Post-Stress Perfusion Abnormalities Detected on Myocardial Perfusion Single-Photon Emission Computed Tomography Predict Long-Term Mortality After Elective Abdominal Aortic Aneurysm Repair
スポンサーリンク
概要
- 論文の詳細を見る
Background: After abdominal aortic aneurysm (AAA) repair, relatively low survival during long-term follow-up remains an unresolved issue. Stress myocardial perfusion single-photon emission computed tomography (SPECT) well predicts future mortality overall, as well as providing diagnoses of coronary artery disease. The prognostic value of myocardial SPECT findings after AAA repair, however, remains unclear. Methods and Results: This study followed 285 patients, all undergoing preoperative pharmacologic stress myocardial perfusion SPECT to determine summed stress score (SSS), then elective AAA repair by open AAA repair or endovascular aneurysm repair. The endpoint of the study was cardiac death. The median follow-up duration was 925 days (range, 541–1,095 days). Twenty-four (8%) died during follow-up. Kaplan-Meier analysis showed that patients with SSS ≥9 had a significantly poorer prognosis than those with SSS <9 (76% vs. 93%, P=0.003). Multivariate Cox proportional hazards analysis indicated that SSS ≥9, diabetes, and chronic kidney disease ≥stage 3 could significantly and independently predict long-term cardiovascular mortality in patients after AAA repair (hazard ratio [HR], 4.2; 95% confidence interval [CI]: 1.8–9.7, P=0.001; HR, 3.0; 95% CI: 1.2–7.4, P=0.020; and HR, 4.1; 95% CI: 1.7–10.1, P=0.029, respectively). Conclusions: Preoperative pharmacologic stress myocardial perfusion SPECT is a useful method to predict long-term cardiovascular mortality for patients undergoing elective AAA repair. (Circ J 2013; 77: 1229–1234)
著者
-
YOSHIKAWA Daiji
Department of Cardiology, Nagoya University Graduate School of Medicine
-
Isobe Satoshi
Department Of Cardiology Kami-iida Dai-ichi General Hospital
-
Ohshima Satoru
Department Of Cardiology Nagoya University Graduate School Of Medicine
-
Komori Kimihiro
Department Of Clinical Radiology Graduate School Of Medical Sciences Kyushu University
-
Yoshikawa Daiji
Department Of Cardiology Nagoya University Graduate School Of Medicine
-
Hayashi Mutsuharu
Department Of Cardiology Nagoya Medical Center
-
SUZUKI Susumu
Department of Electrical, Electronic and Computer Engineering, Chiba Institute of Technology
-
Matsubara Tatsuaki
Department Of Cardiology Nagoya University Graduate School Of Medicine
-
Ishii Hideki
Department Of Cardiology Nagoya Graduate School Of Medicine
-
Murohara Toyoaki
Department Of Cardiology Nagoya Graduate School Of Medicine
-
Kumagai Soichiro
Department Of Cardiology Chubu-rosai Hospital
-
Okumura Satoshi
Department Of Cardilogy Nippon Medical School
-
Kato Katsuhiko
Department Of Cell Pharmacology Graduate School Of Medicine Nagoya University
-
INOUE Yosuke
Department of Applied Physics, Faculty of Science, Tokyo University of Science
-
ISOBE Satoshi
Department of Cardiology, Nagoya University Graduate School of Medicine
-
Inoue Yosuke
Department of Cardiology, Nagoya University Graduate School of Medicine
-
Banno Hiroshi
Department of Vascular Surgery, Nagoya University Graduate School of Medicine
-
Matsubara Tatsuaki
Department of Internal Medicine, School of Dentistry Aichi-Gakuin University
-
Suzuki Susumu
Department of Cardiology, Nagoya University Graduate School of Medicine
関連論文
- Volumetric Analysis of Coronary Plaque Characterization in Patients With Metabolic Syndrome Using 64-Slice Multi-Detector Computed Tomography
- OE-023 Adiponectin Acts as a Positive Indicator of Diastolic Dysfunction in Patients with HCM(OE04,Cardiomyopathy/Hypertrophy (Clinical) (M),Oral Presentation (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- Sirolimus-Eluting Stents vs Bare Metal Stents for Coronary Intervention in Japanese Patients With Renal Failure on Hemodialysis
- PJ-334 Measurement of the Plasma Adiponectin Level is Useful for the Prediction of Metabolic Syndrome : Result from KING Study(PJ056,Preventive Medicine/Epidemiology/Education 2 (H),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japan
- PJ-197 Common Variants in and around the Adiponectin Gene Associated with Plasma Adiponectin Level : Result from KING Study(PJ033,Preventive Medicine/Epidemiology/Education 1 (H),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese
- PJ-192 Genetic Determinants of Plasma Resistin Levels in a Japanese Aged Cohort (KING Study)(PJ033,Preventive Medicine/Epidemiology/Education 1 (H),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PE-316 Impact of Moderate Renal Dysfunction on Various Aspects of Coronary Microcirculation and Clinical Outcome in Patients with Acute Myocardial Infarction(PE053,Peripheral Circulation/Vascular Disease (Therapy), Kidney/Renal Circulation/CKD (H),Poster
- PE-079 Chronic Kidney Disease as a Predictor of Greater Coronary Plaque Burdens(PE014,Intravascular Imagings (I),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- DPE-006 Impact of Chronic Kidney Disease on Coronary Atherosclerotic Plaque in Patients with Metabolic Syndrome(DPE01,Metabolic Syndrome (H),Digital Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PJ-126 Circadian variation of the effect of blood pressure on the pulse wave velocity(Hypertension, Clinical 3 (H) : PJ21)(Poster Session (Japanese))
- Volumetric Analysis of Coronary Plaque Characterization in Patients With Metabolic Syndrome Using 64-Slice Multi-Detector Computed Tomography
- Safety and Efficacy of Autologous Progenitor Cell Transplantation for Therapeutic Angiogenesis in Patients With Critical Limb Ischemia
- OE-366 Increased ^Tc-Sestamibi Washout Reflects Impaired Myocardial Contractile Reserve and Prolonged Relaxation in Patients with Nonobstructive Hypertrophic Cardiomyopathy(Nuclear cardiology(01)(I),Oral Presentation(English),The 72nd Annual Scientif
- PJ-494 Contraction Response to Dobutamine Could Predict Altered Myocardial Contractile Regulatory Proteins Expressions in Mildly Symptomatic Patients with Dilated Cardiomyopathy(Heart failure, clinical-14, The 71st Annual Scientific Meeting of the Japanes
- Comparison of Tissue Characteristics Between Acute Coronary Syndrome and Stable Angina Pectoris : – An Integrated Backscatter Intravascular Ultrasound Analysis of Culprit and Non-Culprit Lesions –
- FRS-012 Molecular Imaging of Collagen Deposition in Remodeled Myocardium After Myocardial Infarction(Topics in Nuclear Cardiology(I),Featured Research Session,The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- FRS-020 Annexin-A5 Uptake Verified Apoptosis in Transgenic ApoE- and LDLR-Knockout Mice With and Without Cholesterol Diet(Advances in Nuclear Cardiology-1 (I) FRS4,Featured Research Session,The 70th Anniversary Annual Scientific Meeting of the Japanese Ci
- FRS-018 Noninvasive Detection of Apoptosis in Experimental Myocardial Infarction with ^In-Annexin A5 : Possible Clinical Applications(Advances in Nuclear Cardiology-1 (I) FRS4,Featured Research Session,The 70th Anniversary Annual Scientific Meeting o
- PE-342 Dobutamine-Induced Mechanical Alternans Could be a Useful Predictor of Poor Prognosis in Ambulatory Patients with Idiopathic Dilated Cardiomyopathy(Heart failure, clinical(10)(M),Poster Session(English),The 72nd Annual Scientific Meeting of the Jap
- Extraosseous accumulation of ^Tc-HMDP to radiation nephropathy, mimicking recurrent neuroblastoma
- Alterations of tumor suppressor genes (Rb, p16, p27 and p53) and an increased FDG uptake in lung cancer
- Feasibility of Intravenous Administration of Landiolol Hydrochloride for Multislice Computed Tomography Coronary Angiography : Initial Experience
- Comparison of ^FDG-PET with ^Tc-HMDP scintigraphy for the detection of bone metastases in patients with breast cancer
- PET evaluation of the relationship between D_2 receptor binding and glucose metabolism in patients with parkinsonism
- Lesion detectability of a gamma camera based coincidence system with FDG in patients with malignant tumors : A comparison with dedicated positron emission tomography
- An analysis of the physiological FDG uptake pattern in the stomach
- Differential FDG accumulation associated with GLUT-1 expression in a patient with lymphoma
- Clinical impact of whole body FDG-PET on the staging and therapeutic decision making for malignant lymphoma
- ^C-methionine uptake in cerebrovascular disease : A comparison with ^F-FDG PET and ^Tc-HMPAO SPECT
- The usefulness of dipyridamole thallium-201 single photon emission computed tomography for predicting perioperative cardiac events in patients undergoing non-cardiac vascular surgery
- Comparison of MET-PET and FDG-PET for differentiation between benign lesions and malignant tumors of the lung
- PE-318 Feasibility of Intravenous Administration of Landiolol Hydrochloride for Multislice Computed Tomography Coronary Angiography(PE054,CT/MRI (New Technology) (I),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation S
- Soft Copy Using Image Processing in Place of Hard Copy for Detection of Subtle Pulmonary Lesions : Is It Actually Cost-effective?
- PJ-263 Tc-99m-sestamibi Washout Rate Could be Reflected Delayed Myocardial Relaxation in Patients with Hypertrophic Cardiamyopathy(Nuclear cardiology-7 (I) PJ45,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circu
- Relationship between Discrepancy in TI/BMIPP and Impairment in Myocardial Functional Reserve in Hypertrophic Cardiomyopathy(Nuclear Cardiology 3 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Cardiac Sympathetic Dysfunction is Related to Downregulation of Gene Expression of SERCA2 and Impaired Myocardial Contractile Reserve in Dilated Cardiomyopathy(Nuclear Cardiology 10 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Socie
- PE-031 Correlation between MIBG Findings and Myocardial Properties in Patients with Dilated Cardiomyopathy(Nuclear Cardiology 4 (I) : PE6)(Poster Session (English))
- Aldosterone Blockade Alters Intracellular Ca2+ -handling and Improves Impaired Contractile and Relaxation Reserve in Patients with Mild Dilated Cardiomyopathy(Cardiomyopathy, Clinical 4 (M), The 69th Annual Scientific Meeting of the Japanese Circulation S
- Prognostic Implications of Impaired Myocardial Glucose Metabolism in Patients with Idiopathic Dilated Cardiomyopathy
- Restored Cardiac Conditions and Left Ventricular Function After Parathyroidectomy in a Hemodialysis Patient : Parathyroidectomy Improves Cardiac Fatty Acid Metabolism Assessed by ^I-BMIPP
- OE-299 Myocardium Strain during Dobutamine Stress Echocardiography Discriminate Ischemic Heart Disease from Dilated Cardiomyopathy(Echo/Doppler-03, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Increase in Electrocardiographic R-Waves After Revascularization in Patients With Acute Myocardial Infarction
- Clinical Protocol for Angiogenesis by Intramyocardial Injection of Autologous Bone Marrow Mononuclear Cells in Patients With Severe Coronary Artery Disease : TACT-NAGOYA-HEART
- FRS-077 Different Effects of Spironolactone on Myocardial Fibrosis and Intracellular Ca^-Handling in Patients with Nonischemic Dilated Cardiomyopathy(Clinical Heart Failure, Diagnosis and Treatment-1 (M) FRS16,Featured Research Session (English),The 7
- Effects of antiarrhythmic agents on left ventricular function during exercise in patients with chronic left ventricular dysfunction
- PE-363 Implications of Changes in ECG R-Wave Voltage After Revascularization in Patients with Acute Myocardial Infarction(ECG/Body Surface Potential Mapping/Holler 7 (A) : PE62)(Poster Session (English))
- Relationship between Myocardial ^I-MIBG Findings and Exercise-Induced Adrenergic Responses in Patients with Nonobstructive Hypertrophic Cardiomyopathy
- Reduced Myocardial Abundance of Ca^-Handling Protein mRNAs and Tachycardia-Induced Mechanical Alternans in Patients with Idiopathic Dilated Cardiomyopathy
- Relationship Between Exercise Thallium Findings and Changes in Hemodynamic Parameters During Exercise in Patients with Nonobstructive Hypertrophic Cardiomyopathy
- PE-254 Smoking Cessation Rapidly Increases Endothelial Progenitor Cells in Peripheral Blood in Chronic Smokers(Smoking 1 (H) : PE43)(Poster Session (English))
- OE-184 Delayed Stent Fracture and Restenosis after Successful Implantation of Sirolimus-Eluting Stent(Coronary revascularization, PCI-02, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- A Pathological Role of the Increased Expression of Plasminogen Activator Inhibitor-1 in the Dysfunctional Heart after Myocardial Infarction
- Therapeutic Angiogenesis by Autologous Bone Marrow Cell Transplantation : Limited Efficacy in Patients with Long-term Hemodialysis(Angiogenesis 5 (M), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- SPECT evaluation of cerebral blood flow during arm exercise in patients with subclavian steal
- Pulmonary Vein Isolation Improves the Atrial Endocrine Function in Patients with Paroxysmal Atrial Fibrillation(Arrhythmia, Diagnosis/Pathophysiology/EPS 1 (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- OJ-128 Coronary Artery Calcification Detected by Electron bean Computed Tomography in Old-aged Subjects(CT / DSA-04, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-237 Can Crochetage Pattern Identify Presence of Patent Foramen Ovale in Patients with Atrial Fibrillation?(ECG/Body surface potential mapping/Holter-7, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- A Novel Generation Method of Dielectric Barrier Discharge and Ozone Production Using a Piezoelectric Transformer
- Luminescence from Fluorescent Material Excited by Piezoelectric Transformer
- Luminous Phenomenon of Silent Discharge Using a Piezoelectric Transformer
- OE-136 Predictors of Responders in Therapeutic Angiogenesis Using Bone Marrow Mononuclear Cell Transplantation (TACT) for Critical Limb Ischemia(Peripheral circulation-1 (H) OE23,Oral Presentation (English),The 70th Anniversary Annual Scientific Meeting o
- Effective Lifetimes of Diffusing Metastable Particles Affected by Reflection in a Cylindrical Cavity
- Loss Processes of N_2(A^3Σ^+_u) by Harmful Gases
- Loss Processes of N_2(A^3Σ^+_u) in N_2+CO Mixture Gases
- Therapeutic Approach Against Intimal Hyperplasia of Vein Grafts Through Endothelial Nitric Oxide Synthase/Nitric Oxide (eNOS/NO) and the Rho/Rho-Kinase Pathway
- Diagnostic performance of Tc-99m HMPAO SPECT for early and late onset Alzheimer's disease : a clinical evaluation of linearization correction
- Solitary Fibrous Tumor in the Retroperitoneal Space : Report of a Case
- Sentinel node detection with ^Tc phytate alone is satisfactory for cervical cancer patients undergoing radical hysterectomy and pelvic lymphadenectomy
- Pulmonary spread of laryngeal papillomatosis : radiological findings
- OE-223 Short Time Stimulation of AF Induces Pro-thrombotic MNC-platelet Interaction via P-selectin/PSGL-1 Bounding, and Leads to Activation of Extrinsic Coagulation Pathway(Thromboembolism/Antithrombotic therapy/Thrombolysis-1, The 71st Annual Scientific
- Structural Studies on the ZrO_2-Y_2O_3 System by Electron Diffraction and Electron Microscopy III
- Structural Studies on ZrO_2-Y_2O_3 System by Electron Diffraction and Electron Microscopy I
- Should mediastinoscopy actually be incorporated into the FDG PET strategy for patients with non-small cell lung carcinoma?
- Medical economics of whole-body FDG PET in patients suspected of having non-small cell lung carcinoma-Reassessment based on the revised Japanese national insurance reimbursement system
- Comparison of Tissue Characteristics Between Acute Coronary Syndrome and Stable Angina Pectoris : An Integrated Backscatter Intravascular Ultrasound Analysis of Culprit and Non-Culprit Lesions
- Effect of Tantalum in Crystal Growth of Silicon Carbide by Sublimation Close Space Technique : Semiconductors
- A simple table lookup method for PET/CT partial volume correction using a point-spread function in diagnosing lymph node metastasis
- Prediction of Local Failures with a Combination of Pretreatment Tumor Volume and Apparent Diffusion Coefficient in Patients Treated with Definitive Radiotherapy for Hypopharyngeal or Oropharyngeal Squamous Cell Carcinoma
- Impact of the Low- to High-Density Lipoprotein Cholesterol Ratio on Composition of Angiographically Ambiguous Left Main Coronary Artery Plaque
- 10. The Study of Kidney Function in Spinal Cord Injury.
- Sirolimus-Eluting Stent vs. Everolimus-Eluting Stent for Coronary Intervention in Patients on Chronic Hemodialysis
- Impact of Low Levels of Vascular Endothelial Growth Factor After Myocardial Infarction on 6-Month Clinical Outcome : Results From the Nagoya Acute Myocardial Infarction Study
- Validation of the equations for estimating daily sodium excretion from spot urine in patients with chronic kidney disease
- Impact of FDG-PET/CT in the management of lymphoma
- Impact of Metabolic Syndrome on Various Aspects of Microcirculation and Major Adverse Cardiac Events in Patients With ST-Segment Elevation Myocardial Infarction
- Percutaneous Coronary Intervention With Bare Metal Stent vs. Drug-Eluting Stent in Hemodialysis Patients
- Association of Plasma Omega-3 to Omega-6 Polyunsaturated Fatty Acid Ratio with Complexity of Coronary Artery Lesion
- Mycotic aneurysm of the tibioperoneal trunk which precipitated acute compartment syndrome : report of a case
- Impact of Mild to Moderate Renal Dysfunction on Left Ventricular Relaxation Function and Prognosis in Ambulatory Patients With Nonischemic Dilated Cardiomyopathy
- Reduction of Hollow Defects in 6H-SiC Single Crystals Grown by Sublimation Boule Growth Technique on ($11\bar{2}0$) 6H-SiC Substrates
- A Novel Generation Method of Dielectric Barrier Discharge and Ozone Production Using a Piezoelectric Transformer
- Post-Stress Perfusion Abnormalities Detected on Myocardial Perfusion Single-Photon Emission Computed Tomography Predict Long-Term Mortality After Elective Abdominal Aortic Aneurysm Repair
- Long-Term Outcome of Drug-Eluting vs. Bare-Metal Stents in Patients With Acute Myocardial Infarction:– Subgroup Analysis of the Nagoya Acute Myocardial Infarction Study (NAMIS) –
- New Method of MVD Using a Vascular Tape for Neurovascular Compression Involving the Vertebrobasilar Artery:—Report of Two Cases—
- Changes with age in left ventricular function and volumes at rest and postexercise in postmenopausal women
- Paclitaxel-induced Interstitial Pneumonia after Drug-eluting Stent Implantation: Report of a Fatal Case
- Thermal Etching of 6H–SiC Substrate Surface
- Post-Stress Perfusion Abnormalities Detected on Myocardial Perfusion Single-Photon Emission Computed Tomography Predict Long-Term Mortality After Elective Abdominal Aortic Aneurysm Repair
- Plasma Indoxyl Sulfate and Estimated Glomerular Filtration Rate:– Association With Long-Term Clinical Outcome in Patients With Coronary Artery Disease –
- Long-Term Outcome of Drug-Eluting vs. Bare-Metal Stents in Patients With Acute Myocardial Infarction : Subgroup Analysis of the Nagoya Acute Myocardial Infarction Study (NAMIS)