Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2004-1-8
pubmed:abstractText
Clinical data and contrast stress echocardiography (CSE) results were analyzed in 283 patients to establish the prognostic value of CSE for patients with limited echocardiogram image quality at baseline. The mean follow-up period was 736 +/- 337 days. Only 7 patients (2.5%) had nondiagnostic image quality with contrast enhancement. During follow-up, 24 cardiac events (8.5%) occurred (5 cardiac-related deaths, 2 nonfatal myocardial infarction, 17 coronary revascularizations). Overall sensitivity, specificity, and positive and negative predictive values were 60.9%, 76.8%, 19.7%, and 95.5%, respectively. Kaplan-Meier event-free survival was higher for patients with a negative CSE result as compared with those with a positive CSE finding (P <.0001). In a multivariate Cox proportional hazards model, positive CSE was the strongest predictor of cardiac events (risk ratio 3.7; 95% confidence interval 1.6-8.7). CSE can successfully predict cardiac events for patients with limited noncontrast echocardiographic image quality. A negative CSE result conferred a good prognosis.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0894-7317
pubmed:author
pubmed:issnType
Print
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
15-20
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:14712182-Adrenergic beta-Agonists, pubmed-meshheading:14712182-Aged, pubmed-meshheading:14712182-Blood Pressure, pubmed-meshheading:14712182-Cardiomyopathy, Dilated, pubmed-meshheading:14712182-Disease-Free Survival, pubmed-meshheading:14712182-Dobutamine, pubmed-meshheading:14712182-Echocardiography, pubmed-meshheading:14712182-Echocardiography, Stress, pubmed-meshheading:14712182-Electrocardiography, pubmed-meshheading:14712182-Female, pubmed-meshheading:14712182-Follow-Up Studies, pubmed-meshheading:14712182-Heart Rate, pubmed-meshheading:14712182-Humans, pubmed-meshheading:14712182-Image Enhancement, pubmed-meshheading:14712182-Male, pubmed-meshheading:14712182-Middle Aged, pubmed-meshheading:14712182-Multivariate Analysis, pubmed-meshheading:14712182-Myocardial Ischemia, pubmed-meshheading:14712182-New York, pubmed-meshheading:14712182-Predictive Value of Tests, pubmed-meshheading:14712182-Prognosis, pubmed-meshheading:14712182-Risk Factors, pubmed-meshheading:14712182-Sensitivity and Specificity, pubmed-meshheading:14712182-Stroke Volume
pubmed:year
2004
pubmed:articleTitle
Prognostic value of contrast stress echocardiography in patients with image quality too limited for traditional noncontrast harmonic echocardiography.
pubmed:affiliation
University of Rochester and the Rochester Center for Biomedical Ultrasound, Rochester, New York, USA.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, U.S. Gov't, P.H.S., Evaluation Studies