Assessment of myocardial viability by acoustic densitometry.
Comparison with dobutamine echocardiography

J 2004

Assessment of myocardial viability by acoustic densitometry. Comparison with dobutamine echocardiography

PANOVSKÝ, Roman, Vladimír KINCL, Jaroslav MELUZÍN, Blanka FISCHEROVÁ, František ŠTĚTKA et. al.

Základní údaje

Originální název

Assessment of myocardial viability by acoustic densitometry. Comparison with dobutamine echocardiography

Název česky

Srovnání akustické denzitometrie a dobutaminové echokardiografie v diagnostice viability myokardu

Autoři

PANOVSKÝ, Roman (203 Česká republika, garant), Vladimír KINCL (203 Česká republika), Jaroslav MELUZÍN (203 Česká republika), Blanka FISCHEROVÁ (203 Česká republika), František ŠTĚTKA (203 Česká republika) a Kristýna SOMERLÍKOVÁ (203 Česká republika)

Vydání

Bratislavské Lekárské Listy, Bratislava, Slovakia, School of Medicine, Comenius University, 2004, 0006-9248

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Slovensko

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/04:00010035

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

acoustic densitometry; viability; coronary artery disease

Štítky

acoustic densitometry, coronary artery disease, viability

Změněno: 12. 5. 2005 14:12, doc. MUDr. Roman Panovský, Ph.D.

Anotace

ORIG CZ

V originále

Aim: The purpose of this study has been to compare acoustic densitometry and dobutamine echocardiography for an assessment of myocardial viability. Methods: Fifty-four patients with coronary artery disease and dysfunctional myocardial segments, who were referred for myocardial revascularization, underwent a viability assessment using acoustic densitometry. Thirty-four patients underwent also low-dose dobutamine echocardiography. Amplitude of cyclic variation of integrated backscatter (CVIB) was evaluated from each dysfunctional segment. The receiver operating characteristics curve analysis was applied to determine the optimal cut off value of CVIB for distinction between viable and nonviable dysfunctional myocardium. Results of the two techniques were compared to follow-up resting echocardiography, which was performed at a mean of 3 months after successful revascularization in order to assess the recovery of function in revascularized, initially dysfunctional segments. Echocardiography was performed in standard views using 16-segment model of the left ventricle. Viable myocardium was identified by the augmentation of systolic thickening of an abnormal segment by at least one grade during dobutamine infusion or by the value of the maximal amplitude of cyclic variation of integrated backscatter (CVIB). Results: Acoustic densitometry had the sensitivity and specificity to predict functional recovery 90% and 77%, respectively. Dobutamine echocardiography had the sensitivity and specificity to predict contractile reserve 83% and 81%, respectively. The results were statistically comparable. Concordance between these methods was 80%. Conclusion: Acoustic densitometry and dobutamine echocardiography have comparable sensitivities and specificities for the prediction of functional recovery after coronary revascularization.

Česky

Akustická denzitometrie má v předpovědi funkčního zlepšení regionální systolické funkce levé komory statisticky srovnatelné výsledky s dobutaminovou echokardiografií.

Citovat

PANOVSKÝ, Roman, Vladimír KINCL, Jaroslav MELUZÍN, Blanka FISCHEROVÁ, František ŠTĚTKA a Kristýna SOMERLÍKOVÁ. Assessment of myocardial viability by acoustic densitometry. Comparison with dobutamine echocardiography. Bratislavské Lekárské Listy. Bratislava, Slovakia: School of Medicine, Comenius University, 2004, roč. 105, č. 4, s. 174. ISSN 0006-9248.

@article{554665,
   author = {Panovský, Roman and Kincl, Vladimír and Meluzín, Jaroslav and Fischerová, Blanka and Štětka, František and Somerlíková, Kristýna},
   article_location = {Bratislava, Slovakia},
   article_number = {4},
   keywords = {acoustic densitometry; viability; coronary artery disease},
   language = {eng},
   issn = {0006-9248},
   journal = {Bratislavské Lekárské Listy},
   title = {Assessment of myocardial viability by acoustic densitometry. Comparison with dobutamine echocardiography},
   volume = {105},
   year = {2004}
}

TY  - JOUR
ID  - 554665
AU  - Panovský, Roman - Kincl, Vladimír - Meluzín, Jaroslav - Fischerová, Blanka - Štětka, František - Somerlíková, Kristýna
PY  - 2004
TI  - Assessment of myocardial viability by acoustic densitometry. Comparison with dobutamine echocardiography
JF  - Bratislavské Lekárské Listy
VL  - 105
IS  - 4
SP  - 174
EP  - 174
PB  - School of Medicine, Comenius University
SN  - 00069248
KW  - acoustic densitometry
KW  - viability
KW  - coronary artery disease
N2  - Aim: The purpose of this study has been to compare acoustic densitometry and dobutamine echocardiography for an assessment of myocardial viability. Methods: Fifty-four patients with coronary artery disease and dysfunctional myocardial segments, who were referred for myocardial revascularization, underwent a viability assessment using acoustic densitometry. Thirty-four patients underwent also low-dose dobutamine echocardiography. Amplitude of cyclic variation of integrated backscatter (CVIB) was evaluated from each dysfunctional segment. The receiver operating characteristics curve analysis was applied to determine the optimal cut off value of CVIB for distinction between viable and nonviable dysfunctional myocardium. Results of the two techniques were compared to follow-up resting echocardiography, which was performed at a mean of 3 months after successful revascularization in order to assess the recovery of function in revascularized, initially dysfunctional segments. Echocardiography was performed in standard views using 16-segment model of the left ventricle. Viable myocardium was identified by the augmentation of systolic thickening of an abnormal segment by at least one grade during dobutamine infusion or by the value of the maximal amplitude of cyclic variation of integrated backscatter (CVIB). Results: Acoustic densitometry had the sensitivity and specificity to predict functional recovery 90% and 77%, respectively. Dobutamine echocardiography had the sensitivity and specificity to predict contractile reserve 83% and 81%, respectively. The results were statistically comparable. Concordance between these methods was 80%. Conclusion: Acoustic densitometry and dobutamine echocardiography have comparable sensitivities and specificities for the prediction of functional recovery after coronary revascularization.
ER  -

PANOVSKÝ, Roman, Vladimír KINCL, Jaroslav MELUZÍN, Blanka FISCHEROVÁ, František ŠTĚTKA a Kristýna SOMERLÍKOVÁ. Assessment of myocardial viability by acoustic densitometry. Comparison with dobutamine echocardiography. \textit{Bratislavské Lekárské Listy}. Bratislava, Slovakia: School of Medicine, Comenius University, 2004, roč.~105, č.~4, s.~174. ISSN~0006-9248.

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