Prognostic implications of dipyridamole or dobutamine stress echocardiography for evaluation of patients (Articolo in rivista)

Type
Label
  • Prognostic implications of dipyridamole or dobutamine stress echocardiography for evaluation of patients (Articolo in rivista) (literal)
Anno
  • 2007-01-01T00:00:00+01:00 (literal)
Alternative label
  • Cortigiani L.; Bigi R.; Sicari R.; Landi P.; Bovenzi F.; Picano E. (2007)
    Prognostic implications of dipyridamole or dobutamine stress echocardiography for evaluation of patients
    in The American journal of cardiology; elsevier, new-york (Stati Uniti d'America)
    (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
  • Cortigiani L.; Bigi R.; Sicari R.; Landi P.; Bovenzi F.; Picano E. (literal)
Pagina inizio
  • 1491 (literal)
Pagina fine
  • 1495 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
  • 99 (literal)
Rivista
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#note
  • In: American Journal of Cardiology, vol. 99 (11) pp. 1491 - 1495. Elsevier, 2007. (literal)
Note
  • ubMe (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
  • Istituto di Fisiologia Clinica del CNR (literal)
Titolo
  • Prognostic implications of dipyridamole or dobutamine stress echocardiography for evaluation of patients (literal)
Abstract
  • This study investigated the value of pharmacologic stress echocardiography for risk stratification of patients 65 years of age. The study cohort consisted of 2,160 patients 65 years of age (1,257 men, mean ± SD 71 ± 5 years of age) undergoing dipyridamole (n = 1,521) or dobutamine (n = 639) stress echocardiography for evaluation of known (n = 913) or suspected (n = 1,247) coronary artery disease. Of 2,160 patients, 753 (35%) had a normal test result, whereas 772 (36%) showed a myocardial ischemic pattern and 635 (29%) a scar pattern. During a median follow-up of 26 months, 241 deaths and 87 nonfatal myocardial infarctions occurred. Patients (n = 568) undergoing revascularization were censored. Of 16 analyzed variables, age (hazard ratio [HR] 1.07 per unit increment), wall motion score index at rest (HR 2.63 per unit increment), ischemia at stress echocardiography (HR 1.81), and diabetes (HR 1.57) were multivariable predictors of death, whereas age (HR 1.06 per unit increment), ischemia at stress echocardiography (HR 2.60), wall motion score index at rest (HR 1.98 per unit increment), scar pattern (HR 1.99), and diabetes (HR 1.48) were multivariable predictors of death or myocardial infarction. Using an interactive stepwise procedure, stress echocardiography showed incremental prognostic value over clinical and echocardiographic data at rest, which decreased with increasing age. In addition, the annual hard event rate associated with a normal test result progressively increased with age. In conclusion, pharmacologic stress echocardiography provides useful prognostic information in patients 65 years of age. However, its prognostic value decreases with increasing age. (literal)
Editore
Prodotto di
Autore CNR
Insieme di parole chiave

Incoming links:


Autore CNR di
Prodotto
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#rivistaDi
Editore di
Insieme di parole chiave di
data.CNR.it