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Prognostic study of cardiac events in Japanese patients with chronic kidney disease using ECG-gated myocardial Perfusion imaging: Final 3-year report of the J-ACCESS 3 study

Myocardial perfusion imaging (MPI) is considered useful for risk stratification among patients with chronic kidney disease (CKD), without renal deterioration by contrast media. The Japanese Assessment of Cardiac Events and Survival Study by Quantitative Gated SPECT (J-ACCESS 3) is a multicenter, pro...

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Published in:Journal of nuclear cardiology 2019-04, Vol.26 (2), p.431-440
Main Authors: Nakamura, Satoko, Kawano, Yuhei, Nakajima, Kenichi, Hase, Hiroki, Joki, Nobuhiko, Hatta, Tsuguru, Nishimura, Shigeyuki, Moroi, Masao, Nakagawa, Susumu, Kasai, Tokuo, Kusuoka, Hideo, Takeishi, Yasuchika, Momose, Mitsuru, Takehana, Kazuya, Nanasato, Mamoru, Yoda, Syunichi, Nishina, Hidetaka, Matsumoto, Naoya, Nishimura, Tsunehiko
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cited_by cdi_FETCH-LOGICAL-c522t-463439cd07d31d87a00c02b982cef3a14849b7cbdeaa72cc3d25d3d4500cef443
cites cdi_FETCH-LOGICAL-c522t-463439cd07d31d87a00c02b982cef3a14849b7cbdeaa72cc3d25d3d4500cef443
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container_title Journal of nuclear cardiology
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creator Nakamura, Satoko
Kawano, Yuhei
Nakajima, Kenichi
Hase, Hiroki
Joki, Nobuhiko
Hatta, Tsuguru
Nishimura, Shigeyuki
Moroi, Masao
Nakagawa, Susumu
Kasai, Tokuo
Kusuoka, Hideo
Takeishi, Yasuchika
Momose, Mitsuru
Takehana, Kazuya
Nanasato, Mamoru
Yoda, Syunichi
Nishina, Hidetaka
Matsumoto, Naoya
Nishimura, Tsunehiko
description Myocardial perfusion imaging (MPI) is considered useful for risk stratification among patients with chronic kidney disease (CKD), without renal deterioration by contrast media. The Japanese Assessment of Cardiac Events and Survival Study by Quantitative Gated SPECT (J-ACCESS 3) is a multicenter, prospective cohort study investigating the ability of MPI to predict cardiac events in 529 CKD patients without a definitive coronary artery disease. All patients were assessed by stress and rest MPI with 99mTc-tetrofosmin and data were analyzed using a defect scoring method and QGS software. Major cardiac events were analyzed for 3 years after registration. The mean eGFR was 29.0 ± 12.8 (mL/minute/1.73 m2). The mean summed stress/rest/difference (SSS, SRS, SDS) scores were 1.9 ± 3.8, 1.1 ± 3.0, and 0.8 ± 1.8, respectively. A total of 60 cardiac events (three cardiac deaths, six sudden deaths, five nonfatal myocardial infarctions, 46 hospitalization cases for heart failure) occurred. The event-free survival rate was lower among patients with kidney dysfunction, higher SSS, and higher CRP values. Multivariate Cox regression analysis independently associated SSS ≥8, eGFR
doi_str_mv 10.1007/s12350-017-0880-5
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The Japanese Assessment of Cardiac Events and Survival Study by Quantitative Gated SPECT (J-ACCESS 3) is a multicenter, prospective cohort study investigating the ability of MPI to predict cardiac events in 529 CKD patients without a definitive coronary artery disease. All patients were assessed by stress and rest MPI with 99mTc-tetrofosmin and data were analyzed using a defect scoring method and QGS software. Major cardiac events were analyzed for 3 years after registration. The mean eGFR was 29.0 ± 12.8 (mL/minute/1.73 m2). The mean summed stress/rest/difference (SSS, SRS, SDS) scores were 1.9 ± 3.8, 1.1 ± 3.0, and 0.8 ± 1.8, respectively. A total of 60 cardiac events (three cardiac deaths, six sudden deaths, five nonfatal myocardial infarctions, 46 hospitalization cases for heart failure) occurred. The event-free survival rate was lower among patients with kidney dysfunction, higher SSS, and higher CRP values. Multivariate Cox regression analysis independently associated SSS ≥8, eGFR &lt;15 (mL/minute/1.73 m2), and CRP ≥0.3 (mg/dL) with cardiac events. 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Nucl. Cardiol</addtitle><addtitle>J Nucl Cardiol</addtitle><description>Myocardial perfusion imaging (MPI) is considered useful for risk stratification among patients with chronic kidney disease (CKD), without renal deterioration by contrast media. The Japanese Assessment of Cardiac Events and Survival Study by Quantitative Gated SPECT (J-ACCESS 3) is a multicenter, prospective cohort study investigating the ability of MPI to predict cardiac events in 529 CKD patients without a definitive coronary artery disease. All patients were assessed by stress and rest MPI with 99mTc-tetrofosmin and data were analyzed using a defect scoring method and QGS software. Major cardiac events were analyzed for 3 years after registration. The mean eGFR was 29.0 ± 12.8 (mL/minute/1.73 m2). The mean summed stress/rest/difference (SSS, SRS, SDS) scores were 1.9 ± 3.8, 1.1 ± 3.0, and 0.8 ± 1.8, respectively. 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The mean summed stress/rest/difference (SSS, SRS, SDS) scores were 1.9 ± 3.8, 1.1 ± 3.0, and 0.8 ± 1.8, respectively. A total of 60 cardiac events (three cardiac deaths, six sudden deaths, five nonfatal myocardial infarctions, 46 hospitalization cases for heart failure) occurred. The event-free survival rate was lower among patients with kidney dysfunction, higher SSS, and higher CRP values. Multivariate Cox regression analysis independently associated SSS ≥8, eGFR &lt;15 (mL/minute/1.73 m2), and CRP ≥0.3 (mg/dL) with cardiac events. Together with eGFR and CRP, MPI can predict cardiac events in patients with CKD.</abstract><cop>Cham</cop><pub>Elsevier Inc</pub><pmid>28439760</pmid><doi>10.1007/s12350-017-0880-5</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
C-reactive protein
Cardiology
Cardiovascular morbidity
CONTRAST MEDIA
CORONARIES
DISEASE INCIDENCE
Disease-Free Survival
Electrocardiography
estimated glomerular filtration rate
Female
Glomerular Filtration Rate
HAZARDS
HEART FAILURE
Humans
Imaging
Japan
Kidney Failure, Chronic - diagnostic imaging
KIDNEYS
Male
Medicine
Medicine & Public Health
Middle Aged
Multivariate Analysis
MYOCARDIAL INFARCTION
Myocardial Perfusion Imaging
Nuclear Medicine
Original
Original Article
PATIENTS
Prognosis
Proportional Hazards Models
Prospective Studies
Radiology
RADIOLOGY AND NUCLEAR MEDICINE
REGRESSION ANALYSIS
Risk
SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY
Software
TECHNETIUM 99
Tomography, Emission-Computed, Single-Photon
Treatment Outcome
title Prognostic study of cardiac events in Japanese patients with chronic kidney disease using ECG-gated myocardial Perfusion imaging: Final 3-year report of the J-ACCESS 3 study
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