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Ǹ0w39ڃe=3"_ H!3_ڎPi[ 篌 JmYKs̗⣚4UTaM:F.k9.bh#X*T Զ5i \GO<$p~VH$w!>stream Hm 9rrҐoٙF;:6Ow(8}{?ujEo1J2>C쳢[ˆTDjUmEbt$j?FHpճ@b Y^B{t.)X"s,]*=QK F ( qlǵ$EM&u/]g.VgD< dZ(fՑ p㶤Xi"D.<vc?̄ԉYg0'U$;RD. 9Jm V. /炙#DD<,ben48c/˚'U._b"DKv{ٹl:.q,f4idSU)zQ1Q6f k endstream endobj 23 0 obj <>stream HW[n1􁻇W6ov+UZ(m̀ ξox~G,_Jݛ`-exZN.ޠKLS|BjwRT %(.C]Ȯs,BY-T>stream 2020-01-09T14:34:14-03:00 2020-01-09T14:14:56-03:00 2020-01-09T14:34:14-03:00 Adobe InDesign 15.0 (Macintosh) application/pdf uuid:85bbe2be-431e-0544-837b-ef8a11b8a02a uuid:1f4ab9ed-ad3b-f343-895c-8099d66d3d0e Adobe PDF Library 15.0 endstream endobj 25 0 obj <>stream h26W0Pw/+Q0L)61 )@Ie bC* RS ͠ endstream endobj 26 0 obj <>stream h2P0Pw.JM,sI,Ip220200444141550V70Pׄ/pLOJUsI-LS043PML+/ΈO0hܬTa.n >IEE`4 AD+ endstream endobj 27 0 obj <>/Filter/FlateDecode/ID[<2218D392AB3F4510B8F80449DF1A1EC5><635D5A378BBD4DD8A80CD4B08F79A121>]/Info 38 0 R/Length 126/Root 40 0 R/Size 39/Type/XRef/W[1 3 1]>>stream hbb&Ff L ̾ o-dHl0 D ]"@$9d@L,\`ZW`r.L˪ٛUg|t 6 `lA$#@ k endstream endobj startxref 116 %%EOF Utilidad del score de calcio ecocardiográfico como herramienta predictiva de enfermedad coronaria obstructiva - Archivo PPCT

Utilidad del score de calcio ecocardiográfico como herramienta predictiva de enfermedad coronaria obstructiva;
Usefulness of the Echocardiographic Calcium Score as Predictive Tool for Obstructive Coronary Artery Disease

Creators:Michelli, Bruno J., Bellandi, Suyai L., Brachetta, Federico G., Knott, Karen, Ferreyra, Karen J., Alvez, Antonio J.

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Descripción

Objetivos: Evaluar el valor predictivo del score cálcico ecocardiográfico (SCE).Material y métodos: Se evaluaron 96 pacientes con indicación de coronariografía (CCG). Síndrome coronario sin supra ST 20 pacientes. Angina crónica 15 pacientes Síndrome coronario con supra ST 31 pacientes. Asintomáticos 30 pacientes. Se efectuó ecocardiograma con SCE y correlación con coronariopatía. Dos grupos: pacientes con SCE ≤ 1 y SCE ≥ 2.Resultados: Sobre 96 pacientes, 23 sin lesiones con SCE 0,61, y 73 con lesión SCE 2,63. Entre aquellos con lesión, 16 lesión única SCE 1,68, 57 lesión múltiple SCE 2,87. De 23 sin lesiones 20 tuvieron SCE ≤ 1, y 3 SCE ≥ 2, y de 73 con lesiones 13 tuvieron SCE ≤ 1, y 60 SCE ≥ 2; así, un SCE ≥ 2 presenta mayor frecuencia de coronariopatía vs. SCE ≤ 1 (p &lt; 0,05), sensibilidad 82,2%, especificidad 87%, valor predictivo positivo: 95,2%, y negativo 60,6%. En lesión única vs. múltiple 16 presentaron lesión única, 9 tenían SCE ≥ 2, y 57 múltiple, 51 tenían SCE ≥ 2, sensibilidad: 89,5% y especificidad: 43,8% para identificar múltiples vasos, valor predictivo positivo 85%, y negativo: 53,8%.Conclusiones: El SCE tendría buen valor predictivo positivo para coronariopatía.

Objectives: The aim of this study was to evaluate the predictive value of the echocardiographic calcium score (ECS).Methods: Ninety-six patients with coronary angiography indication were enrolled in the study: 20 with non-ST-segmentelevation acute coronary syndrome, 15 with chronic angina, 31 with ST-segment elevation acute coronary syndrome and 30asymptomatic patients. After echocardiography with ECS and correlation with coronary artery disease, patients were classifiedinto 2 groups according to ECS ≤1 or ECS ≥2.Results: Among the total number of patients, 23 patients without lesions had ECS: 0.61 and 73 with lesions had ECS: 2.63.In patients presenting lesions, 16 had single lesion with ECS: 1.68 and 57 multiple lesions with ECS: 2.87. In the 23 patientswithout lesions, 20 had ECS ≤1 and 3 ECS ≥2, and among the 73 patients with lesions, 13 had ECS ≤1 and 60 ECS ≥2. Thus,ECS ≥2 presented a higher frequency of coronary artery disease vs. ECS ≤1 (p &lt;0.05), with 82.2% sensitivity, 87% specificity,95.2% positive predictive value and 60.6% negative predictive value. In single vs. multiple lesions, 9 out of 16 patientswith single lesion had ECS ≥2 and 51 out of 57 patients with multiple lesions had ECS ≥2, with 89.5% sensitivity and 43.8%specificity to identify multi-vessel disease, and 85% positive predictive value and 53.8% negative predictive value.Conclusions: The ECS would have good positive predictive value to assess coronary artery disease.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 87, No 6 (2019); 470-473, Argentine Journal of Cardiology; Vol 87, No 6 (2019); 470-473

Citación

Michelli, Bruno J. et al., “Utilidad del score de calcio ecocardiográfico como herramienta predictiva de enfermedad coronaria obstructiva,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8865.

Dublin Core

Autor

Michelli, Bruno J.
Bellandi, Suyai L.
Brachetta, Federico G.
Knott, Karen
Ferreyra, Karen J.
Alvez, Antonio J.

Fuente

Revista Argentina de Cardiología; Vol 87, No 6 (2019); 470-473
Argentine Journal of Cardiology; Vol 87, No 6 (2019); 470-473

Editor

Sociedad Argentina de Cardiología

Fecha

2020-01-13

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Idioma

spa
eng

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion