Myocardial perfusion stress test: is it worth?

Grozdic Milojevic, Isidora (37107616900)Isidora (37107616900)Grozdic MilojevicTadic, Marijana (36455305000)Marijana (36455305000)TadicSobic-Saranovic, Dragana (57202567582)Dragana (57202567582)Sobic-SaranovicMilojevic, Bogomir (36990126400)Bogomir (36990126400)MilojevicArtiko, Vera M. (55887737000)Vera M. (55887737000)Artiko2025-06-122025-06-122020https://doi.org/10.1007/s10554-019-01749-9https://www.scopus.com/inward/record.uri?eid=2-s2.0-85077275825&doi=10.1007%2fs10554-019-01749-9&partnerID=40&md5=fb05e9fe610fdcb685186ee0ca3763b0https://remedy.med.bg.ac.rs/handle/123456789/5000To test the utility of the Tc99m-sestaMIBI myocardial perfusion stress test (MPS) over stress echo test (SEHO) in dyslipidemic patients with intermediate pre-test probability score. 56 dyslipidemic patients (42 males and 14 females) with a suspected/known ischaemic heart disease and intermediate pre-test probability score underwent MPS and SEHO. They were followed for 25.77 ± 6.19 months. The data about the new-onset cardiac events and possible coronary angiography (CA) were collected. MPS was positive in 80% of the patients, SEHO in 68% of the patients. Results of the SEHO and MPS showed a good correlation (p < 0.001, μ = 0.505). Both procedures had a good correlation with CA findings in the follow-up. Cardiac events occurred in 57% of the patients. The MPS result, SSS, SDS were significantly associated with the new-onset cardiac events (p < 0.05). The patients with higher SDS had more chance to get a cardiac event in the follow-up (ROC curve area = 0.719, p = 0.003). MPS sensitivity was 91%, specificity 56%; SEHO sensitivity 85% and specificity 61%. MPS may be useful in predicting a future cardiovascular event. It is sufficiently informative, objectified by quantification software, and with correspondingly reduced radiation doses it may be the method of choice in patients with intermediate pre-test probability score. © 2020, Springer Nature B.V.Intermediate pre-test probability scoreMyocardial perfusion stress testSPECTStress echo testUsefulnessMyocardial perfusion stress test: is it worth?