SPECT Bests ECG in Coronary Artery Disease

October 31, 2012

SPECT myocardial perfusion imaging (MPI) can pick up perfusion defects that don't show up with normal cardiac stress testing and can predict cardiovascular death or morbidity out to 10 years, researchers found.

Half of 650 patients with known or suspected heart disease and normal exercise ECGs had an abnormal SPECT MPI, and 20% had indications that the ischemia was reversible, reported Arend F.L. Schinkel, MD, of the Erasmus MC Thoraxcenter in Rotterdam, the Netherlands, and colleagues.