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Cardiac Event Risk in Japanese Subjects Estimated Using Gated Myocardial Perfusion Imaging, in Conjunction With Diabetes Mellitus and Chronic Kidney Disease
- フォーマット:
- 論文
- 責任表示:
- Nakajima, Kenichi ; Matsuo, Shinro ; Okuyama, Chio ; Hatta, Tsuguru ; Tsukamoto, Kazumasa ; Nishimura, Shigeyuki ; Yamashina, Akira ; Kusuoka, Hideo ; Nishimura, Tsunehiko
- 言語:
- 英語
- 出版情報:
- Japanese Circulation Society = 日本循環器学会, 2011-11-19
- 著者名:
Nakajima, Kenichi Matsuo, Shinro Okuyama, Chio Hatta, Tsuguru Tsukamoto, Kazumasa Nishimura, Shigeyuki Yamashina, Akira Kusuoka, Hideo Nishimura, Tsunehiko - 掲載情報:
- Circulation Journal
- ISSN:
- 1346-9843
- 巻:
- 76
- 通号:
- 1
- 開始ページ:
- 168
- 終了ページ:
- 175
- バージョン:
- publisher
- 概要:
- Background: Cardiac event risk is estimated using quantitative gated myocardial perfusion imaging (MPI) and clinical background in patients with ischemic heart disease. The aim of the present study was to calculate major cardiac event risk and tabulate it in the Heart Risk Table for clinical use of risk stratification. Methods and Results: Multivariate logistic regression was performed based on a multicenter prognostic database (Japanese Assessment of Cardiac Events and … Survival Study by Quantitative Gated Single-photon emission computed tomography [J-ACCESS investigation]) using MPI (n=2,395). The risk of major cardiac events (cardiac death, non-fatal myocardial infarction and heart failure requiring hospitalization) was estimated using age, ejection fraction (EF), estimated glomerular filtration rate (eGFR) and presence of diabetes mellitus (DM). Age-matched standard eGFR was determined in 77 subjects. Major cardiac event risk was calculated using the equation: risk (%/3 years)=1/(1+Exp(-(-4.699-0.0151×eGFR+0.7998×DM+0.0582×age+0.697×SSS-0.0359×EF))×100, where SSS refers to summed stress scores. Risk was determined without eGFR (the initial version) and using the present formula with eGFR (revised version), with consistent results. DM and chronic kidney disease were major determinants of cardiac events. Conclusions: Cardiac event risk was estimated using MPI defect score and left ventricular EF in conjunction with eGFR and the presence of DM. The risk table might be used for risk evaluation in Japanese patients undergoing MPI. (Circ J 2012; 76: 168-175) 続きを見る
- URL:
- http://hdl.handle.net/2297/29742
類似資料:
Springer Verlag (Germany) / The Japanese Society of Nuclear Medicine = 日本核医学会 |
Springer Berlin (open access journals) |
The Japanese Circulation Society = 日本循環器学会 | |
日本循環器学会 = Japanese Circulation Society |
THE JAPANESE CIRCULATION SOCIETY 日本循環器学会 |
Japanese Circulation Society | |
The Japanese Circulation Society = 日本循環器学会 |
11
論文
Regadenoson: An adenosine A2A receptor agonist for pharmacological myocardial perfusion imaging
Japanese College of Cardiology = 日本心臓病学会 / Elsevier |