Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
1999-10-7
pubmed:abstractText
We tested the practicability of dipyridamole myocardial nitrogen-13 ammonia positron emission tomography (dipyridamole (13)NH(3 )PET) for the perioperative risk assessment of coronary artery disease (CAD) in a cohort of patients with severe chronic obstructive pulmonary disease (COPD) undergoing lung volume reduction surgery (LVRS). Twenty consecutive LVRS candidates, 13 men and 7 women (mean age 57+/-2 years), without symptoms of CAD were prospectively studied by dipyridamole (13)NH(3 )PET. Side-effects and overall tolerance were assessed by a questionnaire and visual analogue scale. Repeated pulmonary function tests were performed before and 4, 12, 16 and 30 minutes after dipyridamole injection. All dipyridamole (13)NH(3 )PET studies were negative for CAD. Seventeen patients underwent LVRS without cardiac complications; three patients did not undergo LVRS for other reasons. Nine patients suffered intolerable dyspnoea requiring i.v. aminophylline. Mean FEV(1) decreased significantly after dipyridamole infusion: in nine patients the reduction in FEV(1)exceeded 15% from baseline. We found that dipyridamole is not well tolerated and causes significant bronchoconstriction in patients with severe COPD. Although all dipyridamole-induced side effects can be promptly reversed by aminophylline, dipyridamole cannot be recommended as a pharmacological stress in this setting.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0340-6997
pubmed:author
pubmed:issnType
Print
pubmed:volume
26
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
812-7
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:10436192-Ammonia, pubmed-meshheading:10436192-Bronchoconstriction, pubmed-meshheading:10436192-Coronary Disease, pubmed-meshheading:10436192-Dipyridamole, pubmed-meshheading:10436192-Dyspnea, pubmed-meshheading:10436192-Female, pubmed-meshheading:10436192-Heart, pubmed-meshheading:10436192-Humans, pubmed-meshheading:10436192-Lung Diseases, Obstructive, pubmed-meshheading:10436192-Male, pubmed-meshheading:10436192-Middle Aged, pubmed-meshheading:10436192-Nitrogen Radioisotopes, pubmed-meshheading:10436192-Patient Selection, pubmed-meshheading:10436192-Prospective Studies, pubmed-meshheading:10436192-Radiopharmaceuticals, pubmed-meshheading:10436192-Respiratory Function Tests, pubmed-meshheading:10436192-Safety, pubmed-meshheading:10436192-Tomography, Emission-Computed, pubmed-meshheading:10436192-Vasodilator Agents
pubmed:year
1999
pubmed:articleTitle
Practicability and safety of dipyridamole cardiac imaging in patients with severe chronic obstructive pulmonary disease.
pubmed:affiliation
Pulmonary Division, Department of Internal Medicine, University Hospital of Switzerland, CH-8091 Zurich, Switzerland.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't