Evidence map›Paper›PMID 14569238›Full record

Trial reportJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

Stress-related variations in left ventricular function as assessed with gated myocardial perfusion SPECT.

Hein J Verberne, Marcel G W Dijkgraaf, G Aernout Somsen, Berthe L F van Eck-Smit

Abstract readClinical TrialValidation Study
PubMed Publisher
In one paragraph

Trial report in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Review
  3. Better characterization of dipyridamole-induced myocardial stunning by systolic wall thickening. A gated perfusion SPECT study.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  4. Additional value of systolic wall thickening in myocardial stunning evaluated by stress-rest gated perfusion SPECT.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  5. Left ventricular function in response to dipyridamole stress: head-to-head comparison betweenEuropean journal of nuclear medicine and molecular imaging · 2017
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Multicenter intercomparison assessment of consistency of left ventricular function from a gated cardiac SPECT phantom.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2006
    Article
  13. Differences in left ventricular ejection fraction and volumes measured at rest and poststress by gated sestamibi SPECT.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2006
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Hein J VerberneDepartment of Nuclear Medicine, Academic Medical Center, Amsterdam, The Netherlands. h.j.verberne@amc.uva.nl
Marcel G W Dijkgraaf
G Aernout Somsen
Berthe L F van Eck-Smit
Academic Medical Center · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is inconsistency in reported patient characteristics associated with differences in basal and poststress left ventricular function (delta ejection fraction [DeltaEF]) assessed by gated single photon emission computed tomography (SPECT). This inconsistency may therefore hamper adequate interpretation. In this study we first determined the reproducibility of serial gated SPECT-assessed left ventricular function. Second, we determined whether left ventricular ejection fraction (LVEF) assessed directly after stress reflects basal LVEF and, if not, what patient characteristics were associated with this discrepancy in LVEF. METHODS AND

resultsSerial reproducibility of technetium 99m tetrofosmin gated SPECT-assessed LVEF in 22 patients showed a mean difference between two sequential measurements at rest of 0.09% EF units, with a 95% limit of agreement (2 SDs) at 5.8% EF units. In 229 patients Tc-99m tetrofosmin gated SPECT was performed after stress and at rest. Independent predictors of DeltaEF were the presence of scintigraphically proven ischemia (standardized coefficient, -1.256; P =.003) and difference in heart rate at the time of acquisition (standardized coefficient, 0.121; P =.001).

conclusionsGated SPECT-assessed LVEF at rest is reproducible under standard clinical conditions. However, LVEF assessed after stress does not represent LVEF at rest in patients with scintigraphically proven ischemia and in patients with increased heart rate after stress compared with heart rate at rest.

Indexed as

Stroke VolumeCoronary Artery DiseaseExercise TestFemaleGated Blood-Pool ImagingHumansMaleMiddle AgedReproducibility of ResultsRestSensitivity and SpecificityStatistics as TopicVentricular Dysfunction, Left

Identifiers

PMID14569238
OpenAlexW2129660067

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.