[The value of myocardial perfusion scintigraphy as a "gatekeeper" for coronary angiography and revascularisation in patients with stable angina pectoris--a secondary publication]

Ugeskr Laeger. 2006 Feb 20;168(8):799-802.
[Article in Danish]

Abstract

In 507 out of a series of 972 patients referred consecutively to coronary angiography (CA) for stable angina pectoris, preceding "blinded" myocardial perfusion scintigraphy (MPS) demonstrated normal perfusion in 51%, reversible defects in 40%, and fixed defects in 9% of patients. CA showed insignificant findings in 49% and in 41% of the entire series. Of 168 revascularised patients, no more than 74% had reversible perfusion defects with MPS. On this basis it could be estimated that almost half of catheterizations and nearly one fifth of revascularisations were "superfluous".

MeSH terms

  • Aged
  • Angina Pectoris / diagnostic imaging*
  • Angina Pectoris / surgery
  • Coronary Angiography*
  • Decision Making
  • Gated Blood-Pool Imaging
  • Heart / diagnostic imaging*
  • Humans
  • Middle Aged
  • Myocardial Revascularization*
  • Myocardial Stunning / diagnostic imaging