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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1990-7-19
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pubmed:abstractText |
The measurement of left ventricular function by gated blood pool scanning and of myocardial perfusion by dipyridamole thallium imaging were compared in a prospective study of patients who had abdominal aortic aneurysm or aortoiliac occlusive disease to determine which measurement was the better predictor of postoperative cardiac complications. Sixty-six men and 19 women (mean age 67 years) underwent both tests before admission for surgery. Fifty-six had repair of an abdominal aortic aneurysm, and 29 had reconstruction for aortoiliac occlusive disease. In 17 patients the left ventricular ejection fraction was less than 50%. Dipyridamole thallium imaging was positive, showing redistribution, in 45 patients. Postoperative cardiac complications occurred in 33 patients. The sensitivity of dipyridamole thallium imaging (91%) was significantly (p less than 0.01) greater than that observed with gated blood pool scanning (27%). However, the specificity of gated blood pool scanning (85%) was similar to that of dipyridamole thallium imaging (71%). Diagnostic accuracy was greatest with dipyridamole thallium imaging (79% versus 62% [p less than 0.02]). Dipyridamole thallium imaging is superior to gated blood pool scanning for perioperative evaluation of vascular surgical patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0008-428X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
33
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
224-8
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pubmed:dateRevised |
2007-8-16
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pubmed:meshHeading |
pubmed-meshheading:2350747-Aged,
pubmed-meshheading:2350747-Aorta, Abdominal,
pubmed-meshheading:2350747-Aortic Aneurysm,
pubmed-meshheading:2350747-Arterial Occlusive Diseases,
pubmed-meshheading:2350747-Dipyridamole,
pubmed-meshheading:2350747-Female,
pubmed-meshheading:2350747-Gated Blood-Pool Imaging,
pubmed-meshheading:2350747-Heart,
pubmed-meshheading:2350747-Humans,
pubmed-meshheading:2350747-Iliac Artery,
pubmed-meshheading:2350747-Male,
pubmed-meshheading:2350747-Prospective Studies,
pubmed-meshheading:2350747-Stroke Volume,
pubmed-meshheading:2350747-Thallium Radioisotopes
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pubmed:year |
1990
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pubmed:articleTitle |
Comparison of left ventricular function and myocardial perfusion for evaluating perioperative cardiac risk of abdominal aortic surgery.
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pubmed:affiliation |
Division of Vascular Surgery, Ottawa Civic Hospital, University of Ottawa, Ont.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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