Clinical Outcomes After Both Coronary Calcium Scanning and Exercise Myocardial Perfusion Scintigraphy

Rozanski, Alan; Gransar, Heidi; Wong, Nathan D.; Shaw, Leslee J.; Miranda-Peats, Romalisa; Polk, Donna M.; Hayes, Sean W.; Friedman, John D.; Berman, Daniel S.

doi:10.1016/j.jacc.2006.12.035

Cited by 129 publications

(77 citation statements)

References 41 publications

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“…Rogandi et al (34) found no increase in cardiac events at a mean of 32 mo in 1,089 nonischemic patients with high cardiac calcium scores (.1,000). However, in a study of more than 1,000 patients followed for nearly 7 y (35), cardiac events increased with high cardiac calcium score (.400) in patients with both normal and abnormal SPECT results, with separation of survival curves at 3 y for cardiac events and 5 y for death or MI.…”

Section: Contemporaneous Coronary Calcium Screeningmentioning

confidence: 97%

Myocardial Perfusion Imaging for Preoperative Risk Stratification: TABLE 1

Weinstein¹,

Steingart²

2011

J Nucl Med

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Learning Objectives: On successful completion of this activity, participants should be able to (1) describe the role of myocardial perfusion imaging in preoperative risk assessment and (2) integrate current guidelines into the application of preoperative myocardial perfusion imaging.Financial Disclosure: The authors of this article have indicated no relevant relationships that could be perceived as a real or apparent conflict of interest. CME Credit: SNM is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing education for physicians. SNM designates each JNM continuing education article for a maximum of 1.0 AMA PRA Category 1 Credit. Physicians should claim only credit commensurate with the extent of their participation in the activity.For CE credit, participants can access this activity through the SNM Web site (http://www.snm.org/ce_online) through May 2012.This review considers the changing nature of surgical risk assessment and the definition of risk; discusses the pathophysiology of perioperative myocardial infarction in relation to tests of coronary flow reserve; surveys the extensive literature on preoperative myocardial perfusion imaging (MPI) and outlines key trends; presents practical points on image interpretation; addresses the needs of special populations; compares MPI with other modalities; and integrates recommendations from practice guidelines on the effective use of MPI in the preoperative patient.

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Section: Contemporaneous Coronary Calcium Screeningmentioning

confidence: 97%

Myocardial Perfusion Imaging for Preoperative Risk Stratification: TABLE 1

Weinstein¹,

Steingart²

2011

J Nucl Med

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“…More importantly, a normal perfusion scan is associated with a good prognostic outcome, even in the presence of extensive coronary atherosclerosis. 18 The findings of the study by Adamu et al suggest that the converse is also true, i.e., not only is it possible to see severe perfusion defects in patients without anatomically significant coronary lesions, but such defects are also of prognostic importance.…”

Section: Discordance Between the Anatomical And Functional Aspects Ofmentioning

confidence: 99%

Abnormal myocardial perfusion in the absence of anatomically significant coronary artery disease: Implications and clinical significance

Venuraju

Yerramasu

Lahiri

2010

Journal of Nuclear Cardiology

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“…The other study of false-negative MPI results in patients with a very high CAC score of >1,000 was by Ghadri et al [29] whose patients underwent ICA. Singlevessel disease was more prevalent in the study by Ghadri [31] assessed the frequency of cardiac death and myocardial infarction over a mean follow-up of 32±16 months in 1,153 patients undergoing both CAC scanning and MPI. Of these patients, 140 (28 ischemic, 112 nonischemic) had a CAC score>1,000.…”

Section: Index Casementioning

confidence: 99%