American College of Cardiology

TAYLOR ET AL., 34th BETHESDA CONFERENCE: Can Atherosclerosis Imaging Techniques Improve the Detection of Patients at Risk for Ischemic Heart Disease?
J Am Coll Cardiol 2003;41:11:1855-917

BETHESDA CONFERENCE REPORT
34th Bethesda Conference: Can Atherosclerosis Imaging Techniques Improve the Detection of Patients at Risk for Ischemic Heart Disease?¹

Richard C. Pasternak, MD, FACC, Co-Chair, Jonathan Abrams, MD, FACC, Co-Chair, Philip Greenland, MD, FACC, Lynn A. Smaha, MD, PHD, FACC, Peter W. F. Wilson, MD, Nancy Houston-Miller, RN, BSN


Figures 3a and 3b.

Figure 3. (A) The event rate (cardiac death [CD] or nonfatal myocardial infarction [MI] percent per year) is depicted on the y-axis as a function of test result, on the x-axis (DTS = Duke treadmill score as low, intermediate, or high risk score; single-photon mission computed tomography [SPECT] imaging as normal, mildly abnormal, or severely abnormal). For both tests, event rates with a low risk (DTS) or normal (SPECT) result are low: 0.9% per year for DTS, 0.4% per year for SPECT. (B) The data from Hachamovitch et al. (19) are reconfigured to demonstrate the proportion of all patients who had events (y-axis) for each given test result (x-axis). The majority of patients experiencing events (approximately 85%) had a low- or intermediate-risk DTS, whereas a smaller though not inconsiderable proportion of events occurred in patients with a normal or mildly abnormal SPECT (approximately 50%).