PMID- 3984881
OWN - NLM
STAT- MEDLINE
DCOM- 19850507
LR  - 20190622
IS  - 0002-9149 (Print)
IS  - 0002-9149 (Linking)
VI  - 55
IP  - 8
DP  - 1985 Apr 1
TI  - Prognosis with chest pain and normal thallium-201 exercise scintigrams.
PG  - 920-6
AB  - The goal of this study was to determine the prognostic value of a normal exercise 
      thallium-201 (TI-201) scintigram by quantitative criteria in a consecutive series 
      of 349 patients with chest pain. Follow-up was obtained in 345 patients (99%) 
      from 8 to 45 months (mean 34 +/- 7). Of these, 60% were men, 26% had typical 
      angina, 21% had chest pain during exercise testing, 29% were unable to achieve 
      85% or more of maximal predicted heart rate, and in 9% ischemic ST depression 
      (1.0 mm or greater) developed during exercise. At the time of exercise testing, 
      45% of patients were taking nitrates and 38% were receiving a beta-blocking drug. 
      During the follow-up period, there were 5 cardiac deaths (0.51%/year), of which 2 
      were sudden, 6 patients had a nonfatal myocardial infarction (MI) (0.61%/year). 
      Two of the 5 patients who died and 1 who had MI had angiographically normal 
      coronary arteries. The event rate was significantly higher (p less than 0.01) in 
      patients referred for early catheterization (5 of 53; 9%) compared with the rate 
      for those not undergoing early angiography (6 of 298; 2%). However, the event 
      rate was similar in those who underwent catheterization with angiographically 
      normal coronary arteries and in those who had significant coronary artery 
      disease.(ABSTRACT TRUNCATED AT 250 WORDS)
FAU - Pamelia, F X
AU  - Pamelia FX
FAU - Gibson, R S
AU  - Gibson RS
FAU - Watson, D D
AU  - Watson DD
FAU - Craddock, G B
AU  - Craddock GB
FAU - Sirowatka, J
AU  - Sirowatka J
FAU - Beller, G A
AU  - Beller GA
LA  - eng
GR  - 1 R0 1 HL26205/HL/NHLBI NIH HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - Am J Cardiol
JT  - The American journal of cardiology
JID - 0207277
RN  - 0 (Radioisotopes)
RN  - AD84R52XLF (Thallium)
SB  - IM
MH  - Adult
MH  - Coronary Angiography
MH  - Coronary Disease/complications/diagnosis/*diagnostic imaging
MH  - Exercise Test
MH  - Female
MH  - Follow-Up Studies
MH  - Heart/diagnostic imaging
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain/*etiology
MH  - Prognosis
MH  - *Radioisotopes
MH  - Radionuclide Imaging
MH  - *Thallium
MH  - *Thorax
EDAT- 1985/04/01 00:00
MHDA- 1985/04/01 00:01
CRDT- 1985/04/01 00:00
PHST- 1985/04/01 00:00 [pubmed]
PHST- 1985/04/01 00:01 [medline]
PHST- 1985/04/01 00:00 [entrez]
AID - 0002-9149(85)90718-0 [pii]
AID - 10.1016/0002-9149(85)90718-0 [doi]
PST - ppublish
SO  - Am J Cardiol. 1985 Apr 1;55(8):920-6. doi: 10.1016/0002-9149(85)90718-0.