The diagnostic utility of heart rate-corrected ST-segment depression during adenosine nuclear stress testing

Journal of Electrocardiology

Volumn 43, Issue 3, 2010, Pages 237-241

  Nemeth, Attila S ^a   Bahler, Robert C ^a   Finkelhor, Robert S ^a  

^a METROHEALTH MEDICAL CENTER   (United States)

Author keywords

Adenosine nuclear stress test; Coronary artery disease; Pharmacologic stress testing

Indexed keywords

ACETYLSALICYLIC ACID; ADENOSINE; ANGIOTENSIN RECEPTOR ANTAGONIST; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; HYDROXYMETHYLGLUTARYL COENZYME A REDUCTASE INHIBITOR; TETROFOSMIN TC 99M;

ADULT; AGED; ANGIOCARDIOGRAPHY; ARTICLE; CONTROLLED STUDY; CORONARY ARTERY DISEASE; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; ELECTROCARDIOGRAPHY MONITORING; FEMALE; FOLLOW UP; HEART MUSCLE ISCHEMIA; HEART RATE; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PROVOCATION TEST; SENSITIVITY AND SPECIFICITY; SINGLE PHOTON EMISSION COMPUTER TOMOGRAPHY; ST SEGMENT DEPRESSION;

ADENOSINE; ARTIFACTS; CORONARY ARTERY DISEASE; DIAGNOSIS, COMPUTER-ASSISTED; EXERCISE TEST; FEMALE; HEART RATE; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL ISCHEMIA; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY;

EID: 77950598652     PISSN: 00220736     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jelectrocard.2009.12.003     Document Type: Article

References (17)

1. Marshall E.S., Raichlen J.S., Tighe D.A., Paul J.J., Breuninger K.M., and Chung E.K. ST-segment depression during adenosine infusion as a predictor of myocardial ischemia. Am Heart J 127 (1994) 305
2. Iskandrian A.S., Heo J., Nguyen T., et al. Assessment of coronary artery disease using single-photon emission computed tomography with thallium-201 during adenosine-induced coronary hyperemia. Am J Cardiol 67 (1991) 1190
3. Verani M.S., Mahmarian J.J., Hixson J.B., Boyce T.M., and Staudacher R.A. Diagnosis of coronary artery disease with adenosine and thallium-201 scintigraphy in patients unable to exercise. Circulation 82 (1990) 80
4. Nguyen T., Heo J., Ogilby D., and Iskandrian A.S. Single photon emission tomography with thallium-201 during adenosine-induced coronary hyperemia: correlation with coronary arteriography, exercise thallium and two-dimensional echocardiography. J Am Coll Cardiol 16 (1990) 1375
5. Gupta N.C., Esterbrooks D.J., Hilleman D.E., and Mohiuddin S.M. Comparison of adenosine and exercise thallium-201 single-photon emission computed tomography myocardial perfusion imaging. J Am Coll Cardiol 19 (1992) 248
6. Iskandrian A.S., Heo J., Lemlek J., et al. Identification of high-risk patients with left main and three-vessel coronary artery disease by adenosine-single photon emission computed tomographic thallium imaging. Am Heart J 125 (1993) 1130
7. Gulati M., Pratap P., Kansal P., Calvin Jr. J.E., and Hendel R.C. Gender differences in the value of ST-segment depression during adenosine stress testing. Am J Cardiol 94 (2004) 997
8. Villanueva F.S., Smith W.H., Watson D.D., and Beller G.A. ST-Segment depression during dipyridamole infusion, and its clinical, scintigraphic and hemodynamic correlates. Am J Cardiol 69 (1992) 445
9. Ho K.T., Miller T.D., Christian T.F., Hodge D.O., and Gibbons R.J. Prediction of severe coronary artery disease and long-term outcome in patients undergoing vasodilator SPECT. J Nucl Cardiol 8 (2001) 438
10. Okin P.M., Lauer M.S., and Kligfield P. Chronotropic response to exercise: improved performance of ST-segment depression criteria after adjustment for heart rate reserve. Circulation 94 (1996) 3226
11. Okin P.M., and Kligfield P. Heart rate adjustment of ST segment depression and performance of the exercise electrocardiogram: a critical evaluation. J Am Coll Cardiol 25 (1995) 1726
12. Marshall E.S., Raichlen J.S., Kim S.M., et al. Prognostic significance of ST-segment depression during adenosine perfusion imaging. Am Heart J 130 (1995) 58
13. Abbott B.G., Afshar M., Berger A.K., and Wackers F.J. Prognostic significance of ischemic electrocardiographic changes during adenosine infusion in patients with normal myocardial perfusion imaging. J Nucl Cardiol 10 (2003) 9
14. Klodas E., Miller T.D., Christian T.F., Hodge D.O., and Gibbons R.J. Prognostic significance of ischemic electrocardiographic changes during vasodilator stress testing in patients with normal SPECT images. J Nucl Cardiol 10 (2003) 4
15. Chow B.J., Wong J.W., Yoshinaga K., et al. Prognostic significance of dipyridamole-induced ST depression in patients with normal 82rb PET myocardial perfusion imaging. J Nucl Med 46 (2005) 1095
16. Hage F.G., Dubovsky E.V., Heo J., and Iskandrian A.E. Outcome of patients with adenosine-induces ST-segment depression but with normal perfusion on tomographic imaging. Am J Cardiol 98 (2006) 1009
17. Coats A.S. Ethical authorship and publishing. Int J Cardiol 131 (2009) 149