Obravnava ambulantnih bolnikov z ishemijo pri perfuzijski scintigrafiji srca
Management of outpatients with ischemia in myocardial perfusion scintigraphy

slovenian

2025

volume 94, issue 5/6

invasive coronarography   ischemia   myocardial perfusion scintigraphy   obstructive coronary artery disease   revascularization

Slovensko zdravniško društvo
(Obvezni izvod spletne publikacije)

Background: Myocardial ischemia is a complex condition, which means a worse prognosis for the patient. Myocardial perfusion scintigraphy (MPS) is a non-invasive method used to detect the presence of ischemia. With our study, we aimed to gather data on the management of patients with ischemia detected by MPS, as such data have not previously been available in Slovenia. Methods: In our study, we included 306 outpatients who were found to have ischemia on MPS in 2020. Demographic, clin-ical, and scintigraphic data, as well as information on referrals for coronary angiography and revascularization procedures, were collected from the the nuclear medicine division’s database and patient records.Results: Coronary angiography was performed in 74% of patients who reported typical chest pain (40% vs. 23%, p=0.005) and dyspnea (50% vs. 38%, p=0.051) more frequently than those not referred. A significantly higher proportion of patients with moderate and severe ischemia were referred for coronary angiography compared to those with mild ischemia (83% vs. 65%, p=0.003; 93% vs. 65%, p<0.001), and more patients with severe ischemia were referred than those with moderate ischemia (93% vs. 83%, p=0.003). Additionally, a higher percentage of patients with ischemia affecting more than 10% of the myocardium underwent revascularization (84% vs. 61%, p=0.036).Conclusion: Physicians refer most patients with ischemia detected by PSM for coronary angiography. The extent of isch-emia plays a significant role in the further management of patients, influencing decisions regarding referrals for coronary angiography and revascularization procedures.

11.03.2026