Asociación de los resultados positivos del SPECT de Perfusión Miocárdica con 99mTc-MIBI, con la presencia de Dislipidemia en pacientes ≥40 años de edad

2012 
El trabajo tuvo como objetivo conocer la asociacion de la dislipidemia con los resultados positivos del SPECT de perfusion miocardica para la optimizacion del uso. Se analizaron 152 SPECTPM, dias diferentes; la media de edad de 58,32 anos; 86 (56,6%) fueron masculinos. Se dividieron en dos grupos segun la presencia de dislipidemia; dislipidemicos, n=37 (24,3%) y no dislipidemicos, n=115 (75,7%). No presentaron diferencias significativas en las medias de edad (59,59/57,90 p=0,284) e indice de masa corporal (24,85/25,03, p=0,739), ni de la frecuencia de maduro/ra; por tanto el riesgo adicional solo lo aporta la dislipidemia. Los resultados 102 (67,10%) SPECT fueron positivos; en la comparacion intergrupos no se observo diferencia significativa de resultados positivos (67,60/67,00, p=0,945), que se mantuvo cuando se subdividieron los grupos en sintomaticos y asintomaticos. Se concluyo que la dislipidemia no aporta riesgo significativo de cardiopatia isquemica en pacientes en edad de riesgo, por tanto no hay asociacion significativa con resultados positivos del SPECTPM en pacientes en edad de riesgo. The paper is aimed at establishing the association of the dyslipidemia with the positive results of the myocardial perfusion SPECT, for the optimization of the use. 152 MPSPECT were analyzed, different day, for an average age: 58.32 years, 86 (56.6%), were males. Considerating the presence of dyslipidemia , the patients were divided into two groups: dyslipidemia n=37(24.3%) and not-dyslipidemia, n=115 (75.7%). No significant differences were present in the age average (59.59/57.90 p=0.284), in body mass index (24.85/25.03, p=0.739), nor in the frequency of mature. Therefore , only dyslipidemia contributes to therefore the additional risk. Result: 102 (67.1%) MPSPECT were positive. In the comparison among groups no significant difference in the incidence of positive results was observed (67.60/67.00, p=0.945) and the same situation remained when the groups were subdivided into symptomatic and asymptomatic: As a result of the study, it was concluded that dyslipidemia does not represent a significant risk of ischemic cardiopathy in patient within the ages of risk, therefore there is no significant association with the positive results of the SPECTPM, within patient in ages of risk.
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