Diagnóstico não-invasivo da doença vascular do enxerto após transplante cardíaco / Noninvasive diagnosis of allograft vascular disease after heart transplantation
Arq. bras. cardiol
;
76(1): 29-42, jan. 2001. tab, graf
Article
in Portuguese, English
| LILACS
| ID: lil-279896
RESUMO
OBJECTIVE:
To determine the predictive values of noninvasive tests for the detection of allograft vascular disease.METHODS:
We studied 39 patients with mean ages of 48Ý13 years and a follow-up period of 86Ý13 months. The diagnosis of allograft vascular disease was made by cine-coronary arteriography, and it was considered as positive if lesions existed that caused > or = 50 percent obstruction of the lumen. Patients underwent 24h Holter monitoring, thallium scintigraphy, a treadmill stress test, and dobutamine stress echocardiography. Sensitivity, specificity, and positive and negative predictive values were determined in percentages for each method, as compared with the cine-coronary arteriography results.RESULTS:
Allograft vascular disease was found in 15 (38 percent) patients. The Holter test showed 15.4 percent sensitivity, 95.5 percent specificity...
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Postoperative Complications
/
Heart Transplantation
/
Coronary Disease
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Adult
/
Humans
Language:
English
/
Portuguese
Journal:
Arq. bras. cardiol
Journal subject:
Cardiology
Year:
2001
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR
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