Open Journal of Medical Imaging

Volume 2, Issue 2 (June 2012)

ISSN Print: 2164-2788   ISSN Online: 2164-2796

Google-based Impact Factor: 0.83  Citations  

Prognostic Utility of Dobutamine Stress Echocardiography in the Obese African American Population

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DOI: 10.4236/ojmi.2012.22009    2,920 Downloads   5,547 Views   Citations

ABSTRACT

Background: The predictive value of Dobutamine Stress Echocardiography (DSE) in the obese African American patient population is not well known. Methods: We conducted a retrospective study of 555 African American patients between 1/1/2001-12/31/2001. DSE responses were classified into normal, ischemia, scar, or scar +/? ischemia. End-points utilized were all cause death (ACD) and major adverse cardiac events (MACE). Results: There were a total of 409 obese patients and 146 non-obese patients. By multi-variate analysis only the scar group in the obese population predicted ACD (p = 0.003) and combined MACE (p = 0.014). Kaplan Meir analysis demonstrated that only the scar group was associated with decrease in freedom from all cause death (p < 0.001) and combined MACE (p < 0.001). Conclusion: DSE retains its prognostic power in the obese African American population and scar has important impli-cations for MACE.

Cite this paper

A. Khan, E. Valdiviezo, G. Singh, S. Kanjanauthai, W. Nazneen and K. Ananthasubramaniam, "Prognostic Utility of Dobutamine Stress Echocardiography in the Obese African American Population," Open Journal of Medical Imaging, Vol. 2 No. 2, 2012, pp. 50-56. doi: 10.4236/ojmi.2012.22009.

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