[Clinical use of echo-dipyridamole test in hypertensive subjects with suspected ischemic heart disease].
The aim of this study was to assess the diagnostic capacity of the dipyridamole-echocardiography test (DET) and dipyridamole myocardial scintigraphy (DMS) for coronary artery disease in mild to moderate hypertensive subjects with chest pain. A comparison was performed with exercise stress test (EST) and stress myocardial scintigraphy (SMS) in 20 subjects. Seven patients also underwent coronary angiography. To compare test results, Mc Nemar test was employed. Our results showed a statistically significant difference between DET and EST and a good agreement, in terms of dichotomy response, between DET and SMS. Any difference was further found between SMS and DMS. In conclusion, in hypertensive subjects, DET appears to provide a useful clinical noninvasive tool for coronary artery disease diagnosis and evaluation.
Cattedra di Medicina Interna, Università degli Studi di Roma, La Sapienza.
R
R
Cassone
C
C
Moroni
O
O
Schillaci
A
A
Mammarella
M
M
Ierardi
F
F
Bondanini
A
A
Bossini
C
C
Affricano
F
F
Scopinaro
D000328:Adult; D000368:Aged; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004176:Dipyridamole; D004452:Echocardiography; D004562:Electrocardiography; D005080:Exercise Test; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging
D004176:Dipyridamole
Impiego clinico del test eco-dipiridamolo in soggetti ipertesi con sospetta cardiopatia ischemica.