Comparative Study of Dobutamine Stress Electron-Beam Computed Tomography and Exercise Thallium Scintigraphy in the Diagnosis of Patients With Suspected Coronary Artery Disease

スポンサーリンク

概要

• 論文の詳細を見る

• To evaluate the diagnostic value of dobutamine stress electron-beam computed tomography (EBCT) as compared with exercise stress thallium-201 single-photon emission computed tomography (^<201>Tl-SPECT) for the detection of myocardial ischemia, 10 patients with proven or suspected coronary artery disease underwent both tests. Nine of the 10 patients also on underwent coronary angiography. EBCT images were analyzed objectively to evaluate systolic wall thickening and analyzed segmentally to determine the distribution of the coronary arteries. Dobutamine stress EBCT revealed the presence of ischemia in 59 segments, whereas exercise stress ^<201>Tl-SPECT revealed ischemia in 51 segments (agreement=73%). The advantage of dobutamine stress EBCT was demonstrated in the inferior/posterior segments as compared with the results of exercise stress ^<201>Tl-SPECT. The overall sensitivity for detecting ischemic regions supplied by coronary arteries with significant stenosis (diameter stenosis>50%) was 83% for dobutamine stress EBCT and 79 % for exercise stress ^<201>Tl-SPECT (p=NS), with specificities of 75% and 82% (p=NS). Thus, dobutamine stress EBCT presents a reasonable alternative to exercise stress ^<201>Tl-SPECT for the objective assessment of patients with suspected coronary artery disease.

• 社団法人日本循環器学会の論文
• 1998-01-20

著者

• Imazu Michinori

  Division Of Cardiology Tsuchiya General Hospital

• Imazu Michinori

  Department Of Medicine Ajina Tsuchiya Hospital

• Ito Katsuhide

  Department Of Radiology Hiroshima University

• Ito Katsuhide

  Department Of Radiology Hiroshima University School Of Medicine

• NAKANISHI Tadashi

  Department of Clinical Laboratory and Medicine, Kyoto Prefectural University of Medicine

• Imazu Michinori

  Second Division, Department of Internal Medicine, Hiroshima University

• Yamabe Takashi

  Second Division, Department of Internal Medicine, Hiroshima University

• Yamakido Michio

  Second Division, Department of Internal Medicine, Hiroshima University

• Ito Katsuhide

  Department Of Physics School Of Science And Engineering Waseda University

• Hattori Yoshihiro

  Second Department of Internal, Medicine

• Yamakido Michio

  Second Deparment Of Internal Medicine Hiroshima University School Of Medicine

• Nakanishi Tadashi

  Department Of Radiology Hiroshima University School Of Medicine

• Yamabe Takashi

  Second Department Of Internal Medicine

• Hattori Yoshihiro

  Second Department Of Internal Medicine

• Nakanishi Tadashi

  Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine

• Imazu Michinori

  Second Department Of Internal Medicine Hiroshima University School Of Medicine

関連論文

• Subacutely progressed extensive aortic dissection complicated with catheter-induced dissection in left main coronary artery
• A case of Takayasu's arteritis and aortic regurgitation, which presented much difficulty in the diagnosing process because of complicated osteomyelitis and non-typical manifestations
• Chronic Pericardial Constriction Induced Severe Ischemic Hepatitis Manifesting as Hypoglycemic Attack
• PJ-659 Guidewire-induced coronary perforation complicating percutaneous coronary intervention : incidence, angiographic severity, treatment, and clinical outcome(Coronary revascularization, PCI(25)(IHD),Poster Session(Japanese),The 72nd Annual Scientific
• Effects of Gadolinium-ethoxybenzyl-diethylenetriamine Pentaacetic Acid on T_2-weighted MRCP
• Predictors of In-Hospital Prognosis After Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction Requiring Mechanical Support Devices
• Could Myocardial Staining with Computed Tomography Just after Direct PTCA for Acute Myocardial Infarction Predict the Size of Infarction? (X-ray/CT/MRI/DSA 8 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
• PJ-039 Postprandial Left Ventricular Performance Change in Patients with Acute Myocardial Infarction(Nuclear Cardiology 3 (I) : PJ7)(Poster Session (Japanese))
• Cardiac Disease Late After Chest Radiotheraphy for Hodgkin's Disease : A Case Report
• Urinary Excretion of Free Dopamine and Digoxinlike Substances Correlates with Endogenous Secretion of Insulin in Normotensive Adults, but Not in Hypertensive Subjects
• Diagnostic Significance of Dopamine Estimation Using Plasma and Urine in Patients with Adrenal and Renal Insufficiency, Renal Transplantation and Hypertension
• 0672 HISTOPATHOLOGICAL DIFFERENCES BETWEEN ACUTE CORONARY SYNDROMES AND STABLE ANGINA PECTORIS : A MORPHOLOGIC AND IMMUNOHISTOCHEMICAL STUDY
• P697 Histopathological Findings of Restenosis after Balloon Angioplasty and Directional Coronary Atherectomy : A Morphologic and Immunohistochemial study
• 0589 Immunohistochemical Detection of Hepatocyte Growth Factor in Human Coronary Atherectomy Specimens : Comparison with Transformeng Growth Factor betas
• 0111 Detection of Myocardial Ischemia Evaluated by Myocardial Perfusion Using Dipyridamole Stress Electron Beam Computed Tomography(EBCT)
• One-Year Clinical Outcomes of Dialysis Patients After Implantation With Sirolimus-Eluting Coronary Stents
• PJ-342 Induction of Heme Oxygenase-1 Inhibits Monocyte Chemoattractant Protein-1 mRNA Expression in U937 Cells(Cardiovascular pharmacology, basic/clinical-4 (H) PJ58,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese
• Treatment results of adjuvant radiotherapy and salvage radiotherapy after radical prostatectomy for prostate cancer
• An Incidence of Cervical Lymph Node Metastasis Following Interstitial Brachytherapy for Stage I and II Squamous Cell Carcinoma of the Oral Tongue
• Radiation- and Hyperthermia- Induced Apoptosis
• Differential Expression of DNA Topoisomerase IIα and IIβ Genes between Small Cell and Non-small Cell Lung Cancer
• The Role of Glucuronidation in 7-Ethyl-10-hydroxycamptotecin Resistance in vitro
• -0338- CHANGES IN DIETARY SALT INTAKE MAY PLAY A ROLE IN THE REGULATION OF RENIN GENE EXPRESSION IN THE HYPOTHALAMUS OF RATS(PROCEEDINGS OF THE 59th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY)
• AN ATP-SENSITIVE K^+ CHANNEL IN THE BRAIN PLAYS A ROLE IN ARTERIAL PRESSURE REGULATION DURING ACUTE CEREBRAL ISCHEMIA
• BETA-3 ADRENERGIC AGONIST, BRL-26830A, AND ALPHA/BETA BLOCKER, AROTINOLOL, MARKEDLY INCREASE REGIONAL BLOOD FLOW IN THE BROWN ADIPOSE TISSUE IN ANESTHETIZED RATS
• NICORANDIL (2-NICOTINAMIDOETHYL NITRATE) INHIBITS BOTH VASO-DILATING AND -CONSTRICTING EFFECTS OF ENDOTHELIN IN A VASCULARLY ISOLATED HIND-LIMB PREPARATION IN RATS
• A Case of MELAS : Hyperperfused Lesions Detected by Non-invasive Perfusion-weighted MR Imaging
• Cortical Neurophysiological Modification after Peripheral Neuronal Sensitization
• Reliability of Gadolinium-Enhanced Table Stepping 3D MR Angiography for Screening Test of Atherosclerotic Occlusive Diseases of Lower Extremities
• Hyperinsulinemia as a Risk Factor for Restenosis After Coronary Balloon Angioplasty
• -5-MYOGLOBIN LEVELS IN ACUTE MYOCARDIAL INFARCTION.Second Report : AN EXPERIMENTAL STUDY ON MYOGLOBIN LEVELS IN TERMS OF SEVERITY OF MYOCARDIAL INFARCTION : Ischemic Heart Disease : PROCEEDINGS OF THE 42nd ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIET
• SERIAL MYOGLOBIN LEVELS IN ACUTE MYOCARDIAL INFARCTION : IVth Auditorium
• Computed tomographic air-contrast enema imaging for presurgical examination of colon tumors : assessment with colon phantoms and in patients
• Traumatic mesenteric bleeding managed solely with transcatheter embolization
• Pseudoaneurysm embolization and vasopressin infusion for lower gastrointestinal bleeding due to recurrence of urinary bladder carcinoma
• Super-selective Transcatheter Arterial Embolization of a Traumatic Splenic Arteriovenous Fistula
• Raman Scattering of Ferroelectric Soft Mode in Sr_2Ta_2O_7
• Intra-arterial 5-fluorouracil/interferon combination therapy for advanced hepatocellular carcinoma with or without three-dimensional conformal radiotherapy for portal vein tumor thrombosis
• FDG positron emission tomography/computed tomography for the detection of extrahepatic metastases from hepatocellular carcinoma
• Beneficial effects of living-donor liver transplantation on esophageal varices
• Pretreatment predictor of response, time to progression, and survival to intraarterial 5-fluorouracil/interferon combination therapy in patients with advanced hepatocellular carcinoma
• The long-term outcome of patients with bleeding gastric varices after balloon-occluded retrograde transvenous obliteration
• Importance of Hyperinsulinemia on the Clinical Outcome in Patients Undergoing Percutaneous Coronary Intervention(Metabolic Syndrome (H), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
• FRS-181 Association of hyperinsulinemia with repeated revascularization in patients undergoing percutaneous coronary intervention(Percutaneous Coronary Intervention (IHD) : FRS21)(Featured Research Session (English))
• Clinical Outcomes of Sirolimus-Eluting Stenting After Rotational Atherectomy
• 2 Effect of dialysis on long-term clinical outcomes after the treatment of srolimus-eluting stents(Plenary Session 1 (PL-1) (IHD) Drug-Eluting Stents : Long-Term Effects and Emerging Problems,Special Program,The 72nd Annual Scientific Meeting of the Japan
• OJ-309 Lesion Progression in Patients with End-stage Renal Disease Following Percutaneous Coronary Intervention(Coronary revascularization, PCI-7 (IHD) OJ52,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circul
• Enhancement of Tumor Radio-response by Irinotecan in Human Lung Tumor Xenografts
• PJ-472 The Role of Follow-up Angiography (FA) as a Marker of Late Mortality in Diabetic Patients after Pericutaneous Coronary Intervention (PCI)(Coronary Revascularization, PTCA/Stent/DCA/Rotablator/New Device 12 (IHD) : PJ79)(Poster Session (Japanese))
• Predictive value of preprocedural fibrinogen concerning coronary stenting
• Comparative Study of Dobutamine Stress Electron-Beam Computed Tomography and Exercise Thallium Scintigraphy in the Diagnosis of Patients With Suspected Coronary Artery Disease
• Dobutamine Stress Ultrafast Computed Tomography for Detection of Myocardial Ischemia
• HEMODYNAMIC IMPROVEMENT AT REST AND EXERCISE OF A NEW ORAL CARDIOTONIC DRUG, TA-064, IN PATIENTS WITH LEFT VENTRICULAR DYSFUNCTION : Heart Failure, Cardiovascular Drugs (I) : IV : 48 Annual Scientific Meeting, Japanese Circulation Society
• CLINICAL STUDY OF OCCURRENCE OF VENTRICULAR PREMATURE BEATS: WITH REFERENCE TO ENDOGENOUS CATECHOLAMINE : PROCEEDINGS OF THE 47th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY : Arrhythmia
• Induction of Heme Oxygenase-1 Inhibits Monocyte Chemoattractant Protein-1 mRNA Expression in U937 Cells
• Pulse Wave Velocity Predicts Cardiovascular Mortality : Findings From the Hawaii-Los Angeles-Hiroshima Study
• Tenascin-C is Associated With Coronary Plaque Instability in Patients With Acute Coronary Syndromes
• Insulin Resistance, Insulin Secretion, and Cardiovascular Mortality : Data from Hawaii-Los Angeles-Hiroshima Study
• Myocardial damage in the presence of severe mitral regurgitation can be assessed by systolic myocardial velocity gradient
• Glucose Tolerance and Cardiovascular Mortality : Comparison of 1997 American Diabetes Association and World Health Organization Criteria
• Atherosclerotic Plaque Characterization by Quantitative Analysis Using Intravascular Ultrasound : Correlation With Histological and Immunohistochemical Findings
• Hyperinsulinemia for the Development of Hypertension : Data from the Hawaii-Los Angeles-Hiroshima Study
• Association of Apolipoprotein E Phenotype with Hypertension in Japanese-Americans : Data from the Hawaii-Los Angeles-Hiroshima Study
• Electron-Beam CT Angiography for Thoracic Aortic Aneutysm and Electrocardiographically Triggered Scan
• DPJ-050 Comprehensive Cardiac Rehabilitation Improves Clinical Outcome in Patients with Acute Coronary Syndrome after Implantation of Drug-eluting Stents(DPJ09,Exercise Test/Cardiac Rehabilitation (H),Digital Poster Session (Japanese),The 73rd Annual Scie
• Clinical Experiences of Stenting in Patients with Esophago-bronchial Fistula: Report of Four Cases
• PJ-541 Mitochondrial KATP Channel Openers Attenuate Ca^-induced Mitochondrial Death Signaling Pathway in Cardiac Mitochondria(Myocardial Ischemia-Reperfusion, Basic and Clinical 3 (M) : PJ91)(Poster Session (Japanese))
• DiGeorge Syndrome with Graves' Disease: A Case Report
• THE SHORT- AND LONG-TERM PROGNOSIS FOR ACUTE MYOCARDIAL INFARCTION AFTER EMERGENCY CORONARY ANGIOPLASTY
• Erythropoietin Prevention Trial of Coronary Restenosis and Cardiac Remodeling After ST-Elevated Acute Myocardial Infarction (EPOC-AMI) : A Pilot, Randomized, Placebo-Controlled Study
• Myeloperoxidase-Antineutrophil Cytoplasmic Antibody-Associated Glomerulonephritis with Membranous Nephropathy in Remission
• HLA Typing of a Family with Nephronophthisis-Medullary Cystic Disease Complex
• No Alteration in DNA Topoisomerase I Gene Related to CPT-11 Resistance in Human Lung Cancer
• High-performance liquid chromatographic determination of irinotecan (CPT-11) and its active metabolite (SN-38) in human plasma
• Phase I Study and Clinical Pharmacological Evaluation of Daily Oral Etoposide Combined with Carboplatin in Patients with Lung Cancer
• Two Cases of Severe Bronchopneumonia due to Influenza A (H3N2) Virus: Detection of Influenza Virus Gene Using Reverse Transcription Polymerase Chain Reaction
• INDUCTION OF PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA BY HEAD UP TILTING : Arrhythmias (II), Electrophysiology (II), Mapping : III : 48 Annual Scientific Meeting, Japanese Circulation Society
• MR Imaging Features of Solid-pseudopapillary Tumor of the Pancreas
• Results of a preliminary study using hypofractionated involved-field radiation therapy and concurrent carboplatin/paclitaxel in the treatment of locally advanced non-small-cell lung cancer
• SERUM LIPOPROTEIN(a) AND RESTENOSIS AFTER PTCA
• THE EFFICACY OF GENSINI SCORE IN THE ASSESSMENT OF MYOCARDIAL ISCHEMIA WITH EXERCISE THALLIUM-201 PERFUSION SCINTIGRAPHY(EX TL)
• THE RELATION OF HYPERINSULINEMIA TO BLOOD PRESSURE AND DEVELOPMENT OF HYPERTENSION
• Differential Expression of Facilitative Glucose Transporter (GLUT) Genes in Primary Lung Cancers and Their Liver Metastases
• An Autopsy Case of Diffuse Panbronchiolitis Associated with Lung Cancer
• Successful Treatment of Systemic Lupus Erythematosus and Pulmonary Hypertension with Intravenous Prostaglandin I_2 Followed by Its Oral Analogue
• Psoriatic Arthritis Complicating Lung Cancer
• A Family with Cases of Adult Onset Still's Disease and Psoriatic Arthritis
• Rheumatoid Arthritis Associated with Diffuse Panbronchiolitis
• TELOMERE SHORTENING IN PERIPHERAL BLOOD CELLS WAS RELATED WITH AGING BUT NOT WITH WHITE BLOOD CELL COUNT
• Specific Growth Inhibition of Small-cell Lung Cancer Cells by Adenovirus Vector Expressing Antisense c-kit Transcripts
• Cyclooxygenase-2(COX-2) mRNA Expression Levels in Normal Lung Tissues and Non-small Cell Lung Cancers
• ACUTE AND CHRONIC EFFECTS OF A NEW ORAL CARDIOTONIC DRUG, TA-064 ON PATIENTS WITH LEFT VENTRICULAR DYSFUNCTION : Heart Failure, Cardiotonic Drugs : FREE COMMUNICATIONS (V) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOC
• A Novel SCID Mouse Model for Studying Spontaneous Metastasis of Human Lung Cancer to Human Tissue
• Phase I study of docetaxel and cisplatin for patients with previously untreated metastatic non-small-cell lung cancer: a Japanese cooperative study
• Nonasthmatic Case of Churg-Strauss Syndrome with Rapidly Progressive Glomerulonephritis
• Roles of dental pulp fibroblasts in the recognition of bacterium-related factors and subsequent development of pulpitis
• Balloon-Occluded Retrograde Transvenous Obliteration for Portal-Systemic Encephalopathy due to Superior Mesenteric-Caval Shunt via the Right Gonadal Vein
• Pathophysiological Role of Augmented Catecholamine Content in SHR Heart
• An ATP-sensitive K+ Channel in the Brain Plays a Role in Arterial Pressure Regulation During Cerebral Ischemia:Comparison between SHR and WKY rats
• Hyperinsulinemia for the Development of Hypertension : Data from the Hawaii-Los Angeles-Hiroshima Study

もっと見る 閉じる

スポンサーリンク