Key result
Adenosine stress myocardial contrast echocardiography demonstrated similar overall diagnostic accuracy to SPECT (88% vs 85%, P=not significant) for detecting coronary artery disease.
Why the study?
Does adenosine stress myocardial contrast echocardiography (MCE) have comparable diagnostic accuracy to SPECT for detecting coronary artery disease in hypertensive patients?
Population
50 hypertensive subjects treated with standard antihypertensive treatment
Comparison
Adenosine stress myocardial contrast… vs Adenosine single-photon emission computed…
Design
Cross-sectional
Follow-up
within a 1-month period
Authors
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Similar accuracy supports MCE as potential SPECT alternative in hypertensives; leaves open prospective validation before practice change.
Cross-Sectional (n=50)
Does adenosine stress myocardial contrast echocardiography (MCE) have comparable diagnostic accuracy to SPECT for detecting coronary artery disease in hypertensive patients?
Absolute Event Rate: 88% vs 85%
p-value: p=not significant
Adenosine stress MCE provides similar overall diagnostic accuracy to SPECT for detecting CAD in hypertensive patients, with potentially superior detection in the left circumflex territory.
Aggeli et al. (2007) conducted a cross-sectional in Coronary Artery Disease in Hypertensive Patients (n=50). Adenosine stress myocardial contrast echocardiography (MCE) vs. Adenosine Tl-201 Single-Photon Emission Computed Tomography (SPECT) was evaluated on Overall diagnostic accuracy for coronary artery disease (p=not significant). Adenosine stress myocardial contrast echocardiography demonstrated similar overall diagnostic accuracy to SPECT (88% vs 85%, P=not significant) for detecting coronary artery disease.
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