinemias. Rev Cubana Endocrinol. 2006; 17
(special suppl).
3- YALCIN H, BALCI DD, UCAR E, et. al. Myocardial perfusion is preserved in patients with psoriasis without clinically evident cardiovascular disease. J Eur Acad Dermatol Venereol. 2009; 23(7): 798-802.
4- MOMOSE M, NAKAJIMA K, NISHIMURA T. Prognostic significance of stress myocardial gated SPECT among Japanese patients referred for coronary angiography: A study of data from the J-ACCESS database. Eur J Nucl Med Mol Imaging. 2009; 36(8): 1329-37.
5- BOUCELMA M, TAHMI M, CHAUDET H, et. al. Assessment of myocardial perfusion in systemic lupus erythematosus. Rev Med Interne. 30(2): 119-24.
6- GIMELLI A, MARZULLO P, L'ABBATE A, ROVAI D. 'False-positive' myocardial perfusion imaging: correlation with cardiovascular risk factors and effect on event-free survival. J Cardiovasc Med (Hagerstown). 2008; 9(7): 707-13.
7- LEE SJ, LEE KH, PARK SM, et. al. Myocardial perfusion defects and coronary risk factors in symptomatic and asymptomatic elderly women. Int J Cardiovasc Imaging. 2008; 24(3): 277-81.
8- ZAFIRAKIS A, KOUTSIKOS I, VELIDAKI A, MABLEKOS G. Semiquantification of pulmonary and hepatic uptake of technetium-99m-tetrofosmin in myocardial perfusion imaging using multiple regions of interest. Multifactorial correlation. Hell J Nucl Med. 2007; 10(2): 129-37.
9- DUARTE PS, MASTROCOLLA LE, ALONSO G, et. al. Association between risk factors for coronary artery disease and coronary disease in patients undergoing myocardial perfusion scintigraphy. Arq Bras Cardiol. 2007; 88(3):
304-13.
10- SELLA EM, SATO EI, LEITE WA, et. al. Myocardial perfusion scintigraphy and coronary disease risk factors in systemic lupus erythematosus. Ann Rheum Dis. 2003; 62(11): 1066-70.
11- OUYANG W, HE GR, LIU JH. Relationship between risk factors for coronary artery disease and thallium-201 myocardial scintigraphy. Di Yi Jun Yi Da Xue Xue Bao. 2002; 22(12): 1123-5.
12- KUSUOKA H, YAMASAKI Y, IZUMI T, et. al. Surveillance study for creating the national clinical database relating to ECG-gated myocardial perfusion SPECT of asymptomatic ischemic heart disease in patients with type-2 diabetes mellitus: J-ACCESS 2 study design. Ann Nucl Med. 2008; 22(1): 13-21.
13- AL-ATTAR AT, MAHUSSAIN SA, SADANANDAN S. Cardiac tests in asymptomatic type 2 diabetics. Med Princ Pract. 2002; 11(4): 171-5.
14- MOSER KW, O'KEEFE JH Jr, BATEMAN TM, MCGHIE IA. Coronary calcium screening in asymptomatic patients as a guide to risk factor modification and stress myocardial perfusion imaging. J Nucl Cardiol. 2003; 10(6):590-8. Comment in: J Nucl Cardiol. 2003; 10(6): 692-5.
15- COMA-CANELLA I, MARTINEZ-CARO D, COSIN-SALES J, et. al. Clandestine ischemia in patients with vasospastic angina. Coron Artery Dis. 2000; 11(5): 383-90.
16- CANDELL-RIERA J, SANTANA-BOADO C, BERMEJO B, et. al. Prognosis of"clandestine" myocardial ischemia, silent myocardial ischemia, and angina pectoris in medically treated patients. Am J Cardiol. 1998; 82(11): 1333-8.
17- EBER B, LIND P, DUSLEAG J, et. al. Tl-201 myocardial SPECT in silent myocardial ischemia and angiographically proven coronary heart disease. Wien Klin Wochenschr. 1989; 101(17): 574-9.
18- WILLIAMS KA, TAILLON LA, CARTER JE Jr. Asymptomatic and electrically silent myocardial ischemia during upright leg cycle ergometry and treadmill exercise (clandestine myocardial ischemia). Am J Cardiol. 1993; 72(15): 1114- 20.
19- VALENSI P, PARIES J, BRULPORT-CERISIER V, et. al. Predictive value of silent myocardial ischemia for cardiac events in diabetic patients: influence of age in a French multicenter study. Diabetes Care. 2005; 28(11): 722-7.
20- NOBLE GL, HELLER GV. Single-photon emission computed tomography myocardial perfusion imaging in patients with diabetes. Curr Cardiol Rep. 2005; 7(2): 117-23.
21- ACAMPA W, SPINELLI L, PETRETTA M, et. al. Prognostic value of myocardial ischemia in patients with uncomplicated acute myocardial infarction: direct comparison of stress echocardiography and myocardial perfusion imaging. J Nucl Med. 2005; 46(3): 417-23.
22- BERMAN DS, KANG X, HAYES SW, et. al. Adenosine myocardial perfusion single-photon emission computed tomography in women compared with men. Impact of diabetes mellitus on incremental prognostic value and effect on patient management. J Am Coll Cardiol. 2003; 41(7): 1125-33.
23- ROCHELA VÁZQUEZ LM, et. al. Correlación de los resultados del SPECT de Perfusión Miocárdica con 99mTc-MIBI con la presencia de Factores Mayores de Riesgo Aterosclerótico, en pacientes 40 años de edad (resultados preliminares). Alasbimn Journal. 2008; 10(41). Article N° AJ41-3. http://www.alasbimnjournal.cl/
24- PEÑA QUIÁN Y; FERNÁNDEZ BRITTO RODRÍGUEZ J; COCA PÉREZ MA, et. al. Niveles de lípidos en sangre y SPECT de perfusión miocárdica en pacientes diabéticos tipo 2 asintomáticos. Alasbimn Journal. 2006; 8(33).
http://www2.alasbimnjournal.cl/alasbimn/CDA/sec_b/0,1206,SCID%253D17528,00.html
25- SOMAN P, DAVE DM, UDELSON JE, et. al. Vascular endothelial dysfunction is associated with reversible myocardial perfusion defects in the absence of obstructive coronary artery disease. J Nucl Cardiol. 2006; 13(6): 756-60.
26- HOILUND-CARLSEN PF, JOHANSEN A, CHRISTENSEN HW, et. al. Potential impact of myocardial perfusion scintigraphy as gatekeeper for invasive examination and treatment in patients with stable angina pectoris: observational study without post-test referral bias. Eur Heart J. 2006; 27(1): 29-34.
27- HOILUND-CARLSEN PF, JOHANSEN A, VACH W, et. al. High probability of disease in angina pectoris patients: is clinical estimation reliable? Can J Cardiol. 2007; 23(8): 641-7.
28- ELHENDY A, SCHINKEL AF, VAN DOMBURG RT, et. al. Prediction of cardiac death in hypertensive patients with suspected or known coronary artery disease by stress technetium-99m tetrofosmin myocardial perfusion imaging. J Hypertens. 2003; 21(10): 1945-51.
29- ELHENDY A, SCHINKEL AF, VAN DOMBURG RT, et. al. Prognostic value of exercise stress technetium-99m-tetrofosmin myocardial perfusion imaging in patients with normal baseline electrocardiograms. Am J Cardiol. 2006; 98(5): 585-90.