This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (9) Citing Articles via Google Scholar Google Scholar Articles by Shaw, L. J. Articles by Bairey Merz, C. N. Search for Related Content PubMed PubMed Citation Articles by Shaw, L. J. Articles by Bairey Merz, C. N.

Ethnic Differences in the Prognostic Value of Stress Technetium-99m Tetrofosmin Gated Single-Photon Emission Computed Tomography Myocardial Perfusion Imaging

Leslee J. Shaw, PhD^_*,_*, Robert C. Hendel, MD, Manuel Cerquiera, MD, Jennifer H. Mieres, MD, Naomi Alazraki, MD^||, Elizabeth Krawczynska, MD^||, Salvador Borges-Neto, MD^¶, Jamshid Maddahi, MD^# and C. Noel Bairey Merz, MD^_*

^_* Cedars-Sinai Medical Center, Los Angeles, California
Midwest Heart Specialists, Fox River Grove, Illinois
Cleveland Clinic Foundation, Cleveland, Ohio
North Shore University, Long Island Jewish Health System, Long Island, New York
^|| Emory University, Atlanta VA Medical Center, Atlanta, Georgia
^¶ Duke University, Durham, North Carolina
^# UCLA Medical Center, Los Angeles, California.

View larger version (14K): [in a new window]   Figure 1 Frequency of low risk, mildly abnormal, moderately abnormal, and severely abnormal summed stress scores in African American, Hispanic, and Caucasian non-Hispanic patients. Black bars = severe; hatched bars = moderate; dotted bars = mild; white bars = low. p < 0.0001.

View larger version (31K): [in a new window]   Figure 2 Estimated annual death rates by summed stress score risk group in African-American, Hispanic, and Caucasian non-Hispanic patients. All-cause death: chi-square = 33, p < 0.0001; cardiovascular death: chi-square = 127, p < 0.0001; ischemic heart disease death: chi-square = 109, p < 0.0001. CV= cardiovascular; IHD = ischemic heart disease. *No ischemic heart disease deaths reported.

View larger version (24K): [in a new window]   Figure 3 (A) Survival free from cardiovascular death or myocardial infarction in African-American and Hispanic patients. Model chi-square = 192; p < 0.0001. *n = available sample every 0.5 years of follow-up for low, mild, moderate, and severely abnormal scans. (B) Survival free from cardiovascular death or myocardial infarction in Caucasian non-Hispanic patients. Model chi-square = 192; p < 0.0001. *n = available sample every 0.5 years of follow-up for low, mild, moderate, and severely abnormal scans. Asian patients were not included in this analysis because of small sample scans.

View larger version (23K): [in a new window]   Figure 4 Annualized risk-adjusted cardiovascular death or myocardial infarction rate by post-stress left ventricular ejection fraction for African-American, Hispanic, and Caucasian non-Hispanic patients. Line of best fit was a cubic spline fit with 95% confidence intervals.

View larger version (15K): [in a new window]   Figure 5 Risk-adjusted relative risk of cardiac death or myocardial infarction (MI) by summed stress score risk in African-American and Hispanic patients versus Caucasian non-Hispanic patients undergoing Tc-99m myoview single-photon emission computed tomographic imaging. CI = confidence interval.

View larger version (17K): [in a new window]   Figure 6 Risk-adjusted relative risk of cardiac death or myocardial infarction (MI) by summed stress score risk in African-American and Hispanic patients versus Caucasian non-Hispanic patients undergoing adenosine/dipyridamole Tc-99m myoview single-photon emission computed tomographic imaging. CI = confidence interval.