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. Author manuscript; available in PMC: 2014 Aug 18.
Published in final edited form as: J Nucl Cardiol. 2012 Apr 19;19(4):658–669. doi: 10.1007/s12350-012-9548-3

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.