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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1990-4-23
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pubmed:abstractText |
Dipyridamole thallium scintigraphy (tomo SMTD) (fig. 2) and a bicycle stress-testing ECG were performed in a prospective study of 102 patients (Tabl. VIII) referred for aortic reconstruction surgery with aortic cross-clamping (fig. 1), carried out without knowledge of tomo SMTD results. A clinical coronary artery disease (CAD) was suspected in 45 patients (44%). The exercise test (tabl. IV) was inadequate in 78%, normal in 11% and abnormal in 11% of patients. Tomo SMTD (tabl. VI et X) was normal in 60 patients (59%), abnormal with persistent defect in 21 (20.5%) and abnormal with transient defect in 21 (20.5%). Post-operative cardiac events (tabl. I) occurred in 4 patients (3.9%): 2 deaths, 1 non-fatal myocardial infarction and 1 rest angina; but only 2 of these had documented CAD. All 4 had abnormal tomo SMTD (3 with transient, 1 with persistent defect). It is concludes that abnormal tomo SMTD had a significant pronostic value (p less than 0.03) in predicting post-perative cardiac events (tabl. XI, fig. 3) after abdominal aortic surgery with cross-clamping. This test facilitates selection of patients for coronary angiography.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0398-0499
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
55-62
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2179448-Aged,
pubmed-meshheading:2179448-Aorta, Abdominal,
pubmed-meshheading:2179448-Aortic Diseases,
pubmed-meshheading:2179448-Coronary Angiography,
pubmed-meshheading:2179448-Coronary Disease,
pubmed-meshheading:2179448-Dipyridamole,
pubmed-meshheading:2179448-Female,
pubmed-meshheading:2179448-Humans,
pubmed-meshheading:2179448-Male,
pubmed-meshheading:2179448-Middle Aged,
pubmed-meshheading:2179448-Postoperative Complications,
pubmed-meshheading:2179448-Preoperative Care,
pubmed-meshheading:2179448-Prospective Studies,
pubmed-meshheading:2179448-Risk Factors
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pubmed:year |
1990
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pubmed:articleTitle |
[Diagnostic approach in coronary disease in vascular surgery. Role of myocardial scintigraphy].
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pubmed:affiliation |
Service de Cardiologie, CHU Timone, Marseille.
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pubmed:publicationType |
Journal Article,
English Abstract,
Review
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