Valor preditivo da cintigrafia de perfusão miocárdica ou da ressonância magnética cardíaca na avaliação da doença arterial coronária obstrutiva num cenário da vida real

Detalhes bibliográficos
Autor(a) principal: Silva, Cláudia
Data de Publicação: 2023
Outros Autores: Lopes, Pedro, Gonçalves, Mariana, Ventosa, António, Calqueiro, João, Freitas, Pedro, Guerreiro, Sara, Brito, João, Abecasis, João, Raposo, Luís, Saraiva, Carla, De Araújo Gonçalves, Pedro, Santos, Ana, Campante Teles, Rui, de Sousa Almeida, Manuel, Ferreira, António Miguel
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/157775
Resumo: Introduction and objectives: Randomized controlled trials comparing stress cardiac magnetic resonance (CMR) and single-photon emission computed tomography (SPECT) suggest similar diagnostic accuracy for detecting obstructive coronary artery disease (CAD). There are few data on whether this remains true in routine clinical practice. The aim of this study was to assess clinical and angiographic characteristics of patients undergoing invasive coronary angiography (ICA) after stress CMR or SPECT, and to compare their positive predictive value with published results from the CE-MARC trial. Methods: In this retrospective tertiary-center analysis, we included 429 patients undergoing ICA after a positive stress CMR or positive SPECT performed within the previous 12 months. Obstructive CAD was defined as any coronary artery stenosis ≥50% in a vessel compatible with the ischemic territory on stress testing. Results: Of the total 429 patients, 356 (83%) were referred after a positive SPECT, and 73 (17%) after a positive stress CMR. Patients did not differ according to age, cardiovascular risk factors, previous revascularization or left ventricular dysfunction, but patients with SPECT were more frequently male (p=0.046). The prevalence of obstructive CAD was similar in patients with positive SPECT vs. positive stress CMR (76.1% vs. 80.8%, respectively, p=0.385). The positive predictive values of both techniques were similar to those reported in the CE-MARC trial. Conclusion: In this tertiary center analysis, stress CMR and SPECT showed similar positive predictive values, comparable to those reported in the CE-MARC trial. This finding supports the emerging adoption of CMR in clinical practice for the diagnosis and management of CAD.
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spelling Valor preditivo da cintigrafia de perfusão miocárdica ou da ressonância magnética cardíaca na avaliação da doença arterial coronária obstrutiva num cenário da vida realPredictive value of a positive stress single-photon emission computed tomography or stress cardiac magnetic resonance for ruling in obstructive coronary artery disease in a real-world settingCardiovascular magnetic resonanceObstructive coronary artery diseasePositive predictive valueSingle-photon emission computed tomographyCardiology and Cardiovascular MedicineIntroduction and objectives: Randomized controlled trials comparing stress cardiac magnetic resonance (CMR) and single-photon emission computed tomography (SPECT) suggest similar diagnostic accuracy for detecting obstructive coronary artery disease (CAD). There are few data on whether this remains true in routine clinical practice. The aim of this study was to assess clinical and angiographic characteristics of patients undergoing invasive coronary angiography (ICA) after stress CMR or SPECT, and to compare their positive predictive value with published results from the CE-MARC trial. Methods: In this retrospective tertiary-center analysis, we included 429 patients undergoing ICA after a positive stress CMR or positive SPECT performed within the previous 12 months. Obstructive CAD was defined as any coronary artery stenosis ≥50% in a vessel compatible with the ischemic territory on stress testing. Results: Of the total 429 patients, 356 (83%) were referred after a positive SPECT, and 73 (17%) after a positive stress CMR. Patients did not differ according to age, cardiovascular risk factors, previous revascularization or left ventricular dysfunction, but patients with SPECT were more frequently male (p=0.046). The prevalence of obstructive CAD was similar in patients with positive SPECT vs. positive stress CMR (76.1% vs. 80.8%, respectively, p=0.385). The positive predictive values of both techniques were similar to those reported in the CE-MARC trial. Conclusion: In this tertiary center analysis, stress CMR and SPECT showed similar positive predictive values, comparable to those reported in the CE-MARC trial. This finding supports the emerging adoption of CMR in clinical practice for the diagnosis and management of CAD.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNSilva, CláudiaLopes, PedroGonçalves, MarianaVentosa, AntónioCalqueiro, JoãoFreitas, PedroGuerreiro, SaraBrito, JoãoAbecasis, JoãoRaposo, LuísSaraiva, CarlaDe Araújo Gonçalves, PedroSantos, AnaCampante Teles, Ruide Sousa Almeida, ManuelFerreira, António Miguel2023-09-13T22:19:11Z2023-092023-09-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article7application/pdfhttp://hdl.handle.net/10362/157775por0870-2551PURE: 71143890https://doi.org/10.1016/j.repc.2023.01.026info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:40:06Zoai:run.unl.pt:10362/157775Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:56:52.418301Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Valor preditivo da cintigrafia de perfusão miocárdica ou da ressonância magnética cardíaca na avaliação da doença arterial coronária obstrutiva num cenário da vida real
Predictive value of a positive stress single-photon emission computed tomography or stress cardiac magnetic resonance for ruling in obstructive coronary artery disease in a real-world setting
title Valor preditivo da cintigrafia de perfusão miocárdica ou da ressonância magnética cardíaca na avaliação da doença arterial coronária obstrutiva num cenário da vida real
spellingShingle Valor preditivo da cintigrafia de perfusão miocárdica ou da ressonância magnética cardíaca na avaliação da doença arterial coronária obstrutiva num cenário da vida real
Silva, Cláudia
Cardiovascular magnetic resonance
Obstructive coronary artery disease
Positive predictive value
Single-photon emission computed tomography
Cardiology and Cardiovascular Medicine
title_short Valor preditivo da cintigrafia de perfusão miocárdica ou da ressonância magnética cardíaca na avaliação da doença arterial coronária obstrutiva num cenário da vida real
title_full Valor preditivo da cintigrafia de perfusão miocárdica ou da ressonância magnética cardíaca na avaliação da doença arterial coronária obstrutiva num cenário da vida real
title_fullStr Valor preditivo da cintigrafia de perfusão miocárdica ou da ressonância magnética cardíaca na avaliação da doença arterial coronária obstrutiva num cenário da vida real
title_full_unstemmed Valor preditivo da cintigrafia de perfusão miocárdica ou da ressonância magnética cardíaca na avaliação da doença arterial coronária obstrutiva num cenário da vida real
title_sort Valor preditivo da cintigrafia de perfusão miocárdica ou da ressonância magnética cardíaca na avaliação da doença arterial coronária obstrutiva num cenário da vida real
author Silva, Cláudia
author_facet Silva, Cláudia
Lopes, Pedro
Gonçalves, Mariana
Ventosa, António
Calqueiro, João
Freitas, Pedro
Guerreiro, Sara
Brito, João
Abecasis, João
Raposo, Luís
Saraiva, Carla
De Araújo Gonçalves, Pedro
Santos, Ana
Campante Teles, Rui
de Sousa Almeida, Manuel
Ferreira, António Miguel
author_role author
author2 Lopes, Pedro
Gonçalves, Mariana
Ventosa, António
Calqueiro, João
Freitas, Pedro
Guerreiro, Sara
Brito, João
Abecasis, João
Raposo, Luís
Saraiva, Carla
De Araújo Gonçalves, Pedro
Santos, Ana
Campante Teles, Rui
de Sousa Almeida, Manuel
Ferreira, António Miguel
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Silva, Cláudia
Lopes, Pedro
Gonçalves, Mariana
Ventosa, António
Calqueiro, João
Freitas, Pedro
Guerreiro, Sara
Brito, João
Abecasis, João
Raposo, Luís
Saraiva, Carla
De Araújo Gonçalves, Pedro
Santos, Ana
Campante Teles, Rui
de Sousa Almeida, Manuel
Ferreira, António Miguel
dc.subject.por.fl_str_mv Cardiovascular magnetic resonance
Obstructive coronary artery disease
Positive predictive value
Single-photon emission computed tomography
Cardiology and Cardiovascular Medicine
topic Cardiovascular magnetic resonance
Obstructive coronary artery disease
Positive predictive value
Single-photon emission computed tomography
Cardiology and Cardiovascular Medicine
description Introduction and objectives: Randomized controlled trials comparing stress cardiac magnetic resonance (CMR) and single-photon emission computed tomography (SPECT) suggest similar diagnostic accuracy for detecting obstructive coronary artery disease (CAD). There are few data on whether this remains true in routine clinical practice. The aim of this study was to assess clinical and angiographic characteristics of patients undergoing invasive coronary angiography (ICA) after stress CMR or SPECT, and to compare their positive predictive value with published results from the CE-MARC trial. Methods: In this retrospective tertiary-center analysis, we included 429 patients undergoing ICA after a positive stress CMR or positive SPECT performed within the previous 12 months. Obstructive CAD was defined as any coronary artery stenosis ≥50% in a vessel compatible with the ischemic territory on stress testing. Results: Of the total 429 patients, 356 (83%) were referred after a positive SPECT, and 73 (17%) after a positive stress CMR. Patients did not differ according to age, cardiovascular risk factors, previous revascularization or left ventricular dysfunction, but patients with SPECT were more frequently male (p=0.046). The prevalence of obstructive CAD was similar in patients with positive SPECT vs. positive stress CMR (76.1% vs. 80.8%, respectively, p=0.385). The positive predictive values of both techniques were similar to those reported in the CE-MARC trial. Conclusion: In this tertiary center analysis, stress CMR and SPECT showed similar positive predictive values, comparable to those reported in the CE-MARC trial. This finding supports the emerging adoption of CMR in clinical practice for the diagnosis and management of CAD.
publishDate 2023
dc.date.none.fl_str_mv 2023-09-13T22:19:11Z
2023-09
2023-09-01T00:00:00Z
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PURE: 71143890
https://doi.org/10.1016/j.repc.2023.01.026
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