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Titre : | Étude comparative entre épreuve d'effort isolée et épreuve d'effort couplée à un examen scintigraphique dans le cadre des bilans en cardiologie |
Auteurs : | Pierre TCHAKOUNTE DZEPA, Auteur ; Guy ONGA-NKWENKEU, Promoteur |
Type de document : | Travail de fin d'études |
Editeur : | Bruxelles : Institut Paul Lambin, 2019 |
Langues: | Français |
Index. décimale : | TFE - Imagerie médicale |
Résumé : | Heart health professionals are using a variety of increasingly effective techniques to help them with cardiac check-ups. We were interested in the isolated stress test, then coupled with the study of myocardial perfusion by Myoview scintigraphy. During our combined five-week internships in Cardiology and Radiology at the Joseph Bracops Hospital in Anderlecht, we set ourselves the objective of determining the contribution of these techniques to the detection of coronary ischemia (heart vessels). We conducted a descriptive (qualitative) observational study with both prospective and retrospective data. Seventy-six patients (27.63% female and 72.37% male) with an average age of 59.58 years were included in the study; all were seen by the same cardiologist over the period from August 14, 2018 to December 11, 2018. All patients had at least one cardiovascular risk factor. All patients performed a stress test combined with a scintigraphy and then a resting scintigraphy examination a week later. In our population, 2.63% showed signs of ischemia in the stress test and after the scintigraphy examination on the same day, 23.68% of the entire population (n=76) were diagnosed with ischemia. The combination of the stress test with myocardial scintigraphy allows the detection of ischemia with high specificity and sensitivity, contributing to better patient management and early diagnosis of ischemia in asymptomatic patients. We believe, and in view of the results of the analyses made, that the stress test coupled with a myocardial scintigraphy should be generalized for able-bodied patients as part of the cardiac pathology assessment. |
Accès : | Identifiez-vous avant d'accéder au document électronique |
Disponible en ligne : | Oui |
Lieu du stage : | Hôpitaux Iris-Sud, Site Hôpital Bracops |
Département : | Imagerie médicale |
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