5
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Comparison of Cardiogoniometry and ECG at Rest versus Myocardial Perfusion Scintigraphy

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Cardiogoniometry (CGM) is a novel resting electrocardiac method based on computer‐generated three‐dimensional data derived from cardiac potentials. The purpose of this study was to determine CGM's and electrocardiography's (ECG) accuracy for detecting myocardial ischemia and/or lesions in comparison with stress/rest myocardial perfusion scintigraphy (single photon emission computer tomography [SPECT]).

          Method

          A cohort of consecutively enrolled patients (n = 100) with suspected or known coronary artery disease (mean age 67.8 years, 52% female) were examined by CGM and resting ECG before stress/rest myocardial scintigraphy.

          Results

          Pathological scintigraphy findings at adenosine stress perfusion (ASP) and/or rest were conclusively identified in 21 patients. Diagnostic sensitivity was 71% for CGM and 24% for ECG, specificity was 70% for CGM and 95% for ECG. Reversible ischemia was diagnosed in 16 of 21 patients with pathological scintigraphy results. In this subgroup, sensitivity was 67% for CGM and 25% for ECG.

          Conclusions

          At rest, the sensitivity of a CGM significantly surmounts that of a standard 12‐lead ECG for detection of isolated myocardial ischemia or myocardial lesions revealed by scintigraphy/SPECT; specificity is in a reasonable range. CGM's ease of use and its considerable agreement with the results of myocardial scintigraphy, suggests a possible role for patient screening in the primary care setting.

          Related collections

          Author and article information

          Journal
          Ann Noninvasive Electrocardiol
          Ann Noninvasive Electrocardiol
          10.1111/(ISSN)1542-474X
          ANEC
          Annals of Noninvasive Electrocardiology : The Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc
          John Wiley and Sons Inc. (Hoboken )
          1082-720X
          1542-474X
          10 March 2014
          September 2014
          : 19
          : 5 ( doiID: 10.1111/anec.2014.19.issue-5 )
          : 462-470
          Affiliations
          [ 1 ] Department of Cardiology University of Regensburg Regensburg Germany
          [ 2 ] Practice for Cardiology and Nuclear Medicine Regensburg Germany
          [ 3 ] Department of Cardiology, University of Rostock, Germany
          [ 4 ] Preventicus Jena Germany
          Author notes
          [*] [* ]Address for correspondence: Stefan Weber, M.D., University of Regensburg, Department of Cardiology, Franz‐Josef‐Strauss‐Allee 11, 93053 Regensburg, Germany. Fax: +49 941‐447763; E‐mail: stefan.weber@ 123456klinik.uni-regensburg.de
          Article
          PMC6932505 PMC6932505 6932505 ANEC12151
          10.1111/anec.12151
          6932505
          24612044
          47dee9c2-7e28-414e-b639-432bbd50eb40
          © 2014 Wiley Periodicals, Inc.
          History
          Page count
          Pages: 9
          Categories
          Original Article
          Original Articles
          Custom metadata
          2.0
          September 2014
          Converter:WILEY_ML3GV2_TO_JATSPMC version:5.7.3 mode:remove_FC converted:18.12.2019

          risk stratification,coronary artery disease (CAD),myocardial scar,vectorcardiography,patient management

          Comments

          Comment on this article