ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2012
Cardiac risk assessment by gated single-photon emission computed tomography in asymptomatic end-stage renal disease patients at the start of dialysis.
Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Prognostic value of myocardial perfusion imaging in patients with chronic kidney disease: A systematic review and meta-analysis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022Pooled it
- Left Atrial Volume versus Coronary Artery Calcium Score in Patients on Peritoneal Dialysis: An Observational Study.Journal of clinical medicine · 2024Article
- Coronary Artery Disease in Patients Undergoing Hemodialysis: A Problem that Sounds the Alarm.Reviews in cardiovascular medicine · 2024Review
- Findings of Cardiovascular Workup of Kidney Transplant Candidates: A Retrospective Study of a Single-Center in Saudi Arabia.International journal of nephrology · 2023Article
- Association between phase angle and coronary artery calcium score in patients on peritoneal dialysis.Frontiers in nutrition · 2022Article
- The diagnostic accuracy of stress myocardial perfusion scintigraphy in patients with end-stage renal disease.American journal of cardiovascular disease · 2021Article
- The assessment of coronary artery disease in patients with end-stage renal disease.Clinical kidney journal · 2019Article
- Risk stratification for renal transplantation: A role for heart rate response?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019Article
- Long-term prognosis of end-stage renal disease patients with normal myocardial perfusion as determined by single photon emission computed tomography.The Korean journal of internal medicine · 2018Article
- Stress SPECT Myocardial Perfusion Imaging in End-Stage Renal Disease.Current cardiovascular imaging reports · 2017Article
- Focal impairment in myocardial fatty acid imaging in the left anterior descending artery area, a strong predictor for cardiac death in hemodialysis patients without obstructive coronary artery disease.European journal of nuclear medicine and molecular imaging · 2015Article
- Left atrial volume index is a predictor of silent myocardial ischemia in high-risk patients with end-stage renal disease.The international journal of cardiovascular imaging · 2013Article
- The prognosis for prognosis remains excellent.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2013Article
- Usefulness of multidetector row computed tomography for predicting cardiac events in asymptomatic chronic kidney disease patients at the initiation of renal replacement therapy.TheScientificWorldJournal · 2013Article
- Myocardial perfusion SPECT "screening" at the start of dialysis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2012Article
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4 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study assessed the impact of cardiac risk assessment using gated single-photon emission computed tomography (SPECT) on cardiac events in end-stage renal disease (ESRD) patients.
methodsWe evaluated 215 asymptomatic patients who began dialysis between January 2005 and April 2009. Baseline electrocardiography and echocardiography were performed in all the patients. The subjects were stratified into low- and high-risk groups according to the baseline cardiac status, and gated SPECT was additionally recommended for the high-risk patients.
resultsThe study population consisted of 50 low- and 165 high-risk patients undergoing SPECT. Among the high-risk patients, 75 (45.5%) showed perfusion defects on SPECT and their overall cardiac-event rate per person-year of follow-up was 15.0%, significantly higher than 4.5% in high-risk group without perfusion defect and 1.2% in low-risk group. The presence of perfusion defect was a significant independent predictor of adverse cardiac events [hazard ratio (HR) 2.11; 95% confidence interval (CI) 1.05-4.24; P = .035]. When gated SPECT was added to the clinical and the echocardiographic variables, the prognostic stratification significantly improved (P < .001). However, coronary revascularization was not associated with improved cardiac event-free survival (HR 0.62; 95% CI 0.26-1.52; P = .296).
conclusionsGated SPECT may provide additional prognostic information for cardiac risk stratification, particularly among high-risk patients starting dialysis.
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