Evidence map›Paper›PMID 40713160›Full record

SynthesisOpen heart2025

Long-term prognostic value of myocardial perfusion scintigraphy in patients with suspected coronary artery disease: systematic review and meta-analysis.

Ugochukwu Ihekwaba, Nicholas Johnson, Ji Soo Choi, Gianluigi Savarese, Nicola Orsini, Jeffrey Khoo, Iain Squire, Attila Kardos

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Open heart, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Ugochukwu IhekwabaDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Nicholas JohnsonTranslational Cardiovascular Research Group, Department of Cardiology, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, UK.
Ji Soo ChoiTranslational Cardiovascular Research Group, Department of Cardiology, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, UK.
Gianluigi SavareseDepartment of Medicine, Karolinska Institute, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-7732-0887
Nicola OrsiniDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-2210-5634
Jeffrey KhooGlenfield Hospital, Leicester, England, UK.
Iain SquireDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Attila KardosTranslational Cardiovascular Research Group, Department of Cardiology, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, UK attila.kardos@cardiov.ox.ac.uk.ORCID http://orcid.org/0000-0002-0231-7605

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term outcome of contemporary myocardial perfusion scintigraphy (MPS) has not been assessed systematically.

objectiveTo evaluate the association between results of MPS and long-term outcomes for patients with suspected coronary artery disease (CAD).

methodsElectronic databases were searched for Randomised controlled trials evaluating long-term outcome (≥12 months) of MPS in patients with suspected of CAD since year 2000. A meta-analysis adopting the random effects model was used to derive pooled estimates. The primary outcome was the composite of all-cause or cardiovascular mortality and non-fatal myocardial infarction as defined in individual trials, termed as major adverse cardiovascular event (MACE). Secondary outcome was all-cause or cardiovascular mortality. Positive MPS result was defined as reversible perfusion defect in any coronary artery territory.

resultsFour trials fulfilled the search criteria. A total of 1764 patient had MPS with a median follow-up of 35.7 months (range 17-57). The mean age was 59 years and 50% were male. Fifty-three per cent had hypertension, 43% had dyslipidaemia, 15% were current smokers and 61% had diabetes mellitus. The overall annual event rate was 1.42% for the composite MACE and 0.22% for all-cause or cardiovascular mortality. Compared with negative MPS results, positive MPS was associated with an increased risk of the composite MACE and all-cause or cardiovascular mortality with an annual event rate of 2.16% versus 0.66%, OR 2.71 (1.38, 5.32) and 0.34% versus 0.10%, OR 3.41 (1.44, 8.11), respectively.

conclusionIn this meta-analysis, reversible perfusion defect on MPS was associated with higher risk of composite MACE, and that of all-cause or cardiovascular mortality.

Indexed as

Coronary Artery DiseaseMyocardial Perfusion ImagingFemaleHumansMaleMiddle AgedPredictive Value of TestsPrognosisRandomized Controlled Trials as TopicRisk AssessmentRisk FactorsTime FactorsCoronary VesselsEpidemiologyMeta-Analysis

Identifiers

PMID40713160
PMCPMC12306354

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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.