Uso da cintilografia miocárdica em repouso durante dor torácica para descartar infarto agudo do miocárdio

Barbirato, Gustavo Borges; Azevedo, Jader Cunha de; Felix, R; Corrêa, Patrícia Lavatori; Volschan, André; Viegas, Monica; Pimenta, L; Dohmann, Hans Fernando Rocha; Mesquita, Evandro Tinoco; Mesquita, Cláudio Tinoco

doi:10.1590/s0066-782x2009000400004

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…Silvério et al conducted a gender-specific evaluation of coronary disease patients’ self-esteem and social support 8. Barbirato studied the use of resting myocardial scintigraphy during chest pain to exclude the diagnosis of acute myocardial infarction 9. Pesaro et al investigated the effects of leukocytes and glycemia on the prognosis of patients with acute myocardial infarction 10.…”

Section: Methodsmentioning

confidence: 99%

A review of cardiopulmonary research in Brazilian medical journals: clinical, surgical and epidemiological data

Serrano

Silva

2010

Clinics

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Research in the field of cardiopulmonary disease in Brazil has been very active in recent decades. The combination of PUBMED, SCieLO, open access and online searching has provided a significant increase in the visibility of Brazilian journals. This newly acquired international visibility has in turn resulted in the appearance of more original research reports in the Brazilian scientific press. This review is intended to highlight part of this work for the benefit of the readers of “Clinics.” We searched through PUBMED for noteworthy articles published in Brazilian medical journals included in the Journal of Citation Reports of the Institute of Scientific Information to better expose them to our readership. The following journals were examined: “Arquivos Brasileiros de Cardiologia,” “Arquivos Brasileiros de Endocrinologia e Metabologia,” “Brazilian Journal of Medical and Biological Reviews,” “Jornal Brasileiro de Pneumologia,” “Jornal de Pediatria,” “Revista Brasileira de Cirurgia Cardiovascular,” “Revista da Associação Médica Brasileira,” Revista da Escola de Enfermagem U.S.P.” and “São Paulo Medical Journal.” These journals publish original investigations in the field of cardiopulmonary disease. The search produced 71 references, which are briefly examined.

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Section: Methodsmentioning

confidence: 99%

A review of cardiopulmonary research in Brazilian medical journals: clinical, surgical and epidemiological data

Serrano

Silva

2010

Clinics

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“…Myocardial perfusion scintigraphy (MPS) has been widely used as an important tool in decision making in patients with acute chest pain 23 - 24 . Its value in the diagnosis of acute myocardial infarction (AMI) and in the prognosis of patients admitted with ACS has been well established 25 - 27 . Our group has recently demonstrated that ischemia detected by MPS was the major independent factor in predicting adverse events for patients admitted with acute chest pain to the emergency room 24 .…”

Section: Introductionmentioning

confidence: 99%

BNP was Associated with Ischemic Myocardial Scintigraphy and Death in Patients at Chest Pain Unit

Azevedo¹,

Reis²,

Barreto³

et al. 2014

Arquivos Brasileiros De Cardiologia

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BackgroundRecent studies have suggested that B-type Natriuretic Peptide (BNP) is an important predictor of ischemia and death in patients with suspected acute coronary syndrome. Increased levels of BNP are seen after episodes of myocardial ischemia and may be related to future adverse events.ObjectivesTo determine the prognostic value of BNP for major cardiac events and to evaluate its association with ischemic myocardial perfusion scintigraphy (MPS).MethodsThis study included retrospectively 125 patients admitted to the chest pain unit between 2002 and 2006, who had their BNP levels measured on admission and underwent CPM for risk stratification. BNP values were compared with the results of the MPS. The chi-square test was used for qualitative variables and the Student t test, for quantitative variables. Survival curves were adjusted using the Kaplan-Meier method and analyzed by using Cox regression. The significance level was 5%.ResultsThe mean age was 63.9 ± 13.8 years, and the male sex represented 51.2% of the sample. Ischemia was found in 44% of the MPS. The mean BNP level was higher in patients with ischemia compared to patients with non-ischemic MPS (188.3 ± 208.7 versus 131.8 ± 88.6; p = 0.003). A BNP level greater than 80 pg/mL was the strongest predictor of ischemia on MPS (sensitivity = 60%, specificity = 70%, accuracy = 66%, PPV = 61%, NPV = 70%), and could predict medium-term mortality (RR = 7.29, 95% CI: 0.90-58.6; p = 0.045) independently of the presence of ischemia.ConclusionsBNP levels are associated with ischemic MPS findings and adverse prognosis in patients presenting with acute chest pain to the emergency room, thus, providing important prognostic information for an unfavorable clinical outcome.

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Acute Coronary Syndrome Evaluation with Nuclear Medicine in the Emergency Setting

2021

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Uso da cintilografia miocárdica em repouso durante dor torácica para descartar infarto agudo do miocárdio

Abstract: SummaryBackground: Images of myocardial perfusion taken during an episode of chest pain have been used for patients in the emergency department.

Cited by 4 publications

References 20 publications

A review of cardiopulmonary research in Brazilian medical journals: clinical, surgical and epidemiological data

A review of cardiopulmonary research in Brazilian medical journals: clinical, surgical and epidemiological data

BNP was Associated with Ischemic Myocardial Scintigraphy and Death in Patients at Chest Pain Unit

Acute Coronary Syndrome Evaluation with Nuclear Medicine in the Emergency Setting

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