Long term prognosis of patients with normal dobutamine stress echocardiogram studies

Ramarao Yeleti, Naomi Feinberg, Douglas S. Segar, Harvey Feigenbaum, Stephen Sawada

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Dobutamine Stress Echocardiography (DSE) has been proven to be an accurate diagnostic tool in the evaluation of patients with known or suspected coronary artery disease. However, the long term prognostic value of a normal study has not been well established. Methods: Clinical follow-up was obtained in 504 patients who had normal studies with no baseline or stress-induced wall motion abnormalities. Events were categorized as non-cardiac events, hard cardiac events (cardiac death or myocardial infarction) or soft cardiac events (angioplasty, bypass grafting or congestive heart failure) Results: The mean age was 57 years and there were 209 men During a mean follow-up of 50.4 months (range 2-99 months), there were 168(33%) events including 108(21%) non-cardiac deaths and 60(12%) cardiac events. The mean time to any cardiac event was 44 months. There were 34 hard events ( 11 cardiac deaths, 23 non-fatal MI) and 26 soft events (17 revascularizations, 9 CHF). Five year survival free of hard events was 92% by Kaplan-Meier analysis. (Figure Presented) The risk for any cardiac event was 0.28% per patient-year with lhe risk for cardiac death or MI of 0 16% per patient-year. Conclusion: The long term prognosis in patients who have a normal DSE study is good.

Original languageEnglish
Pages (from-to)445
Number of pages1
JournalJournal of the American Society of Echocardiography
Volume10
Issue number4
StatePublished - 1997

Fingerprint

Dobutamine
Stress Echocardiography
Kaplan-Meier Estimate
Angioplasty
Disease-Free Survival
Coronary Artery Disease
Reference Values
Heart Failure
Myocardial Infarction

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Long term prognosis of patients with normal dobutamine stress echocardiogram studies. / Yeleti, Ramarao; Feinberg, Naomi; Segar, Douglas S.; Feigenbaum, Harvey; Sawada, Stephen.

In: Journal of the American Society of Echocardiography, Vol. 10, No. 4, 1997, p. 445.

Research output: Contribution to journalArticle

@article{810f5fe056b447e486bf3d03ef746aa7,
title = "Long term prognosis of patients with normal dobutamine stress echocardiogram studies",
abstract = "Dobutamine Stress Echocardiography (DSE) has been proven to be an accurate diagnostic tool in the evaluation of patients with known or suspected coronary artery disease. However, the long term prognostic value of a normal study has not been well established. Methods: Clinical follow-up was obtained in 504 patients who had normal studies with no baseline or stress-induced wall motion abnormalities. Events were categorized as non-cardiac events, hard cardiac events (cardiac death or myocardial infarction) or soft cardiac events (angioplasty, bypass grafting or congestive heart failure) Results: The mean age was 57 years and there were 209 men During a mean follow-up of 50.4 months (range 2-99 months), there were 168(33{\%}) events including 108(21{\%}) non-cardiac deaths and 60(12{\%}) cardiac events. The mean time to any cardiac event was 44 months. There were 34 hard events ( 11 cardiac deaths, 23 non-fatal MI) and 26 soft events (17 revascularizations, 9 CHF). Five year survival free of hard events was 92{\%} by Kaplan-Meier analysis. (Figure Presented) The risk for any cardiac event was 0.28{\%} per patient-year with lhe risk for cardiac death or MI of 0 16{\%} per patient-year. Conclusion: The long term prognosis in patients who have a normal DSE study is good.",
author = "Ramarao Yeleti and Naomi Feinberg and Segar, {Douglas S.} and Harvey Feigenbaum and Stephen Sawada",
year = "1997",
language = "English",
volume = "10",
pages = "445",
journal = "Journal of the American Society of Echocardiography",
issn = "0894-7317",
publisher = "Mosby Inc.",
number = "4",

}

TY - JOUR

T1 - Long term prognosis of patients with normal dobutamine stress echocardiogram studies

AU - Yeleti, Ramarao

AU - Feinberg, Naomi

AU - Segar, Douglas S.

AU - Feigenbaum, Harvey

AU - Sawada, Stephen

PY - 1997

Y1 - 1997

N2 - Dobutamine Stress Echocardiography (DSE) has been proven to be an accurate diagnostic tool in the evaluation of patients with known or suspected coronary artery disease. However, the long term prognostic value of a normal study has not been well established. Methods: Clinical follow-up was obtained in 504 patients who had normal studies with no baseline or stress-induced wall motion abnormalities. Events were categorized as non-cardiac events, hard cardiac events (cardiac death or myocardial infarction) or soft cardiac events (angioplasty, bypass grafting or congestive heart failure) Results: The mean age was 57 years and there were 209 men During a mean follow-up of 50.4 months (range 2-99 months), there were 168(33%) events including 108(21%) non-cardiac deaths and 60(12%) cardiac events. The mean time to any cardiac event was 44 months. There were 34 hard events ( 11 cardiac deaths, 23 non-fatal MI) and 26 soft events (17 revascularizations, 9 CHF). Five year survival free of hard events was 92% by Kaplan-Meier analysis. (Figure Presented) The risk for any cardiac event was 0.28% per patient-year with lhe risk for cardiac death or MI of 0 16% per patient-year. Conclusion: The long term prognosis in patients who have a normal DSE study is good.

AB - Dobutamine Stress Echocardiography (DSE) has been proven to be an accurate diagnostic tool in the evaluation of patients with known or suspected coronary artery disease. However, the long term prognostic value of a normal study has not been well established. Methods: Clinical follow-up was obtained in 504 patients who had normal studies with no baseline or stress-induced wall motion abnormalities. Events were categorized as non-cardiac events, hard cardiac events (cardiac death or myocardial infarction) or soft cardiac events (angioplasty, bypass grafting or congestive heart failure) Results: The mean age was 57 years and there were 209 men During a mean follow-up of 50.4 months (range 2-99 months), there were 168(33%) events including 108(21%) non-cardiac deaths and 60(12%) cardiac events. The mean time to any cardiac event was 44 months. There were 34 hard events ( 11 cardiac deaths, 23 non-fatal MI) and 26 soft events (17 revascularizations, 9 CHF). Five year survival free of hard events was 92% by Kaplan-Meier analysis. (Figure Presented) The risk for any cardiac event was 0.28% per patient-year with lhe risk for cardiac death or MI of 0 16% per patient-year. Conclusion: The long term prognosis in patients who have a normal DSE study is good.

UR - http://www.scopus.com/inward/record.url?scp=2442697373&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2442697373&partnerID=8YFLogxK

M3 - Article

VL - 10

SP - 445

JO - Journal of the American Society of Echocardiography

JF - Journal of the American Society of Echocardiography

SN - 0894-7317

IS - 4

ER -