Your browser doesn't support javascript.
loading
Incidence of atrioventricular block with vasodilator stress SPECT: A meta-analysis.
Andrikopoulou, Efstathia; Morgan, Charity J; Brice, Lizbeth; Bajaj, Navkaranbir S; Doppalapudi, Harish; Iskandrian, Ami E; Hage, Fadi G.
Afiliação
  • Andrikopoulou E; University of Alabama at Birmingham, Birmingham, AL, USA. eandrikopoulou@bwh.harvard.edu.
  • Morgan CJ; Brigham and Women's Hospital, Boston, MA, USA. eandrikopoulou@bwh.harvard.edu.
  • Brice L; University of Alabama at Birmingham, Birmingham, AL, USA.
  • Bajaj NS; University of Alabama at Birmingham, Birmingham, AL, USA.
  • Doppalapudi H; University of Alabama at Birmingham, Birmingham, AL, USA.
  • Iskandrian AE; Brigham and Women's Hospital, Boston, MA, USA.
  • Hage FG; University of Alabama at Birmingham, Birmingham, AL, USA.
J Nucl Cardiol ; 26(2): 616-628, 2019 04.
Article em En | MEDLINE | ID: mdl-29043556
ABSTRACT

BACKGROUND:

Adenosine or regadenoson are often used with pharmacologic stress testing. Adenosine may trigger atrioventricular block (AVB). Despite its higher selectivity, regadenoson has also been associated with AVB. We studied the incidence of de novo AVB with these agents.

METHODS:

A comprehensive search of SCOPUS was performed from inception to March 2016. Studies of at least 10 patients, using adenosine and/or regadenoson with SPECT-MPI, reporting rates of AVB were selected for further review.

RESULTS:

Thirty four studies were pooled including 22,957 patients. Adenosine was used in 21 studies and regadenoson in 15. Both were administered in two studies. The estimated incidence of overall and high-grade AVB was 3.81% (95% CI 1.99%-6.19%) and 1.93% (95% CI 0.77%-3.59%), respectively. The incidence of AVB (8.58%; 95% CI 5.55%-12.21% vs 0.30%; 95% CI 0.04%-0.82%, respectively, P < .001) and high-grade AVB (5.21%; 95% CI 2.81%-8.30% vs 0.05%; 95% CI < .001%-0.19% respectively, P < .001) were higher with adenosine compared to regadenoson.

CONCLUSION:

AVB is seen in about 4% of patients undergoing vasodilator stress test. Both overall and high-grade AVB are more frequent with adenosine compared to regadenoson.
Assuntos
Palavras-chave

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Purinas / Pirazóis / Doença da Artéria Coronariana / Tomografia Computadorizada de Emissão de Fóton Único / Adenosina / Teste de Esforço / Bloqueio Atrioventricular Tipo de estudo: Incidence_studies / Risk_factors_studies / Systematic_reviews Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Nucl Cardiol Assunto da revista: CARDIOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Purinas / Pirazóis / Doença da Artéria Coronariana / Tomografia Computadorizada de Emissão de Fóton Único / Adenosina / Teste de Esforço / Bloqueio Atrioventricular Tipo de estudo: Incidence_studies / Risk_factors_studies / Systematic_reviews Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Nucl Cardiol Assunto da revista: CARDIOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Estados Unidos