Evidence map›Paper›PMID 8870569›Full record

ArticleBMJ (Clinical research ed.)1996

Value of thallium-201 imaging in detecting adverse cardiac events after myocardial infarction and thrombolysis: a follow up of 100 consecutive patients.

S Basu, R Senior, C Dore, A Lahiri

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In one paragraph

Article in BMJ (Clinical research ed.), 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

8 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Role of nuclear imaging after coronary revascularization.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
    Review
  4. Proceedings of the 4th Invitational Wintergreen Conference. Wintergreen, Virginia, USA. July 12-14, 1998. Abstracts.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
    Article
  5. Risk stratifying patients who survive an acute myocardial infarction.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
    Article
  6. The role of cardiac imaging in optimizing therapy in heart failure.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
    Article
  7. The VANQWISH Trial: support for the noninvasive strategy for risk stratification after acute myocardial infarction.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
    Article
  8. Prognostic value of dipyridamole SPECT imaging in low-risk patients after myocardial infarction.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

S BasuDepartment of Cardiac Research, Northwick Park Hospital, Harrow, Middlesex.
R Senior
C Dore
A Lahiri
Northwick Park Institute for Medical Research · GBHammersmith Hospital · GBNorthwick Park Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the prognostic role of thallium-201 imaging compared with that of exercise electrocardiography in patients with acute myocardial infarction treated by thrombolysis.

designPatients who remained free of adverse cardiac events six weeks after myocardial infarction had stress and rest 201TI imaging and exercise electrocardiography and were followed up for 8-32 months. Adverse cardiac events (death, reinfarction, unstable angina, and congestive heart failure) were documented.

settingLarge district general hospital, Middlesex. SUBJECTS: 100 consecutive male and female patients who were stable six weeks after thrombolysis for myocardial infarction.

main outcome measuresPrediction of occurrence of adverse cardiac events after myocardial infarction by exercise cardiography and 201TI myocardial perfusion imaging.

resultsReversible ischaemia on 201TI imaging predicted adverse cardiac events in 33 out of 37 patients with such events during follow up (hazard ratio 8.1 (95% confidence interval 2.7 to 23.8), P < 0.001). Exercise electrocardiography showed reversible ischaemia in 33 patients, of whom 13 had subsequent events, and failed to predict events in 24 patients (hazard ratio 1.1 (0.56 to 2.2), P = 0.8).

conclusion201TI imaging is a sensitive predictor of subsequent adverse cardiac events in patients who have received thrombolysis after acute myocardial infarction, whereas exercise electrocardiography fails to predict outcome.

Indexed as

Thallium RadioisotopesAdultAgedAged, 80 and overElectrocardiographyExercise TestFemaleFibrinolytic AgentsFollow-Up StudiesHumansMaleMiddle AgedMyocardial InfarctionMyocardial IschemiaPrognosisRadionuclide ImagingFibrinolytic AgentsThallium Radioisotopes

Identifiers

PMID8870569
PMCPMC2359060
OpenAlexW1979900520

What OpenQuestion holds

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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.