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CC BY-NC-ND 4.0 · World J Nucl Med 2019; 18(04): 396-405
DOI: 10.4103/wjnm.WJNM_74_18
Original Article

B – Flow assessment of femoral artery as predictor of coronary artery disease in patients evaluated for chest pain by radionuclide myocardial perfusion scintigraphy

Authors

  • Petar Avramovski

    Department of Internal Medicine, High Medical School, Clinical Hospital, University St. Kliment Ohridski, Bitola

  • Maja Avramovska

    1   Department of Gynecology, Clinical Hospital, Bitola

  • Zaklina Servini

    2   Department of Nuclear Medicine, Clinical Hospital, Bitola

  • Zorica Nikleski

    3   Advanced Torrens University, Australia

  • Keti Veljanovska

    2   Department of Nuclear Medicine, Clinical Hospital, Bitola

  • Snezana Mihajlova

    2   Department of Nuclear Medicine, Clinical Hospital, Bitola

  • Kosta Sotiroski

    4   Department of Economic Statistics, Faculty of Economics, Prilep, Bitola
    5   Department of Statistics, University St. Kliment Ohridski, Bitola

  • Aleksandar Sikole

    6   Department of Nephrology, Medical Faculty, University St. Curil and Methodius, Skopje, Macedonia
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Abstract

In the evaluation of patients with suspected coronary artery disease (CAD), the presence of the superficial femoral artery (SFA) plaque is more informative than a carotid plaque and at least as informative as coronary plaque in the identification of coronary death individuals. In 60 patients with chest pain with a normal electrocardiogram, B-flow ultrasound estimation of SFA plaque and radionuclide myocardial perfusion scintigraphy (MPS) estimation for CAD was performed. We found significant positive correlations between age and SFA plaque score (PS) (P = 0.0084), myocardial ischemia in rest and SFA PS (P < 0.0001), and between transient ischemic dilation (TID) and SFA PS (P = 0.0069), too. The TID correlates only with myocardial ischemia in rest (P = 0.0022) and SFA PS (P = 0.0069). The results we got by the receiver operating characteristics (ROC) curve analysis with TID/without TID were the area under curve (0.704, P = 0.0038). The multiple regression analysis showed standardized coefficient β coefficients for SFA PS and TID (3.4577 and 1.9903, P < 0.001 and P = 0.0021), respectively. By proven correlative relationship of SFA atherosclerotic plaques and CAD, we can use B-flow as a screening method for triage of patients with chest pain before being sent to the assessment of coronary circulation with radionuclide MPS.

Keywords

Atherosclerotic plaque - B-flow - coronary artery disease - myocardial perfusion scintigraphy - superficial femoral artery

Financial support and sponsorship

Nil.




Publikationsverlauf

Eingereicht: 25. August 2018

Angenommen: 11. Oktober 2018

Artikel online veröffentlicht:
22. April 2022

© 2019. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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