Table 2.
MPI stress test results and outcomes for sCMR and SPECT-MPI. Values are indicated as number (n) and percentage (%), mean ± SD or median and interquartile range
Stress CMR (287 patients) | Stress SPECT-MPI (382 patients) | p value | |
---|---|---|---|
MPI test results | |||
Positive result, n(%) | 52 (18.1) | 49 (12.8) | 0.059 |
Percentage of stress ischemia, % | 8.6 ± 3.4 | 8.2 ± 4.4 | 0.515 |
Number of stress ischemic segments | 3 (2–4) | 4 (2–4) | 0.429 |
Mild ischemia, n (%) | 9 (3.1) | 10 (2.6) | 0.68 |
Moderate–severe ischemia, n (%) | 43 (14.9) | 39 (10.2) | 0.06 |
Presence of LGE and Ischemia, n (%) | 34 (11.8) | n.a | n.a |
Presence of LGE at CMR, n(%) | 114 (39.7) | n.a | n.a |
–ischemic LGE | 76 (67) | ||
–non-ischemic LGE | 38 (33) | ||
Number of CMR LGE segments | 2 (1–3) | n.a | n.a |
Presence of rest and stress ischemia at SPECT, n (%) | n.a | 30 (7.9) | n.a |
Presence of rest ischemia at SPECT, n(%) | n.a | 119 (31.2) | n.a |
Percentage of SPECT rest ischemia, % | n.a | 6.1 ± 3.1 | n.a |
Number of SPECT rest ischemic segments | n.a | 3 (2 – 5) | n.a |
LVEF, % | 58.7 ± 10.0 | 61.9 ± 9.7 | 0.001 |
LVEDV, ml | 141 ± 37.8 | 135 ± 26.8 | 0.061 |
ICA, n(%) | 54 (18.8) | 51 (13.3) | 0.054 |
Revascularized patients, n(%) | 44 (15.3) | 38 (9.7) | 0.036 |
Rate of revascularization in patients with reversible ischemia, n(%) | 44 (84.5) | 38 (77.6) | 0.448 |
Outcomes | |||
Composite endpoint, n(%) | 3 (1.1) | 5 (1.3) | 0.756 |
Acute coronary syndrome, n(%) | 2 (0.7) | 5 (1.3) | 0.441 |
Myocardial infarction, n(%) | 1 (0.3) | 3 (0.8) | 0.638 |
STEMI, n(%) | 0 (0.0) | 0 (0.0) | n.a |
NSTEMI, n(%) | 1 (0.3) | 3 (0.8) | 0.638 |
Unstable angina, n(%) | 1 (0.3) | 2 (0.5) | 1.000 |
Cardiogenic pulmonary edema, n(%) | 1 (0.3) | 0 (0.0) | 0.429 |
Bold indicates that the p value reached statistical significance with p value < 0.05
ICA invasive coronary angiography, LGE late gadolinium enhancement, LVEDV left ventricular end-diastolic volume, LVEF left ventricular ejection fraction, MPI myocardial perfusion imaging; n.a. not applicable, NSTEMI non-ST-segment elevation myocardial infarction, sCMR stress cardiac magnetic resonance, SPECT single-photon emission computed tomography, STEMI ST-segment elevation myocardial infarction