Ventricular function following coronary artery bypass grafting: comparison between gated SPECT and cardiac magnetic resonance imaging.
BACKGROUND
The assessment of left ventricular function may be impaired by the abnormal interventricular septal motion frequently found after coronary artery bypass grafting (CABG). Studies on the validation of gated SPECT as a tool for the assessment of left ventricular function in this patient group are scarce.


OBJECTIVE
We investigated the agreement and correlation between left ventricular ejection fraction (LVEF), end-diastolic volume (EDV), and end-systolic volume (ESV) as obtained using electrocardiogram-gated myocardial perfusion scintigraphy (gated SPECT) and cardiac magnetic resonance imaging in 20 patients undergoing coronary artery bypass grafting.


METHODS
Correlation was measured using Spearman's correlation coefficient (rho). Agreement was assessed using Bland-Altman analysis.


RESULTS
A good correlation was found between gated SPECT and cardiac magnetic resonance imaging in patients after CABG with regard to left ventricular ejection fraction (rho = 0.85; p =0.0001), moderate correlation for end-diastolic volume (rho = 0.51; p = 0.02), and non-significant correlation for end-diastolic volume (rho = 0.13; p = 0.5). Agreement ranges for LVEF, ESV and EDV were: -20% to 12%; -38 to 54 ml and; -96 to 100 ml, respectively.


CONCLUSIONS
A reliable correlation was found for left ventricular ejection fraction as obtained by gated SPECT and magnetic resonance imaging in patients undergoing CABG. For ventricular volumes, however, the correlation is not adequate.
Mesquita
Cláudio Tinoco
CT
Serviço de Medicina Nuclear, Hospital Pró-Cardíaco, Rio de Janeiro, RJ, Brasil. claudiotinoco@globo.com
Pessoa
Maria Carolina Pinheiro
MC
Vasconcelos
Paulo Pontes
PP
Oliveira Júnior
Amarino Carvalho
AC
Dohmann
Hans Fernando Rocha
HF
Reis
Adair Gomes dos
AG
Fonseca
Lea Mirian Barbosa da
LM
D055426:Cardiac-Gated Single-Photon Emission Computer-Assisted Tomography / Q000379:methods*; D001026:Coronary Artery Bypass; D003627:Data Interpretation, Statistical; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods*; D055414:Myocardial Perfusion Imaging / Q000379:methods*; D011446:Prospective Studies; D013318:Stroke Volume / Q000502:physiology*; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery