Table 2.
Myocardial Perfusion Pattern
| Normal RV Function* (n=1928) |
Impaired RV Function** (123) |
P | Normal TAPSE (1886) |
Abnormal TAPSE (165) |
P | Normal RVS’ (1767) |
Abnormal RVS’ (284) |
P | |
|---|---|---|---|---|---|---|---|---|---|
| A. GLOBAL LV PERFUSION | |||||||||
| Summed Stress Score | 2.7 ± 6.1 | 6.9 ±8.5 | <0.001 | 2.6 ± 6.0 | 6.5 ± 8.5 | <0.001 | 2.5 ± 5.8 | 5.6 ± 8.5 | <0.001 |
| (0–3|4–8 |9–13|>13) | 1528 (79%)|179 (9%) |88 (5%)|133 (7%) |
60 (49%)|23 (19%) |14 (11%)|26 (21%) |
<0.001 | 1502(80%)|172(9%) |85(5%)|127(7%) |
86(52%)|30(18%) |17(10%)|32(19%) |
<0.001 | 1420(80%)|155(9%) |79(5%)|113(6%) |
168(59%)|47(17%) |23(8%)|46(16%) |
<0.001 |
| Summed Rest Score | 1.9 ± 5.0 | 4.4 ± 6.7 | <0.001 | 1.8 ± 4.9 | 4.4 ± 7.1 | <0.001 | 1.7 ± 4.7 | 3.9 ± 7.2 | <0.001 |
| 0–3|4–8 |9–13|>13) | 1620 (84%)|160 (8%) |71 (4%)|77 (4%) |
75 (61%)|22 (18%) |15 (12%)|11 (9%) |
<0.001 | 1592 (84%)|155 (8%) |65(3%)|74 (4%) |
103(62%)|27 (16%) |21 (13%)|14 (9%) |
<0.001 | 1501 (85%)|139 (8%) |65 (4%)|62 (4%) |
194(68%)|43 (15%) |21 (7%)|26 (9%) |
<0.001 |
| Summed Difference Score | 0.8 ± 2.7 | 2.5 ± 5.3 | 0.001 | 0.8 ± 2.7 | 2.1 ± 4.8 | 0.001 | 0.8 ± 2.7 | 1.8 ± 4.2 | <0.001 |
| (0|1–5 |6–10|>10) | 1629(85%)|204(11%) |63(3%)|32(2%) |
79(64%)|24(20%) |13(11%)|7(6%) |
<0.001 | 1595(85%)|198(11%)| 61(3%)|32(2%) |
113(69%)|30(18%) |15(9%)|7(4%) |
<0.001 | 1510(86%)|172(10%) |56(3%)|29(2%) |
198(70%)|56(20%) |20 (7%)|10(4%) |
<0.001 |
| # Ischemic Segments | 0.6± 1.6 | 1.6± 2.8 | <0.001 | 0.5 ± 1.6 | 1.3 ± 2.6 | <0.001 | 0.5 ± 1.6 | 1.2± 2.3 | <0.001 |
| # Fixed Segments | 0.7 ± 1.8 | 1.7 ± 2.5 | <0.001 | 0.7 ± 1.8 | 1.7 ± 2.7 | <0.001 | 0.7± 1.2 | 1.5 ± 2.6 | <0.001 |
| Normal Perfusion | 1393 (72%) | 50 (41%) | <0.001 | 1370 (73%) | 72 (44%) | <0.001 | 1298 (74%) | 145 (51%) | <0.001 |
| Fully Reversible Defects | 113 (6%) | 12 (10%) | 0.08 | 110 (6%) | 15 (9 %) | 0.09 | 99 (6%) | 26 (9%) | 0.02 |
| Partially Reversible Defects | 236 (12%) | 29 (24%) | <0.001 | 225 (12%) | 40 (24%) | <0.001 | 212(12%) | 53 (19%) | 0.002 |
| Fixed Defects | 186 (10%) | 32 (26%) | <0.001 | 181 (10%) | 37 (22%) | <0.001 | 158 (9%) | 50 (21%) | <0.001 |
| B. REGIONAL PERFUSION | |||||||||
| Perfusion Defect Severity | |||||||||
| Anterior | |||||||||
| Summed Stress Score | 0.6 ± 2.1 | 1.3 ± 2.9 | 0.01 | 0.6 ± 2.1 | 1.1 ± 2.7 | 0.02 | 0.5 ± 2.0 | 1.2 ± 3.0 | 0.001 |
| Summed Rest Score | 0.3 ± 1.6 | 0.8 ± 2.5 | 0.03 | 0.3 ± 1.6 | 0.7 ± 2.3 | 0.02 | 0.3 ± 1.4 | 0.8 ± 2.7 | 0.003 |
| Summed Difference Score | 0.3 ± 1.2 | 0.5 ± 1.4 | 0.14 | 0.3 ± 1.2 | 0.4 ± 1.2 | 0.39 | 0.3 ± 1.2 | 0.4 ± 1.2 | 0.06 |
| # Ischemic Segments | 0.2 ± 0.7 | 0.3 ± 0.8 | 0.13 | 0.2 ± 0.7 | 0.2 ± 0.7 | 0.42 | 0.2 ± 0.7 | 0.3 ± 0.8 | 0.02 |
| # Fixed Segments | 0.1 ± 0.6 | 0.4 ± 1.0 | 0.009 | 0.1 ± 0.6 | 0.3 ± 0.9 | 0.003 | 0.1 ± 0.6 | 0.3 ± 0.9 | 0.002 |
| Inferior | |||||||||
| Summed Stress Score | 1.2 ± 2.9 | 3.0 ± 3.9 | <0.001 | 1.2 ± 2.9 | 2.9 ± 4.0 | <0.001 | 1.2 ± 2.9 | 2.4 ± 3.6 | <0.001 |
| Summed Rest Score | 1.0 ± 2.6 | 2.3 ± 3.6 | <0.001 | 1.0 ± 2.6 | 2.3 ± 3.7 | <0.001 | 0.9 ± 2.6 | 1.9 ± 3.4 | <0.001 |
| Summed Difference Score | 0.2 ± 1.0 | 0.7 ± 1.7 | 0.007 | 0.2 ± 1.0 | 0.6 ± 1.5 | 0.008 | 0.2 ± 1.0 | 0.4 ± 1.4 | 0.009 |
| # Ischemic Segments | 0.2 ± 0.7 | 0.4 ± 1.0 | 0.005 | 0.2 ± 0.7 | 0.4 ± 0.9 | 0.006 | 0.2 ± 0.7 | 0.3 ± 0.8 | 0.006 |
| # Fixed Segments | 0.4 ± 1.0 | 0.9 ± 1.4 | <0.001 | 0.4 ± 1.0 | 0.9 ± 1.4 | <0.001 | 0.4 ± 1.0 | 0.8 ± 1.3 | <0.001 |
| Lateral | |||||||||
| Summed Stress Score | 0.5 ± 2.0 | 2.0 ± 3.3 | <0.001 | 0.5 ± 2.0 | 1.8 ± 3.4 | <0.001 | 0.4 ± 1.9 | 1.4 ± 3.1 | <0.001 |
| Summed Rest Score | 0.3 ± 1.6 | 0.7 ± 1.9 | 0.008 | 0.3 ± 1.5 | 0.8 ± 2.3 | 0.005 | 0.2 ± 1.5 | 0.6 ± 2.1 | 0.004 |
| Summed Difference Score | 0.2 ± 1.1 | 1.2 ± 2.6 | <0.001 | 0.2 ± 1.1 | 1.0 ± 2.4 | <0.001 | 0.2 ± 1.1 | 0.8 ± 2.1 | <0.001 |
| # Ischemic Segments | 0.1 ± 0.6 | 0.8 ± 1.5 | <0.001 | 0.1 ± 0.6 | 0.6 ± 1.4 | <0.001 | 0.1 ± 0.6 | 0.5 ± 1.2 | <0.001 |
| # Fixed Segments | 0.1 ± 0.5 | 0.2 ± 0.7 | 0.01 | 0.1 ± 0.4 | 0.3 ± 0.8 | 0.004 | 0.1 ± 0.4 | 0.2 ± 0.7 | 0.004 |
Defined as both normal TAPSE and S’, via established cutoffs as employed in consensus guidelines (TAPSE ≥1.6 cm, S’≥10 mm/s)16
Defined as both abnormal TAPSE and S’ (TAPSE < 1.6 cm, S’<10 mm/s)