| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2013-08-27 |
| タイトル |
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|
タイトル |
Usefulness of Stress Myocardial Perfusion Imaging for Evaluating Asymptomatic Patients After Coronary Stent Implantation |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
Coronary angiography |
| キーワード |
|
|
主題 |
Restenosis |
| キーワード |
|
|
主題 |
Single photon emission computed tomography (SPECT) |
| キーワード |
|
|
主題 |
Stent |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| その他のタイトル |
|
|
その他のタイトル |
冠動脈ステント植込み後の無症候患者を評価するための運動負荷心筋血流イメージングの有用性 |
| 著者 |
Sugi, Toshihiko
Satoh, Hiroshi
Uehara, Akihiko
Katoh, Hideki
Terada, Hajime
Matsunaga, Masaki
Yamazaki, Keisuke
Matoh, Fumitaka
Nakano, Tomoyasu
Yoshihara, Shu
Kurata, Chinori
Miyata, Haruo
Ukigai, Hiroshi
Tawarahara, Kei
Kimura, Masahiko
Suzuki, Shingo
Hayashi, Hideharu
|
| 書誌情報 |
en : Circulation Journal
巻 68,
号 5,
p. 462-466,
発行日 2004-04-20
|
| 出版者 |
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|
出版者 |
THE JAPANESE CIRCULATION SOCIETY |
|
言語 |
en |
| 権利 |
|
|
権利情報 |
Copyright 2004 THE JAPANESE CIRCULATION SOCIETY |
| 権利 |
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|
権利情報 |
本文データは学協会の許諾に基づきCiNiiから複製したものである |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Background Stent implantation in coronary angioplasty has reduced the rate of restenosis, but many patients still undergo follow-up coronary angiography (CAG). The present study was a multi-center retrospective analysis of the usefulness of stress single photon emission computed tomography (SPECT) compared with follow-up CAG in stent-implanted patients who remained asymptomatic during the follow-up period. Methods and Results The study group of 103 patients underwent both SPECT and CAG at 4-9 months after stent implantation. Restenosis occurred in 20 (19%) of 106 vessel territories, and a reversible perfusion defect was found in 32 (30%) territories. Sensitivity, specificity, positive and negative predictive values, and accuracy of SPECT were 65%, 78%, 41%, 91%, and 76%, respectively. The accuracy was lower in territories with a prior myocardial infarction (71%), in the left circumflex artery (58%), and in cases with three-vessel disease (63%). The negative predictive value was high, but 7 false negative cases included 4 cases with prior myocardial infarction, and 2 cases with reversible defects in other vessel territories. Conclusions Stress SPECT imaging is a useful tool for following up patients with coronary stent implantation, and follow-up CAG could be omitted in patients with negative SPECT imaging, no prior myocardial infarction, one- or two-vessel disease, and sufficient stress loading. |
| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
13469843 |
| EISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13474820 |
| NII論文ID |
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|
関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
NAID |
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関連識別子 |
110002667559 |
| 出版社DOI |
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|
関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
10.1253/circj.68.462 |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
CircJ-68-462.pdf (171.6 kB)
