Evidence map›Paper›PMID 19266249›Full record

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

The effect of beta-blockers on the diagnostic accuracy of vasodilator pharmacologic SPECT myocardial perfusion imaging.

Andrew J Yoon, Rowlens M Melduni, Shelly-Ann Duncan, Robert J Ostfeld, Mark I Travin

Abstract readClinical Trial
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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 34 citations in OpenAlex.

  1. The effect of beta blocker withdrawal on adenosine myocardial perfusion imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2014
    Trial
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. The significance of transient ischemic dilation in the setting of otherwise normal SPECT radionuclide myocardial perfusion images.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2011
    Article
  11. CT perfusion: ready for prime time.Current cardiology reports · 2011
    Review
  12. Quantitative and qualitative analysis and interpretation of CT perfusion imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2010
    Review
  13. 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

5 authors at 2 institutions in 1 country.

Andrew J YoonDepartment of Nuclear Medicine and Department of Medicine/Division of Cardiology, Montefiore Medical Center, 111 East-210th Street, Bronx, NY, 10467-2490, USA.
Rowlens M Melduni
Shelly-Ann Duncan
Robert J Ostfeld
Mark I Travin
Montefiore Medical Center · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effect of beta (beta) blockers on the accuracy, particularly the sensitivity, of vasodilator radionuclide myocardial perfusion imaging (MPI) is not entirely clear. This study aimed to further assess the effect of beta-blockers on the ability of MPI to identify significant and high-risk coronary artery disease (CAD). METHODS AND

resultsFor 555 patients who underwent vasodilator MPI and had coronary angiography within 90 days, global and per-vessel sensitivities and specificities were calculated, and were found to be similar between patients taking beta-blockers and those who were not. beta-blockers did not decrease the ability to detect patients with multivessel disease. Summed stress scores and summed rest scores were likewise similar in both groups. To account in part for catheterization referral bias and the potential of false-negative MPI studies in patients receiving beta-blockers, survival analysis was performed on 2646 patients with normal MPI studies who did not undergo cardiac catheterization and failed to demonstrate significant mortality difference related to the taking of beta-blockers.

conclusionsbeta-blocker therapy does not diminish the ability of vasodilator stress MPI to detect clinically significant CAD, nor hide the mortality risk of patients with normal studies not referred for catheterization.

Indexed as

Vasodilator AgentsAdrenergic beta-AntagonistsCoronary Artery DiseaseDrug InteractionsExercise TestFemaleHumansMaleMiddle AgedReproducibility of ResultsSensitivity and SpecificityTomography, Emission-Computed, Single-PhotonVentricular Dysfunction, LeftAdrenergic beta-AntagonistsVasodilator Agents

Identifiers

PMID19266249
OpenAlexW1974253968

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.