Table 3. Nuclear stress test results and clinical symptoms at the time of testing.
MED (N = 767) | REV (N = 738) | P value | |
---|---|---|---|
Revascularization since randomization | 16.2% | 97.8% | <.001 |
Myocardial infarction since randomization | 3.8% | 5.4% | .002 |
CCS class, at the time of testing | .06 | ||
0 | 57.8% | 64.8% | |
1-2 | 20.5% | 14.9% | |
3-4 | 1.5% | 1.1% | |
Unstable + acute MI | 1.5% | 1.3% | |
Unknown | 18.7% | 17.9% | |
Adenosine stress myocardial perfusion SPECT results | |||
Chest pain | 75.2% | 75.2% | .99 |
Electrocardiographic changes | .63 | ||
No ST depression | 66.1% | 67.9% | |
Equivocal ST segment changes<1 mm | 19.4% | 17.3% | |
ST segment depression ≥1 mm | 14.2% | 14.8% | |
Post-stress LVEF, mean, SD | 58.6, 11.1 | 58.0, 11.9 | .31 |
LVEF subsets | .23 | ||
≥50% | 82.2% | 80.3% | |
40%-49% | 12.2% | 11.8% | |
<40% | 5.6% | 7.9% | |
Any wall motion abnormality | 25.0% | 27.0% | .39 |
Myocardial perfusion SPECT abnormalities | <.001 | ||
0 segments | 38.3% | 47.0% | |
1-2 segments | 17.5% | 13.4% | |
3-5 segments | 31.0% | 27.8% | |
≥6 segments | 13.2% | 11.8% | |
Ischemia extent | <.001 | ||
0 segments | 48.8% | 58.8% | |
1-2 segments | 18.9% | 15.7% | |
3-5 segments | 24.3% | 21.4% | |
≥6 segments | 8.0% | 4.1% | |
Territory of severely abnormal MPS | |||
Left anterior descending | 24.4% | 21.4% | .17 |
Right coronary artery | 34.9% | 28.4% | .007 |
Left circumflex | 18.3% | 17.9% | .83 |
Quantitative % myocardium | |||
% Abnormal, median (25–75th %ile) | 9 (0–19) | 3 (0–12) | .01 |
% Ischemic, median (25–75th %ile) | 2 (2–10) | 0 (0–7) | <.001 |
% Scarred, median (25–75th %ile) | 0 (0–8) | 0 (0–1) | .85 |
Semi-quantitative measures—summed scores | |||
Summed stress score, mean, SD | 47.2, 4.8 | 47.3, 5.6 | .52 |
Severe stress abnormality* | 61.5% | 52.9% | <.001 |
Summed rest score, mean, SD | 49.3, 3.6 | 49.0, 4.7 | .08 |
Severe rest abnormality* | 30.5% | 30.9% | .87 |
Summed difference score (SDS), mean, SD | 2.2, 3.0 | 1.6, 2.7 | <.001 |
Severe ischemia* | 51.0% | 41.1% | <.001 |
CCS, Canadian Cardiovascular Society; LVEF, left ventricular ejection fraction; MPS, myocardial perfusion SPECT.
Severe abnormalities defined semi-quantitatively as ≥10% of the myocardium.