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In a clinical study, the value of exercise electrocardiography and thallium-201 scintigraphy was determined for the detection of multivessel disease in 176 patients 6-8 weeks after a first myocardial infarction. In all patients coronary arteriography was performed within 3 days after the non-invasive procedure. Of the 176 patients, 77 patients had multivessel disease (prevalence 44%). The exercise electrocardiogram was positive in 49 of these 77 patients (sensitivity 64%), while the thallium scintigram was positive in only 24 patients (sensitivity 31%). When the results of both procedures were added, a moderate sensitivity of 66% and a similar specificity of 62% was found; the positive and negative predictive values were 57% and 70%, respectively, and were considered too low for the adequate clinical diagnosis of multivessel disease after myocardial infarction. Based on our results, it is concluded that qualitative assessment of thallium exercise scintigraphy, alone or combined with electrocardiography, should not be used to predict the absence or presence of multivessel disease in patients after previous myocardial infarction.
E E van der Wall, and
M J Eenige van, and
F C Visser, and
A G Scholtalbers, and
J P Roos
December 1984,
Journal of the National Medical Association,
E E van der Wall, and
M J Eenige van, and
F C Visser, and
A G Scholtalbers, and
J P Roos
August 1995,
American heart journal,
E E van der Wall, and
M J Eenige van, and
F C Visser, and
A G Scholtalbers, and
J P Roos
April 1980,
Circulation,
E E van der Wall, and
M J Eenige van, and
F C Visser, and
A G Scholtalbers, and
J P Roos
November 1982,
Chest,
E E van der Wall, and
M J Eenige van, and
F C Visser, and
A G Scholtalbers, and
J P Roos
January 1981,
Cardiology,
E E van der Wall, and
M J Eenige van, and
F C Visser, and
A G Scholtalbers, and
J P Roos
October 1981,
Journal of the Medical Association of Georgia,
E E van der Wall, and
M J Eenige van, and
F C Visser, and
A G Scholtalbers, and
J P Roos
May 1990,
International journal of cardiology,
E E van der Wall, and
M J Eenige van, and
F C Visser, and
A G Scholtalbers, and
J P Roos
January 1988,
European journal of nuclear medicine,
E E van der Wall, and
M J Eenige van, and
F C Visser, and
A G Scholtalbers, and
J P Roos
January 1989,
Indian heart journal,
E E van der Wall, and
M J Eenige van, and
F C Visser, and
A G Scholtalbers, and
J P Roos
September 1982,
Archives des maladies du coeur et des vaisseaux,
