title: [Prevalence and angiographic significance of normal myocardial perfusion SPECT with positive exercise electrocardiogram].
abstract: In a consecutive series of 7350 myocardial perfusion SPECT studies, 66 (0.9%) nonrevascularized patients with a normal resting ECG had normal scintigraphic findings with a positive ECG in the exercise test. We retrospectively analyzed 33 patients with coronary angiography, 26 of whom were women (P< .000). Twenty one of the 26 women (81%) and 1 of the 7 men (14%) had normal coronary angiographic findings (P= .004). Seven out of 11 patients with coronary heart disease had left main coronary artery or multivessel disease. We conclude that the "normal SPET with positive ECG" pattern is infrequent, and is observed predominantly in women with normal coronary angiographic findings. However, severe coronary artery disease cannot be ruled out in these patients, and this pattern should be considered a possible indication for coronary angiography.
authors.affiliation: Servicio de Cardiología, Hospital Universitario Vall d'Hebron, Barcelona, Spain. jcandell@vhebron.net
authors.forename: Jaume
authors.initials: J
authors.lastname: Candell-Riera
authors.forename: Carlos
authors.initials: C
authors.lastname: Fernández
authors.forename: Francisco
authors.initials: F
authors.lastname: Escudero
authors.forename: Gustavo
authors.initials: G
authors.lastname: de León
authors.forename: Santiago
authors.initials: S
authors.lastname: Aguadé-Bruix
authors.forename: Joan
authors.initials: J
authors.lastname: Castell-Conesa
mesh_terms: D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis* / Q000453:epidemiology*; D005080:Exercise Test; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D012680:Sensitivity and Specificity; D015899:Tomography, Emission-Computed, Single-Photon
vernacular_title: Prevalencia y significado angiográfico de la SPECT de perfusión miocárdica normal con electrocardiograma de esfuerzo positivo.