Prognostic value of exercise cardiac tomography performed late after percutaneous coronary intervention in symptomatic and symptom-free patients

Wanda Acampa, Mario Petretta, Luigia Florimonte, Angela Mattera, Alberto Cuocolo

Research output: Contribution to journalArticlepeer-review

Abstract

The long-term prognostic value of single-photon emission computed tomography (SPECT) performed late after percutaneous coronary intervention (PCI) has not been extensively evaluated. Moreover, the role of myocardial ischemia at SPECT in symptom-free patients after PCI is not clear. This study was designed to determine the long-term prognostic value of SPECT in predicting cardiac events after PCI in symptomatic and symptom-free patients. Exercise technetium-99m sestamibi SPECT was performed in 206 patients between 12 and 18 months after PCI. All patients were followed for a mean period of 37 ± 16 months. Cardiac death, nonfatal myocardial infarction, and late revascularization procedures were considered to be events. Myocardial ischemia at SPECT was detectable in 44 patients. During follow-up, 24 patients experienced events (cardiac death in 4 patients, myocardial infarction in 10, and late revascularization in 10). At univariate analysis, the summed stress score (p

Original languageEnglish
Pages (from-to)259-263
Number of pages5
JournalThe American Journal of Cardiology
Volume91
Issue number3
DOIs
Publication statusPublished - Feb 1 2003

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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