Utility of stress testing and coronary calcification measurement for detection of coronary artery disease in women

Archives of Internal Medicine

Volumn 164, Issue 15, 2004, Pages 1610-1620

  Nasir, Khurram ^a   Redberg, Rita F ^b   Budoff, Matthew J ^c   Hui, Elaine ^d   Post, Wendy S ^a   Blumenthal, Roger S ^a  

^a JOHNS HOPKINS HOSPITAL   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADENOSINE; DIPYRIDAMOLE; DOBUTAMINE; METHOXY ISOBUTYL ISONITRILE TECHNETIUM TC 99M; THALLIUM 201;

ADULT; AGED; ANGIOCARDIOGRAPHY; ARTERY CALCIFICATION; CORONARY ARTERY DISEASE; COST EFFECTIVENESS ANALYSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; ELECTRON BEAM TOMOGRAPHY; EXERCISE ELECTROCARDIOGRAPHY; EXERCISE TEST; FEMALE; FUNCTIONAL ASSESSMENT; HIGH RISK POPULATION; HUMAN; MAJOR CLINICAL STUDY; NON INVASIVE MEASUREMENT; PRIORITY JOURNAL; PROGNOSIS; REVIEW; SENSITIVITY AND SPECIFICITY; SEX DIFFERENCE; SYMPTOMATOLOGY; THORAX PAIN; TREADMILL;

ALGORITHMS; CALCINOSIS; CARDIOMYOPATHIES; CORONARY DISEASE; COST-BENEFIT ANALYSIS; EXERCISE TEST; FEMALE; HUMANS; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 3843112246     PISSN: 00039926     EISSN: None     Source Type: Journal    
DOI: 10.1001/archinte.164.15.1610     Document Type: Review

References (91)

1. Herlitz J, Bang A, Karlson BW, Hartford M. Is there a gender difference in the etiology of chest pain and symptoms associated with acute myocardial infarction? Eur J Emerg Med. 1999;6:311-315.
2. Shaw LJ, Miller DD, Romeis JC, Kargl D, Younis LT, Chaitman BR. Gender differences in the noninvasive evaluation and management of patients with suspected coronary artery disease. Ann Intern Med. 1994;120:559-566.
3. Gibbons RJ, Balady GJ, Timothy Bricker J, et al. ACC/AHA 2002 guideline update for exercise testing: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines). J Am Coll Cardiol. 2002;40:1531-1540.
4. Williams SV, Fihn S, Gibbons RJ. Guidelines for the management of patients with chronic stable angina: diagnosis and risk stratification. Ann Intern Med. 2001;135:530-547.
5. Shaw LJ, Peterson ED, Shaw LK, et al. Use of a prognostic treadmill score in identifying diagnostic coronary disease subgroups. Circulation. 1998;98:1622-1630.
6. Alexander KP, Shaw LJ, Shaw LK, Delong ER, Mark DB, Peterson ED. Value of exercise treadmill testing in women. J Am Coll Cardiol. 1998;32:1657-1664.
7. Shaw LJ, Hachamovitch R, Peterson ED, et al. Using an outcomes-based approach to identify candidates for risk stratification after exercise treadmill testing. J Gen Intern Med. 1999;14:1-9.
8. Kwok JM, Miller TD, Hodge DO, Gibbons RJ. Prognostic value of the Duke treadmill score in the elderly. J Am Coll Cardlol. 2002;39:1475-1481.
9. Shaw LJ, Miller DD, Romeis JC, Kargl D, Younis LT, Chaitman BR. Gender differences in the noninvasive evaluation and management of patients with suspected coronary artery disease. Ann Intern Med. 1994;120:559-566.
10. Sketch MH, Mohiuddin SM, Lynch JD, Zencka AE, Runco V. Significant sex differences in the correlation of electrocardiographic exercise testing and coronary arteriograms. Am J Cardiol. 1975;36:169-173.
11. Barolsky SM, Gilbert CA, Faruqui A, Nutter DO, Schilant RC. Differences in electrocardiographic response to exercise of women and men: a non-Bayesian factor. Circulation. 1979;60:1021-1027.
12. Weiner DA, Ryan TJ, McCabe CH, et al. Exercise stress testing: correlations among history of angina, ST-segment response and prevalence of coronary-artery disease in the Coronary Artery Surgery Study (CASS). N Engl J Med. 1979;301:230-235.
13. Guiteras P, Chaitman BR, Waters DD, et al. Diagnostic accuracy of exercise ECG lead systems in clinical subsets of women. Circulation. 1982;65:1465-1474.
14. Hung J, Chaitman BR, Lam J, et al. Noninvasive diagnostic test choices for the evaluation of coronary artery disease in women: a multivariate comparison of cardiac fluoroscopy, exercise electrocardiography and exercise thallium myocardial perfusion scintigraphy. J Am Coll Cardiol. 1984;4:8-16.
15. Pratt CM, Francis MJ, Divine GW, Young JB. Exercise testing in women with chest pain: are there additional exercise characteristics that predict true positive test results? Chest. 1989;95:139-144.
16. Hlatky MA, Pryor DB, Harrell FE Jr, Califf RM, Mark DB, Rosati RA. Factors affecting sensitivity and specificity of exercise electrocardiography: multivariable analysis. Am J Med. 1984;77:64-71.
17. Kwok Y, Kim C, Grady D, Segal M, Redberg R. Meta-analysis of exercise testing to detect coronary artery disease in women. Am J Cardiol. 1999;83:660-666.
18. Tavel ME. Stress testing in cardiac evaluation: current concepts with emphasis on the ECG. Chest. 2001;119:907-925.
19. Roger VL, Pellikka PA, Bell MR, Chow CW, Bailey KR, Seward JB. Sex and test verification bias: impact on the diagnostic value of exercise echocardiography. Circulation. 1997;95:405-410.
20. Morise AP, Diamond GA. A comparison of the sensitivity and specificity of exercise electrocardiography in men and women using biased and unbiased populations of men and women. Am Heart J. 1995;130:741-747.
21. Weiner DA, Ryan TJ, McCabe CH, et al. Exercise stress testing: correlations among history of angina, ST-segment response and prevalence of coronary-artery disease in the Coronary Artery Surgery Study (CASS). N Engl J Med. 1979;301:230-235.
22. Tavel ME. Specificity of electrocardiographic stress test in women versus men. Am J Cardiol. 1992;70:545-547.
23. Miller TD, Roger VL, Milavetz JJ, et al. Assessment of the exercise electrocardiogram in women versus men using tomographic myocardial perfusion imaging as the reference standard. Am J Cardiol. 2001;87:868-873.
24. Rosano GMC, Sarrel PM, Poole-Wilson PA. Beneficial effect of estrogen on exercise-induced myocardial ischaemia in women with coronary artery disease. Lancet. 1993;342:133-136.
25. Marwick TH, Anderson T, Williams MJ, et al. Exercise echocardiography is an accurate and costefficient technique for detection of coronary artery disease in women. J Am Coll Cardiol. 1995;26:335-341.
26. Shaw LJ, Hachamovitch R, Redberg RF. Current evidence of diagnostic testing in women with suspected coronary artery disease: choosing the appropriate test. Cardiol Rev. 2000;8:65-74.
27. Okin PM, Kligfield P. Gender-specific criteria and performance of the exercise electrocardiogram. Circulation. 1995;92:1209-1216.
28. Cheng SL, Ellestad MH, Selvester RH. Significance of ST-segment depression with R-wave amplitude decrease on exercise. Am J Cardiol. 1999;83:955-959, A9.
29. Stoletniy LN, Ramdas GP. Value of QT dispersion in the interpretation of exercise stress test in women. Circulation. 1997;96:904-910.
30. Cole CR, Blackstone EH, Pashkow FJ, Snader CE, Lauer MS. Heart-rate recovery immediate after exercise as a predictor of mortality. N Engl J Med. 1999;341:1351-1357.
31. Nishime ED, Cole CR, Blackstone EH, Pashkow FJ, Lauer MS. Heart rate recovery and treadmill exercise score as predictors of mortality in patients referred for exercise ECG. JAMA. 2000;284:1392-1398.
32. Morise AP. Are the American College of Cardiology/American Heart Association guidelines for exercise testing for suspected coronary artery disease correct? Chest. 2000;118:535-541.
33. Pancholy SB, Fattah AA, Kamal AM, Ghods M, Heo J, Iskandrian AS. Independent and incremental prognostic value of exercise thallium single-photon emission computed tomographic imaging in women. J Nucl Cardiol. 1995;2:110-116.
34. Diaz LA, Brunken RC, Blackstone EH, Snader CE, Lauer MS. Independent contribution of myocardial perfusion defects to exercise capacity and heart rate recovery for prediction of all-cause mortality in patients with known or suspected coronary heart disease. J Am Coll Cardiol. 2001;37:1558-1564.
35. Beller GA, Zaret BL. Contributions of nuclear cardiology to diagnosis and prognosis of patients with coronary artery disease. Circulation. 2000;101:1465-1478.
36. Hansen CL, Crabbe D, Rubin S. Lower diagnostic accuracy of thallium-201 SPECT myocardial perfusion imaging in women: an effect of smaller chamber size. J Am Coll Cardiol. 1996;28:1214-1219.
37. Hansen CL, Woodhouse S, Kramer M. Effect of patient obesity on the accuracy of thallium-201 myocardial perfusion imaging. Am J Cardiol. 2000;85:749-752.
38. Heller GV, Fossati AT. Detection of coronary artery disease in women. In: Zaret BL, Beller GA, eds. Nuclear Cardiology: The State of Art and Future Directions. 2nd ed. St Louis, Mo: Mosby-Year Book; 1998:298-311.
39. Fleischmann KE, Hunink MG, Kuntz KM, Douglas PS. Exercise echocardiography or exercise SPECT imaging? a meta-analysis of diagnostic test performance. JAMA. 1998;280:913-920.
40. Desmarais EL, Kaul S, Watson DD, Beller GA. Do false positive thallium-201 scans lead to unnecessary catheterization? outcome of patients with perfusion defects on quantitative planar thallium-201 scintigraphy. J Am Coll Cardiol. 1993;21:1058-1063.
41. Santana-Boada C, Candell-Riera J, Castellconesa J, et al. Diagnostic accuracy of technetium-99m-MIBI myocardial SPECT in women and men. J Nucl Med. 1998;39:751-755.
42. Taillefer R, DePuey EG, Udelson JE, Beller GA, Latour Y, Reeves F. Comparative diagnostic accuracy of TI-201 and Tc-99m sestamibi SPECT imaging (perfuslon and ECG-gated SPECT) in detecting coronary artery disease in women. J Am Coll Cardiol. 1997;29:69-77.
43. Marwick TH, Shaw LJ, Lauer MS, et al; Economics of Noninvasive Diagnosis (END) Study Group. The noninvasive prediction of cardiac mortality in men and women with known or suspected coronary artery disease. Am J Med. 1999;106:172-178.
44. Hachamovitch R, Berman DS, Kiat H, et al. Effective risk stratification using exercise myocardial perfusion SPECT in women: gender-related differences in prognostic nuclear testing. J Am Coll Cardiol. 1996;28:34-44.
45. Hachamovitch R, Berman DS, Kiat H, et al. Value of stress myocardial perfusion single photon emission computed tomography in patients with normal resting electrocardiograms. Circulation. 2002;105:823-829.
46. Boyne TS, Koplan BA, Parsons WJ, Smith WH, Watson OD, Beller GA. Predicting adverse outcome with exercise SPECT technetium-99m sestamibi imaging in patients with suspected or known coronary artery disease. Am J Cardiol. 1997;79:270-274.
47. Giri S, Shaw LJ, Murthy DR, et al. Impact of diabetes on the risk stratification using stress single-photon emission computed tomography myocardial perfusion imaging in patients with symptoms suggestive of coronary artery disease. Circulation. 2002;105:32-40.
48. Udelson JE, Beshansky JR, Ballin DS, et al. Myocardial perfusion imaging for evaluation and triage of patients with suspected acute cardiac ischemia: a randomized controlled trial. JAMA. 2002;288:2693-2700.
49. Jennifer H, Mieres JH, Shaw LJ, et al. Consensus statement American Society of Nuclear Cardiology: task force on women and coronary artery disease. The role of myocardial perfusion imaging in the clinical evaluation of coronary artery disease in women. Available at: www.asnc .org/resources/womencad.htm. Accessed January 4, 2003.
50. Arruda-Olson AM, Juracan EM, et al. Prognostic value of exercise echocardiography in 5,798 patients: is there a gender difference? J Am Coll Cardiol. 2002;39:625-631.
51. Sawada SG, Segar DS, Ryan T, et al. Echocardiographic detection of coronary artery disease during dobutamine infusion. Circulation. 1991;83:1605-1614.
52. Williams MJ, Marwick TH, O'Gorman D, Foale RA. Comparison of exercise echocardiography with an exercise score to diagnose coronary artery disease in women. Am J Cardiol. 1994;74:435-438.
53. Marwick TH. Current status of stress echocardiography in the diagnosis of coronary artery disease. Cleve Clin J Med. 1995;62:227-234.
54. Tong AT, Douglas PS. Stress echocardiography in women. Cardiol Clin. 1999;17:573-582.
55. Roger RL, Pellikka PA, Bell MR, Chow CW, Balley KR, Seward JB. Sex and test verification bias: Impact on the diagnostic value of exercise electrocardiography. Circulation. 1997;95:405-410.
56. Cortigiani L, Desideri A, Bigi R. Noninvasive assessment of coronary artery disease: the role of stress echocardiography. Ital Heart J. 2001;2:250-255.
57. Ho YL, We CC, Huang PJ, et al. Assessment of coronary artery disease in women by dobutamine stress echocardiography: comparison with stress thallium-201 single-photon emission computed tomography and exercise electrocardiography. Am Heart J. 1998;135:655-662.
58. Beleslin BD, Ostojic M, Stepanovic J, et al. Stress echocardiography in the detection of myocardial ischemia: head-to-head comparison of exercise, dobutamine, and dipyridamole tests. Circulation. 1994;90:1168-1176.
59. Secknus MA, Marwick TH. Evolution of dobutamine echocardiography protocols and indications: safety and side effects in 3,011 studies over 5 years. J Am Coll Cardiol. 1997;29:1234-1240.
60. Laurienzo J, Connon RO, Quyyumi AA, Vasken D, Panza JA. Improved specificity of transoesophageal dobutamine stress echocardiography compared to standard tests for evaluation of coronary artery disease in women presenting with chest pain. Am J Cardiol. 1997;80:1402-1407.
61. Geleijnse ML, Elhendy A, Fioretti PM, Roelandt JR. Dobutamine stress myocardial perfusion imaging. J Am Coll Cardiol. 2000;36:2017-2027.
62. Beller GA. Pharmacological stress imaging. JAMA. 1991;265:633-638.
63. Kim C, Kwok YS, Heagerty P, Redberg R. Pharmacologic stress testing for coronary disease testing: a meta-analysis. Am Heart J. 2001;142:934-944.
64. McCully RB, Roger VL, Mahoney DW, et al. Outcome after abnormal exercise echocardiography for patients with good exercise capacity: prognostic importance of the extent and severity of exercise-related left ventricular dysfunction. J Am Coll Cardiol. 2002;39:1345-1352.
65. Mahenthiran J, Singh BK, Yao SS, Chaudhry FA. Prognostic value of normal stress echocardiography in the presence of markedly positive stress echocardiogram [abstract]. J Am Coll Cardiol. 2002;39:351A.
66. Marwick TH, Case C, Sawada S, Vasey C, Short L, Lauer M. Use of stress echocardiography to predict mortality in patients with diabetes and known or suspected coronary artery disease. Diabetes Care. 2002;25:1042-1048.
67. Marwick TH, Case C, Sawada S, Vasey C, Thomas JD. Prediction of outcomes in hypertensive patients with suspected coronary disease. Hypertension. 2002;39:1113-1118.
68. Palinkas A, Toth E, Amyot R, Rigo F, Venneri L, Picano E. The value of ECG and echocardiography during stress testing for identifying systemic endothelial dysfunction and epicardial artery stenosis. Eur Heart J. 2002;23:1587-1595.
69. Gibbons RJ, Chatterjee K, Daley J, et al. ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Chronic Stable Angina). J Am Coll Cardiol. 1999;33:2092-2097.
70. Shaw LJ, Raggi P, Schisterman E, Berman DS, Callister TQ. Prognostic value of cardiac risk factors and coronary artery calcium screening for all-cause mortality. Radiology. 2003;228:826-833.
71. Shavelle DM, Budoff MJ, LaMont DH, Shavelle RM, Kennedy JM, Brundage BH. Exercise test and electron beam computed tomography in the evaluation of coronary artery disease. J Am Coll Cardiol. 2000;36:32-38.
72. Detrano R, Tzung H, Wang S, Puentes G, et al. Prognostic value of coronary calcification and angiographic stenoses in patients undergoing coronary angiography. J Am Coll Cardiol. 1996;27:285-290.
73. Keelan PC, Bielak LF, Ashai K, et al. Long-term prognostic value of coronary calcification detected by electron-beam computed tomography in patients undergoing coronary angiography. Circulation. 2001;104:412-417.
74. Georgiou D, Budoff MJ, Kaufer E, Kennedy JM, Lu B, Brundage BH. Screening patients with chest pain in the emergency department using electron beam tomography: a follow-up study. J Am Coll Cardiol. 2001;38:105-110.
75. Kennedy J, Shavelle R, Wang S, Budoff M, Detrano RC. Coronary calcium and standard risk factors in symptomatic patients referred for coronary angiography. Am Heart J. 1998;135:696-702.
76. Schmermund A, Baumgart D, Sack S, et al. Assessment of coronary calcification by electron-beam computed tomography in symptomatic patients with normal, abnormal or equivocal exercise stress test. Eur Heart J. 2000;21:1674-1682.
77. Lamont DH, Budoff MJ, Shavelle DM, Shavelle R, Brundage BH, Hagar JM. Coronary calcium scanning adds incremental value to patients with positive stress tests. Am Heart J. 2002;143:861-867.
78. Douglas PS, Ginsburg GS. The evaluation of chest pain in women. N Engl J Med. 1996;334:1311-1315.
79. Kaski JC, Rosano GM, Collins P, et al. Cardiac syndrome X: clinical characteristics and left ventricular function: long-term follow-up study. J Am Coll Cardiol. 1995;25:807-814.
80. Kugelmass AD, Houser F, Simon AW, et al. Diagnostic results: gender continues to make a difference [abstract]. J Am Coll Cardiol. 2001;37:497A.
81. Budoff MJ, Shookooh S, Shavelle RM, Kim HT, French WJ. Electron beam tomography and angiography: gender differences. Am Heart J. 2002;143:877-882.
82. Sharaf BL, Pepine CJ, Kerensky RA, et al; WISE Study Group. Detailed angiographic analysis of women with suspected ischemic chest pain (pilot phase data from the NHLBI-sponsored Women's Ischemia Syndrome Evaluation [WISE] Study Angiographic Core Laboratory). Am J Cardiol. 2001;87:937-941.
83. Budoff MJ, Georgiou D, Brody AS, et al. Ultrafast computed tomography as a diagnostic modality in the detection of coronary artery disease: a multicenter study. Circulation. 1996;93:898-904.
84. Haberl R, Becker A, Leber A, et al. Correlation of coronary calcification and angiographically documented stenoses in patients with suspected coronary artery disease: results of 1,764 patients. J Am Coll Cardiol. 2001;37:451-457.
85. Budoff MJ, Diamond GA, Raggi P, et al. Continuous probabilistic prediction of angiographically significant coronary artery disease using electron beam tomography. Circulation. 2002;105:1791-1796.
86. Kuntz KM, Fleischmann KE, Hunink MG, Douglas PS. Cost-effectiveness of diagnostic strategies for patients with chest pain. Ann Intern Med. 1999;130:709-718.
87. Shetler K, Marcus R, Froelicher VF, et al. Heart rate recovery: validation and methodological issues. J Am Coll Cardlol 2001;38:1980-1987.
88. Deaton C, Kunik CL, Hachamovitch R, Redberg RF, Shaw LJ. Diagnostic strategies for women with suspected coronary artery disease. J Cardiovasc Nurs. 2001;15:39-53.
89. Kim C, Kwok YS, Saha S, Redberg RF. Diagnosis of suspected coronary artery disease in women: a cost-effectiveness analysis. Am Heart J. 1999;137:1019-1027.
90. Raggi P, Callister TQ, Cooil B, Russo DJ, Lippolis NJ, Patterson RE. Evaluation of chest pain in patients with low to intermediate pretest probability of coronary artery disease by electron beam computed tomography. Am J Cardiol. 2000;85:283-288.
91. Rumberger JA, Behrenbeck TR, Been JF. Coronary calcification by electron beam computed tomography and obstructive coronary artery disease: a model for costs and effectiveness of diagnosis as compared with conventional cardiac testing methods. J Am Coll Cardiol. 1999;33:453-462.