B – Flow assessment of femoral artery as predictor of coronary artery disease in patients evaluated for chest pain by radionuclide myocardial perfusion scintigraphy

Avramovski, Petar and Avramovska, Maja and Kosta, Sotiroski and Aleksandar, Sikole (2019) B – Flow assessment of femoral artery as predictor of coronary artery disease in patients evaluated for chest pain by radionuclide myocardial perfusion scintigraphy. World Journal of Nuclear Medicine, 18 (4). pp. 397-405. ISSN 1450-1147

Text 17. WORLD J NUCL MED, B – Flow ass of fem a. as predictor of CAD by MPS.pdf Download (5MB)

Abstract

ABSTRACT
In the evaluation of patients with suspected coronary artery disease (CAD), the presence of the superficial femoral artery (SFA) plaque is more
informative than a carotid plaque and at least as informative as coronary plaque in the identification of coronary death individuals. In 60 patients with
chest pain with a normal electrocardiogram, B‑flow ultrasound estimation of SFA plaque and radionuclide myocardial perfusion scintigraphy (MPS)
estimation for CAD was performed. We found significant positive correlations between age and SFA plaque score (PS) (P = 0.0084), myocardial
ischemia in rest and SFA PS (P < 0.0001), and between transient ischemic dilation (TID) and SFA PS (P = 0.0069), too. The TID correlates
only with myocardial ischemia in rest (P = 0.0022) and SFA PS (P = 0.0069). The results we got by the receiver operating characteristics (ROC)
curve analysis with TID/without TID were the area under curve (0.704, P = 0.0038). The multiple regression analysis showed standardized
coefficient β coefficients for SFA PS and TID (3.4577 and 1.9903, P < 0.001 and P = 0.0021), respectively. By proven correlative relationship
of SFA atherosclerotic plaques and CAD, we can use B‑flow as a screening method for triage of patients with chest pain before being sent to
the assessment of coronary circulation with radionuclide MPS.
Keywords: Atherosclerotic plaque, B‑flow, coronary artery disease, myocardial perfusion scintigraphy, superficial
femoral artery

Item Type:	Article
Subjects:	Scientific Fields (Frascati) > Medical and Health Sciences > Basic medicine Scientific Fields (Frascati) > Medical and Health Sciences > Clinical medicine Scientific Fields (Frascati) > Medical and Health Sciences > Health sciences Scientific Fields (Frascati) > Medical and Health Sciences > Other medical sciences
Divisions:	Higher Medical School
Depositing User:	D-r Petar Avramovski
Date Deposited:	04 May 2023 09:51
Last Modified:	04 May 2023 09:51
URI:	https://eprints.uklo.edu.mk/id/eprint/6683

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