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Prognostic value of normal exercise Tc-99m Sestamibi myocardial perfusion imaging in Karachi, Pakistan
Hasan Raza1, Sumaira Mushtaq, Shahid Kamal
1Atomic Energy Medical Centre (AEMC), Jinnah Post Graduate Medical Centre (JPMC), Karachi.
Objective:
To ascertain the hard event rate in local population with normal myocardial perfusion.
Methods:
The study, which was conducted from August 2006 to January 2007, included 300 patients with normal exercise myocardial perfusion scan (MPS). Patients were categorized according to their pre-test probabilities for CAD. Patients with low pre-test probability for CAD were 136 and ranked in group A, while group B constituted 164 patients who had intermediate to high pre-test probability.
Results:
During a follow-up of mean duration of 27 +/- 3 months, an overall hard cardiac event rate of 1.02% was noted. However, a statistically non-significant difference between the survival rates of low and high pre-test probability groups was also observed.
Conclusion:
The study demonstrated good prognosis for patients with normal exercise myocardial perfusion scan.
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