Comparison of exercise tolerance tests and thallium 201/MIBI scan in the diagnosis of ischemic heart disease

ABSTRACT

Coronary artery disease is one of the commonest causes of death throughout the world. Despite impressive study in diagnosis and management over the last three decades acute myocardial infarction [AMI] continues to be a major public health problem in the industrialized world. To compare the sensitivity and specificity of ETT alone and stress MIBI scan for the diagnosis of coronary artery disease. The study was started in year 2000. Fifty patients were randomly selected. They were referred from the outpatient departments of general medicine and cardiology of Nishtar Hospital, Multan. Fifty patients were included in my study. Out of these 37 [74%] were males and 13[26%] were females. Out of 50, 37[74%] patients showed positive ETT. Among these patients, 30[81%] were male and 7 [19%] were females. Among 21 hypertensives, 17 [81%] patients showed positive ETT. Out of these 17 patients, 14 [82%] patients were male and 3[18%] were females. It is concluded the same observation that radiopharmaceutical scans is better tool for the diagnosis of coronary artery disease