Value and limitations of dobutamine stress echocardiography in the detection of restenosis and development of new disease following percutaneous transluminal coronary angioplasty and coronary artery bypass grafting

T. G. Hennessy, Garvan M Kane, M. B. Codd, C. McCarthy, H. A. McCann, D. D. Sugrue

Research output: Contribution to journalArticle

Abstract

Background. Restenosis and development of new disease following PTCA and CABG are not uncommon problems. The value of DSE in this setting is ill defined. Methods. Patients referred for coronary angiography for detection of restenosis or development of new disease (>50% luminal diameter stenosis) post PTCA or CABG underwent DSE. Results. A total of 58 patients were studied post CABG (N = 46) or PTCA (N = 12). Overall, DSE was positive for ischaemia in 47 of 54 patients with significant restenosis or development of new disease (sensitivity = 87%). Of the 4 patients without restenosis or new disease, 1 had a normal study. Positive and negative predictive values were 94% and 13% respectively. Conclusion. A low negative predictive value limits the value of DSE to detect restenosis or new disease.

Original languageEnglish (US)
Pages (from-to)12-16
Number of pages5
JournalJournal of Noninvasive Cardiology
Volume2
Issue number2
StatePublished - 1998
Externally publishedYes

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Stress Echocardiography
Coronary Balloon Angioplasty
Coronary Artery Bypass
Coronary Angiography
Pathologic Constriction
Ischemia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

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title = "Value and limitations of dobutamine stress echocardiography in the detection of restenosis and development of new disease following percutaneous transluminal coronary angioplasty and coronary artery bypass grafting",
abstract = "Background. Restenosis and development of new disease following PTCA and CABG are not uncommon problems. The value of DSE in this setting is ill defined. Methods. Patients referred for coronary angiography for detection of restenosis or development of new disease (>50{\%} luminal diameter stenosis) post PTCA or CABG underwent DSE. Results. A total of 58 patients were studied post CABG (N = 46) or PTCA (N = 12). Overall, DSE was positive for ischaemia in 47 of 54 patients with significant restenosis or development of new disease (sensitivity = 87{\%}). Of the 4 patients without restenosis or new disease, 1 had a normal study. Positive and negative predictive values were 94{\%} and 13{\%} respectively. Conclusion. A low negative predictive value limits the value of DSE to detect restenosis or new disease.",
author = "Hennessy, {T. G.} and Kane, {Garvan M} and Codd, {M. B.} and C. McCarthy and McCann, {H. A.} and Sugrue, {D. D.}",
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TY - JOUR

T1 - Value and limitations of dobutamine stress echocardiography in the detection of restenosis and development of new disease following percutaneous transluminal coronary angioplasty and coronary artery bypass grafting

AU - Hennessy, T. G.

AU - Kane, Garvan M

AU - Codd, M. B.

AU - McCarthy, C.

AU - McCann, H. A.

AU - Sugrue, D. D.

PY - 1998

Y1 - 1998

N2 - Background. Restenosis and development of new disease following PTCA and CABG are not uncommon problems. The value of DSE in this setting is ill defined. Methods. Patients referred for coronary angiography for detection of restenosis or development of new disease (>50% luminal diameter stenosis) post PTCA or CABG underwent DSE. Results. A total of 58 patients were studied post CABG (N = 46) or PTCA (N = 12). Overall, DSE was positive for ischaemia in 47 of 54 patients with significant restenosis or development of new disease (sensitivity = 87%). Of the 4 patients without restenosis or new disease, 1 had a normal study. Positive and negative predictive values were 94% and 13% respectively. Conclusion. A low negative predictive value limits the value of DSE to detect restenosis or new disease.

AB - Background. Restenosis and development of new disease following PTCA and CABG are not uncommon problems. The value of DSE in this setting is ill defined. Methods. Patients referred for coronary angiography for detection of restenosis or development of new disease (>50% luminal diameter stenosis) post PTCA or CABG underwent DSE. Results. A total of 58 patients were studied post CABG (N = 46) or PTCA (N = 12). Overall, DSE was positive for ischaemia in 47 of 54 patients with significant restenosis or development of new disease (sensitivity = 87%). Of the 4 patients without restenosis or new disease, 1 had a normal study. Positive and negative predictive values were 94% and 13% respectively. Conclusion. A low negative predictive value limits the value of DSE to detect restenosis or new disease.

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