Incremental Prognostic Value of Stress/Rest Gated Perfusion SPECT in Patients With Coronary Artery Disease : Subanalysis of the J-ACCESS Study
スポンサーリンク
概要
- 論文の詳細を見る
Background: This study aimed to reveal the incremental prognostic implications of perfusion/function variables by stress/rest gated single-photon emission computed tomography (SPECT) over clinical risks in patients with known coronary artery disease (CAD). Methods and Results: Using the Japanese Assessment of Cardiac Events and Survival Study by Quantitative Gated SPECT (J-ACCESS) database, the 3-year follow-up data of 2,200 patients who had established CAD were analyzed. Major cardiac events (cardiac death, myocardial infarction, heart failure, and unstable angina) were observed in 167 (7.6%) patients. Multivariate logistic regression analysis identified peripheral artery disease, diabetes mellitus, no use of statins, typical chest pain, pharmacological stress test, heart rate at rest, left ventricular end-systolic volume index derived from gated SPECT (LVESVI), and summed difference score (SDS) as independent significant predictors of the major cardiac events, with odds ratios of 1.025 to 2.291 (P=0.0309-0.0008). Global chi-square values increased by combining the independent predictors, and the greatest values (nearly 110) were observed when LVESVI or SDS was added to the pre-scan clinical information. Conclusions: Perfusion/function measures by stress/rest gated SPECT contribute to a significant improvement in risk stratification and secondary prevention strategy in combination with pre-scan clinical risks in patients with known CAD. (Circ J 2009; 73: 2288-2293)
- 社団法人 日本循環器学会の論文
- 2009-11-20
著者
-
KUSUOKA Hideo
Osaka National Hospital
-
Wakabayashi Takeru
Sapporo Syakaihokenn genaral haspital
-
Nakata Tomoaki
Sapporo Medical University School Of Medicine
-
Nakata Tomoaki
札幌医科大学 医学部内科学第二
-
Nakata Tomoaki
札幌医科大学 医学部
-
Nishimura Tsunehiko
Graduate School Of Medical Science Kyoto Prefectural University Of Medicine
-
HASHIMOTO Akiyoshi
Sapporo Medical University School of Medicine
-
Wakabayashi Takeru
Sapporo Medical University School Of Medicine
-
Nakata Tomoaki
Department Of Nuclear Medicine Hokkaido University School Of Medicine
-
Nakata Tomoaki
Second Department Of Internal Medicine (cardiovascular Medicine) Sapporo Medical University School O
関連論文
- Prognostic value of myocardial perfusion and ventricular function in a Japanese multicenter cohort study (J-ACCESS): the first-year total events and hard events
- Surveillance study for creating the national clinical database related to ECG-gated myocardial perfusion SPECT of ischemic heart disease : J-ACCESS study design
- Visceral Obesity in Japanese Patients with Metabolic Syndrome : Reappraisal of Diagnostic Criteria by CT Scan
- Noninvasive Assessment of Left Atrial Function by Strain Rate Imaging in Patients with Hypertension : A Possible Beneficial Effect of Renin-Angiotensin System Inhibition on Left Atrial Function
- Persistent Insulin-Sensitizing Effects of Sarpogrelate Hydrochloride, a Serotonin 2A Receptor Antagonist, in Patients With Peripheral Arterial Disease
- PJ-632 Prognostic Value of Cardiac Sympathetic Nerve Activity in Heart Failure Patients with Preserved Left Ventricular Ejection Fraction(PJ106,Nuclear Cardiology (Others) (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Ci
- PJ-623 Alterations in Intra-atrial Electromechanical Delay and Left Atrial Function in Healthy Overweight Subjects : A Study of Two-dimensional Speckle Tracking Imaging(PJ105,Echo/Doppler (Others) 2 (I),Poster Session (Japanese),The 73rd Annual Scientific
- PJ-353 Feasibility, Reproducibility and Clinical Impact of Measurements of Left Ventricular Ejection Fraction and Left Atrial Volume Using Real-time Three-dimensional Echocardiography(PJ060,Echo/Doppler (New Technology) 4 (I),Poster Session (Japanese),The
- DPJ-003 Risk Assessment with ST-elevation in Inferior Leads by Drug Load Examination in Patient with Brugada Syndrome(DPJ01,Arrhythmia, Others (Clinical/Diagnosis/Treatment) 1 (A),Digital Poster Session (Japanese),The 73rd Annual Scientific Meeting of The
- OJ-219 Relationship between Left Ventricular Geometry and Systolic Function of Longitudinal, Radial and Circumferential Directions in Patients with Hypertension(OJ37,Echo/Doppler (Myocardium) (I),Oral Presentation (Japanese),The 73rd Annual Scientific Mee
- OJ-184 Coronary Angiographic Findings and Clinical Outcome of the Patients with Out-of-Hospital Cardiac Arrest Caused by Acute Coronary Syndrome(OJ31,ACS/AMI (Clinical/Treatment) (IHD),Oral Presentation (Japanese),The 73rd Annual Scientific Meeting of The
- OJ-139 Quantitative Assessment of Left Atrial Function in Patients with Paroxysmal Atrial Fibrillation by Two-dimensional Speckle Tracking Imaging(OJ24,Echo/Doppler (Others) (I),Oral Presentation (Japanese),The 73rd Annual Scientific Meeting of The Japane
- OJ-113 Immediate Extracorporeal Cardiopulmonary Resuscitation can Provide Better Neurological Outcomes in Patients with Out-of-Hospital Cardiac Arrest(OJ19,Cardiopulmonary and Critical Care/ACLS (H),Oral Presentation (Japanese),The 73rd Annual Scientific
- PJ-896 Prognostic Value of Renal Function in Patients with Left Ventricular Systolic Dysfunction(Kidney / Renal circulation(08)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-603 Lead Defects in Patients with Implantable Cardioverter-Defibrillators during Long-Term Follow-up(Arrhythmia, therapy(21)(A),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-544 Clinical implications of resting myocardial perfusion abnormality in patients with multiple coronary risk factors without significant coronary artery stenosis(Nuclear cardiology(09)(I),Poster Session(Japanese),The 72nd Annual Scientific Meeting of
- PJ-156 Cardiac sympathetic nerve activity in heart failure patients with preserved ejection fraction: A long-term prospective prognostic study(Nuclear cardiology(07)(I),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulatio
- OJ-265 Mild Hypothermia can Provide Better Long-Term Outcomes in Patients with Out-of-Hospital Cardiac Arrest(Emergency care/CPR(02)(H),Oral Presentation (Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-547 Combined Assessment of Cardiac Sympathetic Nerve Activity and Myocardial Perfusion can Predict Lethal Cardiac Events in Patients with Dilated Cardiomyopathy(Nuclear cardiology-6, The 71st Annual Scientific Meeting of the Japanese Circulation Societ
- PJ-091 Assessment of Longitudinal, Radial and Circumferential Systolic and Diastolic Strain Rates and Dyssynchrony in Patients with Non-ischemic Dilated Cardiomyopathy(Echo/Doppler-13, The 71st Annual Scientific Meeting of the Japanese Circulation Society
- OJ-163 Re-degradation of Left Ventricular Function After Resuscitation May Become an Early Index of Neurological Recovery in Out-of-hospital Cardiac Arrest(Emergency care-2, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OJ-076 Assessment of Left Ventricular and Left Atrial Function by Strain Rate Imaging in Diabetic Patients with and without Hypertension(Echo / Doppler-04, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Clinical value of lung uptake of iodine-123 metaiodobenzylguanidine (MIBG), a myocardial sympathetic nerve imaging agent, in patients with coronic heart failure
- 3 Diagnosis Procedure Combination in Private Hospitals(DPC and Clinical Practice of Cardiovascular Medicine, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PE-247 Detection of Ischemia in Patients with Acute Chest Pain by using Resting and Subsequent ATP Stress 99mTc-Tetrofosmin Myocardial SPECT(Nuclear Cardiology 9 (I) : PE42)(Poster Session (English))
- Disparity in the Process and Outcome of the Treatment for Acute Myocardial Infarction in Japan : CAMPAIGN Study in the National Hospital Network
- Estimation of the area at risk in myocardial infarction of rats by means of I-123 β-methyliodophenyl pentadecanoic acid imaging
- OJ-016 Assessment of Age-related Changes of Left Ventricular Function in Healthy Subjects : A Two-dimensional Speckle Tracking Imaging(Echo/Doppler-3 (I) OJ3,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circu
- OJ-015 Assessment of Left Ventricular Longitudinal, Radial and Circumferential Strain Rates in Patients with Hypertension : A Two-dimensional Speckle Tracking Imaging Study(Echo/Doppler-3 (I) OJ3,Oral Presentation (Japanese),The 70th Anniversary Annual Sc
- Early Defibrillation and Circulatory Support Can Provide Better Long-Term Outcomes Through Favorable Neurological Recovery in Patients With Out-of-Hospital Cardiac Arrest of Cardiac Origin
- Incremental Prognostic Value of Stress/Rest Gated Perfusion SPECT in Patients With Coronary Artery Disease : Subanalysis of the J-ACCESS Study
- OE-364 Incremantal prognostic value of stress/rest gated perfusion SPECT in patients with coronary artery disease : Sub-analysis of J-ACCESS study(Nuclear cardiology(01)(I),Oral Presentation(English),The 72nd Annual Scientific Meeting of the Japanese Circ
- OE-363 Prediction of heart failure manifestation using stress/rest gated perfusion SPECT in patients with coronary artery disease : Sub-analysis of J-ACCESS study(Nuclear cardiology(01)(I),Oral Presentation(English),The 72nd Annual Scientific Meeting of t
- Cardiac metaiodobenzylguanidine defect at an early post-injection indicates a high probability of cardiac death in patients with left ventricular dysfunction
- Normal BMIPP imaging is an excellent prognostic sign in patients with angina pectoris : Comparison with stress myocardial perfusion imaging
- MORPHOLOGICAL ASSESSMENT OF LEFT VENTRICULAR WALL AND VENTRICULAR ANEURYSM BY THALLIUM-201 MYOCARDIAL EMISSION COMPUTED TOMOGRAPHY
- Human heart-type fatty acid-binding protein as an early diagnostic and prognostic marker in acute coronary syndrome
- OE-113 Ligament of Marshall Can Contributes to Trigger and Driver of Atrial Fibrillation(Arrhythmia, therapy-2 (A) OE19,Oral Presentation (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- OE-039 Critical Ablation Site for Maintenance of Atrial Fibrillation During Electrogram-guided Antrum-Pulmonary Vein Isolation-Fast Fourier Transform Analysis of Atrial Fibrillation(Arrhythmia, therapy-1 (A) OE7,Oral Presentation (English),The 70th Annive
- Determinants to Establish Non-self Terminated Ventricular Fibrillation of Brugada Syndrome Comparing with Heart Disease by Time-domain Frequency Analysis(Arrhythmia, Non-pharmacological Therapy 8 (A), The 69th Annual Scientific Meeting of the Japanese Cir
- Heterogeneous Electrical Organization of Pulmonary Vein Ostium is Critical for Atrial Fibrillation Maintenance by FFT Analysis during Pulmonary Venous Isolation(Arrhythmia, Non-pharmacological Therapy 7 (A), The 69th Annual Scientific Meeting of the Japan
- High Density Distribution of Pulmonary Vein Antrum Potentials in Left Atrial Free Wall is Responsible for Left Atrium-Pulmonary Vein Connection(Arrhythmia, Non-pharmacological Therapy 1 (A), The 69th Annual Scientific Meeting of the Japanese Circulation S
- Utility of Electrical Isolation of Arrhythmogenic Superior Vena Cava Guided by Antrum Potential-like Potential Recorded in the Upper Right Atrium(Non-pharmacological Therapy of Arrhythmia (A), The 69th Annual Scientific Meeting of the Japanese Circulation
- PE-477 Can characteristic indices related with cardiac resynchronization therapy predict improvement of left ventricular performance?(Heart failure, clinical-8 (M) PE80,Poster Session (English),The 70th Anniversary Annual Scientific Meeting of the Japanes
- OJ-350 Qantitative Assessment of Right Ventricular Structural Abnormalities in Right Ventricle-originated Tachycardia and Brugada Syndrome by Right Ventricular Myocardial Scintigraphy(Arrhythmia, diagnosis/pathophysiology/EPS-4 (A) OJ59,Oral Presentation
- FRS-037 Predicting Cardiac Event Risk by Combined Assessment of Cardiac Sympathetic Nerve Activity and Myocardial Perfusion in Patients with ICD(Advances in Nuclear Cardiology-2 (I) FRS8,Featured Research Session,The 70th Anniversary Annual Scientific Mee
- Simultaneous Evaluations of Visceral-fat and Abdominal Aortic Calcification by Multi-slice X-ray Computed Tomography for Metabolic Syndrome in Japanese (X-ray/CT/MRI/DSA 8 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Orally Administered Nicorandil Can Affect Left Ventricular Geometry at Chronic Phase of Myocardial Infarction : Assessment with ECG-gated Myocardial Perfusion Imaging(Acute Myocardial Infarction, Clinical (Diagnosis/Treatment) 2 (IHD), The 69th Annual Sci
- PJ-518 Quantitative Assessment of Left Atrial Function Using Strain Rate Imaging(Echo/Doppler 15 (I) : PJ87)(Poster Session (Japanese))
- PJ-140 Quantitative Assessment of Regional Diastolic Function by Strain Rate Imaging : Relationship between Regional and Global Left Ventricular Diastolic Function(Echo/Doppler 1 (I) : PJ24)(Poster Session (Japanese))
- Scintigraphic Evidence for a Specific Long-Chain Fatty Acid Transporting System Deficit and the Genetic Background in a Patient With Hypertrophic Cardiomyopathy
- IS101 Identification of C-FAT/CD36 gene mutations associated with the absence of human myocardial long-chain fatty acid uptake
- Limitations of spontaneous reperfusion and conventional medical therapy to afford myocardial protection through antecedent angina pectoris in acute myocardial infarction
- THE ASSESSMENT OF SERIAL CHANGES OF TRANSMITRALFLOW DYNAMICS AFTER PTCA BY PULSED DOPPLER ECHOCARDIOGRAPHY AND ITS CORRELATION TO RESTENOSIS
- MASSIVE MYOCARDIAL CALCIFICATION OF RIGHT AND LEFT VENTRICLES FOLLOWING ACUTE MYOCARDITIS COMPLICATED WITH RHABDOMYOLYSIS-INDUCED ACUTE RENAL FAILURE
- 3 Clinical Indicators Reveal Disparity in the Process and the Outcome of Treatment for Acute Myocardial Infarction : CAMPAIGN and STAMINHO Studies(Clinical Quality Management and Clinical Indicators for Patient Care in Cardiovascular Medicine, The 71st An
- Clinical Value and Limitations of [11C]-Methionine PET for Detection and Localization of Suspected Parathyroid Adenomas
- Therapeutic effects of acupuncture in patients with rheumatoid arthritis : a prospective study using ^F-FDG-PET
- Prognostic implications of left atrial dilation evaluated by echocardiographic volume in patients with normal left atrial antero-posterior dimensions
- Gene and protein analysis of brain derived neurotrophic factor expression in relation to neurological recovery induced by an enriched environment in a rat stroke model
- Crow-Fukase Syndrome with Ischemic Cardiomyopathy
- Early Positive Biomarker in Relation to Myocardial Necrosis and Impaired Fatty Acid Metabolism in Patients Presenting With Acute Chest Pain at an Emergency Room
- Physiological Assessment of Myocardial Perfusion Using Nuclear Cardiology Would Enhance Coronary Artery Disease Patient Care : Which Imaging Modality Is Best for Evaluation of Myocardial Ischemia? (SPECT-Side)
- Quantitative analysis of coronary endothelial function with generator-produced 82Rb PET : comparison with 15O-labelled water PET
- Semiquantitative analysis of C-11 methionine PET may distinguish brain tumor recurrence from radiation necrosis even in small lesions
- Validation of Automated Quantitation of Myocardial Perfusion and Fatty Acid Metabolism Abnormalities on SPECT Images
- Regional partition coefficient of water in patients with cerebrovascular disease and its effect on rCBF assessment
- Fluorine-18-Fluorodeoxyglucose Positron Emission Tomography May Predict the Outcome in Patients With Asymptomatic Mild Stenosis of Internal Carotid Artery
- A New Brain Positron Emission Tomography Scanner with Semiconductor Detectors for Target Volume Delineation and Radiotherapy Treatment Planning in Patients with Nasopharyngeal Carcinoma.
- Performance characterization of the Inveon preclinical small-animal PET/SPECT/CT system for multimodality imaging
- Writing errors in ALS related to loss of neuronal integrity in the anterior cingulate gyrus
- Sample Size in Receiver-Operating Characteristic (ROC) Curve Analysis-Reply-
- Guidelines for Clinical Use of Cardiac Nuclear Medicine (JCS 2010) : Digest Version
- Cardiac Event Risk in Japanese Subjects Estimated Using Gated Myocardial Perfusion Imaging, in Conjunction With Diabetes Mellitus and Chronic Kidney Disease
- Incremental Diagnostic Value of Regional Myocardial Blood Flow Quantification Over Relative Perfusion Imaging With Generator-Produced Rubidium-82 PET
- Transient Crossed Cerebellar Diaschisis Due to Cerebral Hyperperfusion Following Surgical Revascularization for Moyamoya Disease : Case Report
- Dynamic 11C-methionine PET analysis has an additional value for differentiating malignant tumors from granulomas : an experimental study using small animal PET