Evidence map›Paper›PMID 22565239›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2012

Safety and feasibility of regadenoson use for suboptimal heart rate response during symptom-limited standard Bruce exercise stress test.

Sara L Partington, Viswanatha Lanka, Jon Hainer, Ron Blankstein, Hicham Skali, Daniel E Forman, Marcelo F Di Carli, Sharmila Dorbala

Abstract read
In one paragraph

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 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

  1. The EXXERT Study.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Trial
  2. Trial
  3. Aminophylline and caffeine for reversal of adverse symptoms associated with regadenoson SPECT MPI.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Trial
  4. Trial
  5. Trial
  6. Article
  7. The impact of combination of regadenoson and isometric exercise on image quality of myocardial perfusion scintigraphy.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Article
  8. Regadenoson stress during low-level exercise: The EXERRT trial-does it move the needle?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Article
  9. Review
  10. Choosing exercise or pharmacologic stress imaging, or exercise ECG testing alone: How to decide.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Article
  11. A useful and easy to develop combined stress test for myocardial perfusion imaging: Regadenoson and isometric exercise, preliminary results.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Article
  12. A helping hand for regadenoson tests.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Article
  13. Clinical applications of radionuclide imaging in the evaluation and management of patients with congenital heart disease.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016
    Review
  14. Review
  15. Article
  16. Regadenoson for myocardial perfusion imaging: Is it safe?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2014
    Article
  17. Article
  18. Is regadenoson an appropriate stressor for MPI in patients with left bundle branch block or pacemakers?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2013
    Article
  19. Detection of obstructive coronary artery disease using regadenoson stress and 82Rb PET/CT myocardial perfusion imaging.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2013
    Article
  20. Regadenoson and exercise myocardial perfusion imaging: the courtship continues.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2013
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Sara L PartingtonNoninvasive Cardiovascular Imaging Program, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Viswanatha Lanka
Jon Hainer
Ron Blankstein
Hicham Skali
Daniel E Forman
Marcelo F Di Carli
Sharmila Dorbala

Funding

Prognostic Utility of Absolute Coronary Microvascular Function by PET/CTK23HL092299 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI DORBALA, SHARMILA · 2009 to 2013
$705k
NHLBI NIH HHS K23 HL092299
6 · The paper itself

Abstract

backgroundRegadenoson during exercise stress test (ETT) can provide maximal hyperemia for myocardial perfusion imaging (MPI), along with exercise information. Our aim was to study the feasibility and safety of regadenoson injection at peak ETT for submaximal heart rate (HR) response.

methodsConsecutive patients who underwent SPECT MPI with standard Bruce ETT or supine-regadenoson (Supine-Reg) were analyzed. ETT patients were grouped as ETT-Max [maximal HR > 0.85 * (220 - age), N = 1,522], ETT-Submax (submaximal HR no regadenoson, N = 504), ETT-Reg (submaximal HR and regadenoson, N = 211).

resultsThe HR during ETT was submaximal in 715 (32%) patients. Of these, 211 patients (30%) underwent ETT-Reg (mean exercise duration: 5.5 ± 2.5 minutes). ETT-Reg patients had a higher frequency of hypertension, diabetes, smoking and beta-blocker use, similar rest systolic blood pressure (SBP), but lower rest and peak HR and peak SBP compared to ETT-Max patients. There were no serious complications with regadenoson. Side effects (49% vs 6%, P < .0001) were fewer and aminophylline use was lower with ETT-Reg compared to Supine-Reg (0.5% vs 8.1%, P = .001).

conclusionsSubmaximal HR response to ETT is common. ETT-Reg is safe, feasible, and well-tolerated. ETT-Reg facilitates a diagnostic MPI with reporting of functional capacity, exercise ECG/hemodynamic changes and MPI at maximal hyperemia.

Indexed as

Adenosine A2 Receptor AgonistsAgedBlood PressureExercise TestFeasibility StudiesFemaleHeart RateHumansMaleMiddle AgedMyocardial Perfusion ImagingPurinesPyrazolesTomography, Emission-Computed, Single-PhotonAdenosine A2 Receptor AgonistsPurinesPyrazolesregadenoson

Identifiers

PMID22565239
PMCPMC3533237

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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.