胸の痛みを伴う高血圧患者のリスク分層化のためのディピリダモールストレスエコーカルディオグラフィー
L Cortigiani1, E A Paolini, E Nannini
1Cardiovascular Unit, Hospital of Lucca, Italy.
Circulation
|December 22, 1998
まとめ
ディピリダモールストレスエコーカルディオグラフィーは,胸痛と未知の冠動脈疾患 (CAD) の高血圧患者のリスクを効果的に分層化します. この安全で実行可能な検査は,心臓の出来事を予測し,予後評価を助けます.
科学分野:
- 心臓病学 心臓病学
- 診断用イメージング
- 高血圧管理 高血圧管理について
背景:
- 高血圧患者の冠動脈疾患 (CAD) を非侵襲的に評価することは依然として困難です.
- 高血圧はCADの重要な危険因子であり,信頼性の高い予後ツールを必要とする.
研究 の 目的:
- リスクの階層化のためのディピリダモールストレスエコーカルディオグラフィの有用性を評価する.
- 胸痛と診断されていないCADを呈する高血圧患者の予後値を評価するために.
主な方法:
- 257人の高血圧患者で胸の痛みがあり,以前にCADの診断を受けていない患者で,ディピリダモールストレスエコーカルディオグラフィーを実施しました.
- フォローアップの間,心臓イベント (死,心筋梗塞,不安定な胸痛) と再血管化についてモニタリングされた.
- 心臓発作の予測要因を特定するために,多変量分析を用いた.
主要な成果:
- テストは,最小限の合併症で,高い可行性 (98.4%) を実証しました.
- 陽性なエコーカルディオグラフィの反応は,ハード心臓イベント (OR 5.5) と自発的な心臓イベント (OR 4.2) を予測した.
- 3年生存率は,心臓のハードイベントに対するエコーカルディオグラフィの陰性 (97%) と陽性 (87%) の患者の間で有意に異なっていた.
結論:
- ディピリダモールストレスエコーカルディオグラフィーは,この患者グループにおけるリスクの分層化のための安全で実行可能で効果的なツールです.
- 胸の痛みと未知のCADを持つ高血圧患者のための貴重な予後情報を提供します.
- この手順は,この特定の臨床集団の予後を評価するための推奨されたオプションです.
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