Evidence map›Paper›PMID 19584976›Full record

ArticleThe Canadian journal of cardiology2009

Prognostic value of treadmill exercise and dobutamine stress positron emission tomography.

Benjamin J W Chow, Owayed M Al Shammeri, Rob S Beanlands, Li Chen, Robert A deKemp, Jean DaSilva, Terrence D Ruddy

Abstract read
In one paragraph

Article in The Canadian journal of cardiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

4 citing papers in PubMed.

  1. Feasibility and diagnostic accuracy of exercise treadmill nitrogen-13 ammonia PET myocardial perfusion imaging of obese patients.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2015
    Article
  2. Article
  3. Prognosis in the era of comparative effectiveness research: where is nuclear cardiology now and where should it be?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2012
    Review
  4. Assessment of myocardial perfusion and function with PET and PET/CT.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2010
    Review
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

7 authors.

Benjamin J W ChowDepartment of Medicine (Cardiology and Nuclear Medicine), University of Ottawa Heart Institute, Ottawa, Ontario K1Y 4W7, Canada. bchow@ottawaheart.ca
Owayed M Al Shammeri
Rob S Beanlands
Li Chen
Robert A deKemp
Jean DaSilva
Terrence D Ruddy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough positron emission tomography (PET) is routinely performed using vasodilator stress, exercise and dobutamine stress are available alternatives. Evidence suggests that vasodilator PET myocardial perfusion imaging (MPI) has prognostic value, but the prognostic value of treadmill exercise and dobutamine PET MPI is unknown.

objectiveTo determine the potential prognostic value of nonvasodilator stress PET MPI.

methodsPatients underwent treadmill exercise or dobutamine PET MPI. Images were assessed qualitatively and semiquantitatively. PET results were categorized as normal (summed stress score [SSS] of less than 4), abnormal (SSS of 4 or greater) or inconclusive (SSS of less than 4 and submaximal peak stress heart rate). Patient follow-up (cardiac death, nonfatal myocardial infarction [MI] and/or late revascularization) was performed.

resultsOf the 124 patients (mean follow-up period of 2.3+/-1.6 years), 46 patients (37%) had a normal study, 15 patients (12%) had an inconclusive study and 63 (51%) had an abnormal PET. Patients with a normal PET had no deaths or nonfatal MI. One patient with a normal PET underwent late revascularization (annual event rate of 1.7%). Patients with an abnormal PET had 15 cardiac events (one cardiac death, four nonfatal MIs and 10 late revascularizations), with an annual event rate of 13.0% (P=0.002).

conclusionsAlthough small, the present study suggests that defects seen on PET myocardial perfusion, resulting from stressors (treadmill exercise and dobutamine) that increase myocardial oxygen demand, may have prognostic value.

Indexed as

Cardiotonic AgentsDobutamineExercise TestCoronary Artery DiseaseFemaleHumansMaleMiddle AgedOntarioPositron-Emission TomographyPrognosisProspective StudiesSurvival AnalysisCardiotonic AgentsDobutamine

Identifiers

PMID19584976
PMCPMC2723030

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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.