Author/Editor     Grošelj, Ciril
Title     Pomen posameznega parametra obremenitvene radioizotopske ventrikulografije v diagnostiki ishemične bolezni srca
Type     monografija
Place     Ljubljana
Publisher     Medicinska fakulteta
Publication year     1995
Volume     str. 11
Language     slo
Abstract     Our study was performed on the group of 55 patients with accomplished stress radioinuclide ventriculography (RNV) with results typical for exercise ischemia and coronarography. At coronarography in 37 pts a significant stenosis of one or more coronary arteries was present, in 18 pts there was no signs of significant stenosis. Comparing the results of both subgroups, the authors assessed the sensitivity and specificity for CAD for each individual RNV parameter (LVEF at rest, dLVEF, EDV at rest, dEDV, stress regional wall motion abnormality, stress regional phase delay and for stress symptoms. All the investigations were performed in the same diagnostical assessment. AIM OF THE STUDY Assessment the relative sensitivity and specificity for CAD and the relative importance of each individual parameter of stress RNV. RESULTS In RNV diagnostics, the following priority in parameters considering CAD diagnostic values is best suited: stress achieved hipokinesie (sensitivity 67%, specificity 67%), dLVEF<5% (54%, 72%), the combination of both former parameters (51%, 88%). Other RNV parameters follow according to their sensitivity and specificity values: stress phase delay, decreased LVEF at rest, increased EDV at rest, increased EDV at stress.
Descriptors     RADIONUCLIDE VENTRICULOGRAPHY
MYOCARDIAL ISCHEMIA
EXERCISE TEST
CORONARY ANGIOGRAPHY
RETROSPECTIVE STUDIES
HYPOKINESIA
SENSITIVITY AND SPECIFICITY