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Sökning: onr:"swepub:oai:gup.ub.gu.se/197088" > Improving diagnosis...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004122naa a2200589 4500
001oai:gup.ub.gu.se/197088
003SwePub
008240528s2014 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/1970882 URI
024a https://doi.org/10.1016/j.ahj.2014.01.0032 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Prescott, E.4 aut
2451 0a Improving diagnosis and treatment of women with angina pectoris and microvascular disease: The iPOWER study design and rationale
264 1b Elsevier BV,c 2014
520 a Background The iPOWER study aims at determining whether routine assessment of coronary microvascular dysfunction (CMD) in women with angina and no obstructive coronary artery disease is feasible and identifies women at risk. Methods All women with angina referred to invasive angiographic assessment in Eastern Denmark are invited to join the study according to in- and exclusion criteria. Assessment includes demographic, clinical and psychosocial data, symptoms, electrocardiogram, blood- and urine samples and transthoracic echocardiography during rest and dipyridamol stress with measurement of coronary flow reserve (CFR) by Doppler of the left anterior descending artery. In substudies CMD will be assessed by positron emission tomography, peripheral endothelial function, magnetic resonance imaging-and computed tomography derived myocardial perfusion scans, angiographic corrected TIMI frame counts, advanced echocardiographic modalities at rest and during stress, and invasive measures of CFR and coronary vascular reactivity. The study will include 2000 women who will be followed for 5 years for cardiovascular outcomes. Results By May 2013, 1685 women have been screened, 759 eligible patients identified, 530 contacted, and 299 (56%) agreed to participate. Among the first 50 patients, Doppler CFR was successfully measured in 49 (98%). Conclusions Among women with suspected ischemic heart disease and no obstructive coronary artery disease, non-invasive Doppler CFR is feasible as a routine assessment. The study will provide information on methods to diagnose CMD and determine the prognostic value of routine non-invasive assessment ofmicrovascular function. Future study will provide women identified with CMD participation in interventional substudies designed to test treatment strategies.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
653 a coronary flow reserve
653 a ischemic-heart-disease
653 a transthoracic
653 a doppler-echocardiography
653 a artery-disease
653 a endothelial function
653 a risk-factors
653 a chest-pain
653 a national-heart
653 a stable angina
653 a stress
653 a echocardiography
700a Abildstrom, S. Z.4 aut
700a Aziz, A.4 aut
700a Merz, N. B.4 aut
700a Gustafsson, I.4 aut
700a Halcox, J.4 aut
700a Hansen, H. S.4 aut
700a Hansen, P. R.4 aut
700a Kastrup, J.4 aut
700a Michelsen, M.4 aut
700a Mygind, N. D.4 aut
700a Ong, P.4 aut
700a Pena, A.4 aut
700a Rosengren, Annika,d 1951u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xrosan
700a Sechtem, U.4 aut
700a Sogaard, P.4 aut
710a Göteborgs universitetb Institutionen för medicin, avdelningen för molekylär och klinisk medicin4 org
773t American Heart Journald : Elsevier BVg 167:4, s. 452-458q 167:4<452-458x 0002-8703
8564 8u https://gup.ub.gu.se/publication/197088
8564 8u https://doi.org/10.1016/j.ahj.2014.01.003

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