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Preoperative Risk Stratification Using Stress Myocardial Perfusion Scintigraphy with Electrocardiographic Gating

Jun Hashimoto, MD1, Takayuki Suzuki, MD1, Tadaki Nakahara, MD1, Shigeru Kosuda, MD2 and Atsushi Kubo, MD1

1 Department of Radiology, School of Medicine, Keio University, Tokyo, Japan
2 Department of Radiology, Defense Medical College, Saitama, Japan



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FIGURE 1. Scintigraphic variables and event rates. (A) Rest perfusion score and event rate. (B) Ischemic score and event rate. (C) Ejection fraction and event rate. (D) Number of hypokinetic segments and event rate. Numbers of patients with cardiac events are indicated in parentheses. n.s. = not statistically significant.

 


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FIGURE 2. Incremental prognostic value of wall motion data. Numbers of patients with cardiac events are indicated in parentheses. Open bar = without wall motion abnormality; closed bar = with wall motion abnormality; All ev = all cardiac events; Hard ev = hard events only; n.s. = not statistically significant.

 


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FIGURE 3. Risk assessment with combined clinical and scintigraphic data. White column = normal wall motion; hatched column = abnormal wall motion. *Not statistically significant; **P = 0.0172; +P = 0.0005 (with vs. without wall motion abnormality).

 





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