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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1998-6-10
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pubmed:abstractText |
This long-term study examines the predictive value of planar myocardial 18F-fluorodeoxyglucose (FDG) imaging for cardiac events after acute myocardial infarction (AMI). From December 1989 to April 1991, 59 consecutive patients with AMI had undergone planar rest thallium-201 (Tl-201)/FDG imaging for viability assessment; 53 (42 men) were included in this study. Mean follow-up was 47 +/- 15 months. Cardiac events were defined as cardiac-related death, reinfarction, late revascularization, and unstable angina pectoris. A mismatch pattern was defined as a FDG uptake exceeding Tl-201 uptake by > or = 20%. A concordant reduction in flow and metabolism was defined as a match. In the mismatch group (n = 39) were 19 events versus 1 event in the match group (n = 14) (p <0.009). In the mismatch group were 5 cardiac deaths, 3 reinfarctions, 7 late revascularizations, and 4 patients had unstable angina pectoris. There was 1 cardiac death in the match group. The event-free rate estimated using Kaplan Meier curves for patients with and without a mismatch was significantly different (p = 0.018). The relative risk for patients with a mismatch for developing a future cardiac event was estimated at 7.8 versus patients with a match. Thus, planar myocardial FDG imaging shortly after AMI has important prognostic significance for prediction of future cardiac events. Patients with a mismatch shortly after AMI have a high risk for future cardiac events on medical therapy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
81
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1072-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9605044-Aged,
pubmed-meshheading:9605044-Echo-Planar Imaging,
pubmed-meshheading:9605044-Feasibility Studies,
pubmed-meshheading:9605044-Female,
pubmed-meshheading:9605044-Fluorodeoxyglucose F18,
pubmed-meshheading:9605044-Heart Catheterization,
pubmed-meshheading:9605044-Heart Diseases,
pubmed-meshheading:9605044-Humans,
pubmed-meshheading:9605044-Logistic Models,
pubmed-meshheading:9605044-Male,
pubmed-meshheading:9605044-Middle Aged,
pubmed-meshheading:9605044-Myocardial Infarction,
pubmed-meshheading:9605044-Predictive Value of Tests,
pubmed-meshheading:9605044-Radiopharmaceuticals,
pubmed-meshheading:9605044-Thallium Radioisotopes
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pubmed:year |
1998
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pubmed:articleTitle |
Predictive value of planar 18F-fluorodeoxyglucose imaging for cardiac events in patients after acute myocardial infarction.
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pubmed:affiliation |
Department of Anesthesiology, Amsterdam Medical Center, The Netherlands.
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pubmed:publicationType |
Journal Article
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