Myocardial scintigraphy. Clinical use and consequence in a non-invasive cardiological department

Christine Elisabeth Dümcke; J Graff; SPL Rasmussen; Jan Lysgård Madsen; Søren Møller

Myocardial scintigraphy. Clinical use and consequence in a non-invasive cardiological department

Christine Elisabeth Dümcke, J Graff, SPL Rasmussen, Jan Lysgård Madsen, Søren Møller

Department of Clinical Medicine

1 Citation (Scopus)

Abstract

INTRODUCTION: Myocardial perfusion imaging (MPI) is increasingly used for the diagnosis of ischaemic heart disease. The method is particularly applied as a gate keeper before coronary angiography (CAG) in patients with intermediate probability for ischaemic heart disease. This study aimed to analyse the clinical use of MPI in a university hospital without invasive cardiological laboratory. MATERIAL AND METHODS: In the period 01.01.2002 to 31.12.2003, 259 patients (141 women, 118 men) were referred to MPI from our department of cardiology. RESULTS: Normal MPI was seen in 111 patients (43%), whereas reversible ischaemia was seen in 88 patients (34%) and led to referral of 52 patients (59%) to CAG. 17 patients (19%) continued clinical control, and 19 cases (22%) were closed. Correlating results between MPI and all performed CAGs were found in 42 patients (61%), and divergent results were seen in 27 (39%) patients. CONCLUSION: Referral to CAG is primarily based on the combination of the results of MPI and the clinical symptoms of ischaemic heart disease.

Original language	English
Journal	Ugeskrift for Laeger
Volume	168
Issue number	45
Pages (from-to)	3906-10
ISSN	0041-5782
Publication status	Published - 2006

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title = "Myocardial scintigraphy. Clinical use and consequence in a non-invasive cardiological department",

abstract = "INTRODUCTION: Myocardial perfusion imaging (MPI) is increasingly used for the diagnosis of ischaemic heart disease. The method is particularly applied as a gate keeper before coronary angiography (CAG) in patients with intermediate probability for ischaemic heart disease. This study aimed to analyse the clinical use of MPI in a university hospital without invasive cardiological laboratory. MATERIAL AND METHODS: In the period 01.01.2002 to 31.12.2003, 259 patients (141 women, 118 men) were referred to MPI from our department of cardiology. RESULTS: Normal MPI was seen in 111 patients (43%), whereas reversible ischaemia was seen in 88 patients (34%) and led to referral of 52 patients (59%) to CAG. 17 patients (19%) continued clinical control, and 19 cases (22%) were closed. Correlating results between MPI and all performed CAGs were found in 42 patients (61%), and divergent results were seen in 27 (39%) patients. CONCLUSION: Referral to CAG is primarily based on the combination of the results of MPI and the clinical symptoms of ischaemic heart disease.",

author = "D{\"u}mcke, {Christine Elisabeth} and J Graff and SPL Rasmussen and Madsen, {Jan Lysg{\aa}rd} and S{\o}ren M{\o}ller",

year = "2006",

language = "English",

volume = "168",

pages = "3906--10",

journal = "Ugeskrift for Laeger",

issn = "0041-5782",

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TY - JOUR

T1 - Myocardial scintigraphy. Clinical use and consequence in a non-invasive cardiological department

AU - Dümcke, Christine Elisabeth

AU - Graff, J

AU - Rasmussen, SPL

AU - Madsen, Jan Lysgård

AU - Møller, Søren

PY - 2006

Y1 - 2006

N2 - INTRODUCTION: Myocardial perfusion imaging (MPI) is increasingly used for the diagnosis of ischaemic heart disease. The method is particularly applied as a gate keeper before coronary angiography (CAG) in patients with intermediate probability for ischaemic heart disease. This study aimed to analyse the clinical use of MPI in a university hospital without invasive cardiological laboratory. MATERIAL AND METHODS: In the period 01.01.2002 to 31.12.2003, 259 patients (141 women, 118 men) were referred to MPI from our department of cardiology. RESULTS: Normal MPI was seen in 111 patients (43%), whereas reversible ischaemia was seen in 88 patients (34%) and led to referral of 52 patients (59%) to CAG. 17 patients (19%) continued clinical control, and 19 cases (22%) were closed. Correlating results between MPI and all performed CAGs were found in 42 patients (61%), and divergent results were seen in 27 (39%) patients. CONCLUSION: Referral to CAG is primarily based on the combination of the results of MPI and the clinical symptoms of ischaemic heart disease.

AB - INTRODUCTION: Myocardial perfusion imaging (MPI) is increasingly used for the diagnosis of ischaemic heart disease. The method is particularly applied as a gate keeper before coronary angiography (CAG) in patients with intermediate probability for ischaemic heart disease. This study aimed to analyse the clinical use of MPI in a university hospital without invasive cardiological laboratory. MATERIAL AND METHODS: In the period 01.01.2002 to 31.12.2003, 259 patients (141 women, 118 men) were referred to MPI from our department of cardiology. RESULTS: Normal MPI was seen in 111 patients (43%), whereas reversible ischaemia was seen in 88 patients (34%) and led to referral of 52 patients (59%) to CAG. 17 patients (19%) continued clinical control, and 19 cases (22%) were closed. Correlating results between MPI and all performed CAGs were found in 42 patients (61%), and divergent results were seen in 27 (39%) patients. CONCLUSION: Referral to CAG is primarily based on the combination of the results of MPI and the clinical symptoms of ischaemic heart disease.

M3 - Journal article

SN - 0041-5782

VL - 168

SP - 3906

EP - 3910

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

IS - 45

ER -

Myocardial scintigraphy. Clinical use and consequence in a non-invasive cardiological department

Abstract

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