Are there specific MPI study parameters that can distinct ischemic from nonischemic cardiomyopathy

Vavlukis, Marija and PopGorceva, Daniela and Majstorov, Venijamin and Kostova, Nela and Zdravkovska, Maja and Stojcevski, Sinisa and Peovska, Irena (2012) Are there specific MPI study parameters that can distinct ischemic from nonischemic cardiomyopathy. In: European Congress of Heart Failure, 17-21 May 2012, Belgrade, Serbia.


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Many times MPI SPECT study proceeds to selective angiocardiography (CA) in patients with dilated cardiomyopathy without evidences of ischemic heart disease. But often, we faces pathological findings that results with normal CA results. The aim of our study was by retrospective analysis to identify MPI SPECT variables that can make distinction between ischemic and nonischemic dilated cardiomyopathy (ICM/NICM). MATERIAL AND METHODS We retrospectively analyzed 47 records of patients with dilated cardiomyopathy who underwent coronary arteriography 6 month prior or after MPI SPECT study. We divided them in two groups according to the CA results: Group 1 was patients with confirmed ICM, and Group 2 (patients without significant disease of major coronary arteries on CA) with NICM. We analyzed demographic data (age, gender), patient history for presence of major risk factors, functional status (CCSC and NYHA of the patient, prior MI, PCI or CABG, comorbidities, LBBB), CA data and MPI SPECT data. From MPI SPECT study we analyzed: type of stress (exercise/dypiridamol), hemodynamic, electrocardiographic and functional response to stress, MPI perfusion parameters, and left ventricular function parameters: LVEF at rest and after stress, LV volumes at rest and after stress, L/H ratio, TID, PF and PE rate at rest and after stress, type of perfusion defect (fix, reversible) extent and location of the defect.

Item Type: Conference or Workshop Item (Poster)
Subjects: Medical and Health Sciences > Clinical medicine
Divisions: Faculty of Medical Science
Depositing User: Marija Vavlukis
Date Deposited: 29 Jun 2015 14:21
Last Modified: 29 Jun 2015 14:21

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