Miyokard perfüzyon sintigrafisi, eforlu EKG ve koroner anjiografi sonuçlarının karşılaştırılması
Yükleniyor...
Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dicle Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Attribution-NonCommercial 3.0 United States
Attribution-NonCommercial 3.0 United States
Özet
Amaç: Koroner arter hastalığı tüm dünyada en sık görülen mortalite ve morbidite sebeplerinden birisidir. Koroner arterlerdeki aterosklerotik darlığın kesin tanısında koroner anjiografi kullanılmaktadır. Bu çalışmada koroner arter hastalığı tanısında kullanılan eforlu EKG ve miyokard perfüzyon sintigrafi ve koroner anjiografi bulguları karşılaşrtırıldı. Gereç ve Yöntem: 101 hasta (47 erkek, 54 kadın; yaş
ortalaması: 55 ± 10.95 yıl) çalışmaya alındı. Bu hastalara treadmill cihazıyla efor yaptırılarak 99m Tc-MIBI miyokard perfüzyon sintigrafisi çekildi. Bir ay içerisinde koroner anjiografi yapılan hastalar çalışmaya dahil edildi. Bulgular: Efor testi pozitif olan hastaların %55’i, şüpheli olanların %82’si ve negatif olanların ise %29’unda koroner anjiografide darlık tespit edilirken miyokard perfüzyon sintigrafisinde iskemi gözlenen hastaların %66’sında ve normal değerlendirilen hastaların %12’sinde darlık görüldü. Sonuç: Koroner arter darlığının tanı ve takibinde efor testi ve miyokard perfüzyon sintigrafisi gibi noninvaziv testler kullanılmaktadır. Bu testlerin sonuçları birlikte değerlendirildiğinde koroner arter darlığını göstermedeki doğrulukları artmaktadır.
Aim: Coronary artery disease is one of the most frequent causes of mortality and morbidity seen all over the world. In definite diagnosis of the atherosclerotic coronary artery stenosis, coronary angiography is used. In this study, additional contribution of the effort stress testing together with myocardial perfusion scintigraphy, which are noninvasive tests, to choose patients to coronary angiography. Materials and Methods: 101 patients (47 men, 54 women; mean age: 55 ± 10.95 year) were included into the study. In all patients 99m Tc-MIBI myocardial perfusion scintigraphy was performed following physiological effort on treadmill. Patients in whom coronary angiography were performed in 1 month before or after scintigraphic evaluation were included into the study. Results: In 55% of patients having positive effort stress testing, 82% of patients having suspicious and 29% of patients with negative test results atherosclerotic narrowing in coronary arteries were detected by angiography. Whereas, in 66% of patients had ischemic myocardial perfusion scintigraphic findings and 12% of patients with normal scintigraphy, angiography revealed coronary artery stenosis. Conclusion: In diagnosis and follow-up of coronary artery disease, effort stress testing and myocardial perfusion test are used. If findings of these tests are evaluated together, accuracy of the tests will be increased.
Aim: Coronary artery disease is one of the most frequent causes of mortality and morbidity seen all over the world. In definite diagnosis of the atherosclerotic coronary artery stenosis, coronary angiography is used. In this study, additional contribution of the effort stress testing together with myocardial perfusion scintigraphy, which are noninvasive tests, to choose patients to coronary angiography. Materials and Methods: 101 patients (47 men, 54 women; mean age: 55 ± 10.95 year) were included into the study. In all patients 99m Tc-MIBI myocardial perfusion scintigraphy was performed following physiological effort on treadmill. Patients in whom coronary angiography were performed in 1 month before or after scintigraphic evaluation were included into the study. Results: In 55% of patients having positive effort stress testing, 82% of patients having suspicious and 29% of patients with negative test results atherosclerotic narrowing in coronary arteries were detected by angiography. Whereas, in 66% of patients had ischemic myocardial perfusion scintigraphic findings and 12% of patients with normal scintigraphy, angiography revealed coronary artery stenosis. Conclusion: In diagnosis and follow-up of coronary artery disease, effort stress testing and myocardial perfusion test are used. If findings of these tests are evaluated together, accuracy of the tests will be increased.
Açıklama
Anahtar Kelimeler
Koroner arter hastalığı, Miyokard iskemisi, Miyokard perfüzyon sintigrafisi, Koroner anjiografi, Efor testi, Coronary artery disease, Myocardial ischemia, Myocardial perfusion imaging, Coronary angiography, Exercise test
Kaynak
Dicle Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
37
Sayı
2
Künye
Dostbil, Z., Çil, H., Atılgan, Z.A, Tekbaş, E., Kaya, E. ve Kaya, S. (2010). Miyokard perfüzyon sintigrafisi, eforlu EKG ve koroner anjiografi sonuçlarının karşılaştırılması. Dicle Tıp Dergisi, 37(2), 104-108.
