Un test da sforzo aggressivo adatto per la scintigrafia miocardica.

Translated title of the contribution: An aggressive exercise test is suitable for myocardial scintigraphy

R. Lorenzoni, P. Bertolaccini, G. Manfredini, P. L. Sapio, A. Maneschi, G. F. Gensini

Research output: Contribution to journalArticle

Abstract

Exercise myocardial scintigraphy is frequently used as a second step tool in the assessment of coronary artery disease. Little attention has been paid on the exercise protocol used as a stress during scintigraphy. However, the diagnostic accuracy of the test is better if higher heart rate is achieved. The aim of this study was to evaluate if an aggressive exercise protocol was safe and more effective than a standard protocol in achieving higher heart rate. Eighty-four patients (64 men and 20 women, mean age 56 +/- 10 years, range 34-78 years) underwent a standard exercise test (cycloergometry; SET: 25 W increments every 2 min starting from 25 W load) and an aggressive exercise test (AET: 50 W increments every 2 min starting from 50 W load); during AET a myocardial scintigraphy (Tc-99m sestamibi; SPECT) was performed. Heart rate and blood pressure were monitored during the tests and the rate-pressure product was calculated. No patients had major adverse events during either tests. During AET with respect to the SET, higher maximal heart rate (142 +/- 15 vs 134 +/- 16 b/min; p <0.01) and rate-pressure product (27,293 +/- 4341 vs 25,773 +/- 6690 b/min x mmHg; p <0.05) were obtained. During AET higher number of maximal (55/84 vs 34/84; p <0.05) and positive tests (45/84 vs 29/84; p <0.05) were detected with respect to the SET. Using myocardial scintigraphy as a reference test, the diagnostic accuracy of the SET and AET was 54 and 73% respectively. In conclusion, an aggressive protocol during exercise stress test can safely be used to obtain a greater number of maximal and positive exercise tests.

Original languageItalian
Pages (from-to)61-66
Number of pages6
JournalCardiologia
Volume43
Issue number1
Publication statusPublished - Jan 1998

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beta-Aminoethyl Isothiourea
Myocardial Perfusion Imaging
Exercise Test
Heart Rate
Exercise
Routine Diagnostic Tests
Pressure
Single-Photon Emission-Computed Tomography
Radionuclide Imaging
Coronary Artery Disease
Blood Pressure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Lorenzoni, R., Bertolaccini, P., Manfredini, G., Sapio, P. L., Maneschi, A., & Gensini, G. F. (1998). Un test da sforzo aggressivo adatto per la scintigrafia miocardica. Cardiologia, 43(1), 61-66.

Un test da sforzo aggressivo adatto per la scintigrafia miocardica. / Lorenzoni, R.; Bertolaccini, P.; Manfredini, G.; Sapio, P. L.; Maneschi, A.; Gensini, G. F.

In: Cardiologia, Vol. 43, No. 1, 01.1998, p. 61-66.

Research output: Contribution to journalArticle

Lorenzoni, R, Bertolaccini, P, Manfredini, G, Sapio, PL, Maneschi, A & Gensini, GF 1998, 'Un test da sforzo aggressivo adatto per la scintigrafia miocardica.', Cardiologia, vol. 43, no. 1, pp. 61-66.
Lorenzoni R, Bertolaccini P, Manfredini G, Sapio PL, Maneschi A, Gensini GF. Un test da sforzo aggressivo adatto per la scintigrafia miocardica. Cardiologia. 1998 Jan;43(1):61-66.
Lorenzoni, R. ; Bertolaccini, P. ; Manfredini, G. ; Sapio, P. L. ; Maneschi, A. ; Gensini, G. F. / Un test da sforzo aggressivo adatto per la scintigrafia miocardica. In: Cardiologia. 1998 ; Vol. 43, No. 1. pp. 61-66.
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