Use of exercise thallium-201 imaging for risk stratification of elderly patients with coronary artery disease
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Cited by (73)
Value of exercise ECG for risk stratification in suspected or known CAD in the era of advanced imaging technologies
2015, JACC: Cardiovascular ImagingCitation Excerpt :Yet, SPECT perfusion defects were associated with cardiac death in the same elderly cohort (73). Abnormal SPECT imaging also predicts nonfatal MI and coronary revascularization in the elderly (71,74,75). These findings suggest that imaging should be considered in the initial workup to detect CAD in the elderly.
Prognostic value of the Duke treadmill score in octogenarians undergoing myocardial perfusion imaging
2014, AtherosclerosisCitation Excerpt :If the MPI data were also unable to provide useful risk stratification data for the hard endpoint the observation of reduced prognostic value of the DTS in this population would have limited clinical importance, since for these patients treadmill exercise rather than application of the DTS would have been inappropriate. Previous studies addressing the issue of risk stratification in elderly patients able to exercise have used various age thresholds to define the elderly population, ranging from 65 to 80 years old and had a highly variable duration of follow-up [6,14,25–34]. Given the contemporary life expectancy rates in developed countries however [35], we believe that the truly elderly population for the new millennium should be defined as patients ≥ 75 years of age.
The Complementary Roles of Radionuclide Myocardial Perfusion Imaging and Cardiac Computed Tomography
2012, Seminars in RoentgenologyCitation Excerpt :Thus, although the diagnostic utility of MPI has served a useful role in evaluating patients with signs and symptoms of CAD, because of the aforementioned limitations, it is the prognostic utility of MPI that has made it an integral part of the cardiac workup. Stress MPI shows powerful prognostic risk stratification in a variety of clinical situations and patient populations, including those with known or suspected CAD, following myocardial infarction (MI), before noncardiac surgery and in women, diabetic patients, patients with CHF, the elderly, and patients with renal failure.31-37 In 1983, Brown et al38 first reported the utility of MPI for prognostic purposes in a study of 100 patients without previous MI who underwent exercise stress 201Tl planar imaging and were followed for 3.7 years.
Diagnosis and Management of Coronary Artery Disease
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