Abstract | BACKGROUND: METHODS: 123I-BMIPP SPECT was performed in 98 diabetic hemodialysis patients (male to female ratio 66:32; mean age 63.6+/-9.8 years) and 103 nondiabetic hemodialysis patients (68:35; 64.5+/-10.4 years), followed by coronary angiography within 60 days of the SPECT. SPECT imaging was evaluated and graded on a 5-point scale (0=normal, 4=absence of tracer) and assessed as a BMIPP summed score for 17 left ventricular segments. RESULTS: Coronary angiography revealed that 72.4% (71/98) of the diabetic patients and 56.3% (58/103) of the non-diabetic patients had significant coronary stenosis more than 50%; incidences of asymptomatic coronary stenosis were 77.5% in diabetic patients and 72.4% in nondiabetic patients. When a BMIPP summed score of 8 or more was defined as abnormal, sensitivity, specificity and accuracy for detecting coronary stenosis by BMIPP SPECT were 97.2, 63.0 and 87.8% in diabetic patients, and 96.6, 73.3 and 86.4% in nondiabetic patients. In receiver operating characteristic analysis, the areas under the curve of BMIPP SPECT to diagnose coronary stenosis were 0.897 in diabetic and 0.906 in nondiabetic patients. CONCLUSIONS:
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Authors | Masato Nishimura, Masaki Murase, Tetsuya Hashimoto, Hiroyuki Kobayashi, Satoru Yamazaki, Ryo Imai, Koji Okino, Hiroshi Fujita, Naoto Inoue, Hakuo Takahashi, Toshihiko Ono |
Journal | Journal of nephrology
(J Nephrol)
2006 Jul-Aug
Vol. 19
Issue 4
Pg. 481-91
ISSN: 1121-8428 [Print] Italy |
PMID | 17048206
(Publication Type: Journal Article)
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Chemical References |
- Fatty Acids
- Iodine Radioisotopes
- Iodobenzenes
- iodofiltic acid
- Adenosine Triphosphate
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Topics |
- Adenosine Triphosphate
(biosynthesis)
- Aged
- Coronary Stenosis
(diagnostic imaging)
- Diabetes Mellitus
(metabolism)
- Electrocardiography
- Fatty Acids
- Female
- Hemolysis
- Humans
- Iodine Radioisotopes
- Iodobenzenes
- Male
- Middle Aged
- Prospective Studies
- Tomography, Emission-Computed, Single-Photon
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