Showing papers by "Alan Rozanski published in 2013"
TL;DR: The findings suggest the need for developing more cost-effective strategies for the initial work-up of patients who are presently at low risk for manifesting inducible myocardial ischemia during cardiac imaging procedures.
300 citations
TL;DR: There was a paradoxical survival advantage for those patients who were overweight and obese, regardless of their exercise ability, and the benefit of being physically fit was evident in all weight groups, as was the adverse effect of being unable to exercise.
29 citations
TL;DR: Long-term outcomes after cardiac stress testing are synergistically and strongly influenced by RF burden and inability to exercise.
Abstract: In patients with normal results on stress single-photon emission computed tomographic (SPECT) studies, coronary artery disease risk factors (RFs) and the mode of testing can influence the trajectory of long-term outcomes. Nevertheless, the combined prognostic impact of these commonly assessed factors has heretofore not been considered. In this study, all-cause mortality rates were assessed in 5,762 patients with normal results on stress SPECT studies. Patients were divided according to mode of stress testing, exercise or pharmacologic, and by number of coronary artery disease RFs. Patients were followed for a mean of 8 ± 4.2 years for all-cause mortality. There were 1,051 deaths (18%), with an annualized mortality rate of 2.2% per year. The RF-adjusted event rate was significantly higher for pharmacologic versus exercise SPECT studies (3.6% per year vs 1.2% per year, p
18 citations
TL;DR: The potential of combining two relatively inexpensive tests, the coronary artery calcium (CAC) scan and exercise electrocardiography (ECG), as a first-line test for the workup of patients with suspected coronary artery disease (CAD) is reviewed.
15 citations
TL;DR: Both Dyspnea and TypAng are associated with higher rates of obstructive CAD compared to those without dyspnea or TypAng, but only dyspitta is associated with coronary plaque in proximal vessel portions.
13 citations
TL;DR: These findings support the hypotheses that among patients undergoing CCTA, comprehensive medical management, including targeted percutaneous coronary interventions and increasingly intensive medical therapy with progressively worse C CTA findings, can reduce event rates among patients with abnormal CCTa studies.
12 citations
TL;DR: In this issue of the Journal of Nuclear Cardiology, Ottenhoff et al report their findings concerning a 12-year follow up of 266 patients with known CAD and normal SPECT-MPI studies, finding that the presence of hypertension, smoking, and diabetes were all significant predictors of long-term risk.
7 citations
22 Aug 2013
TL;DR: The average time between sending and receiving a letter was at least 6-8 weeks as discussed by the authors, which is the same as the average time it takes today to send a text message.
Abstract: Growing up, I recall the excitement of technological advancements, such as the shift from rotary to push button phones, from manual to electric typewriters, from mimeographs to Xerox machines, and from bulky reel-to-reel to small cassette tape recorders. Back then, prior to 1970, there were mainly two means of communication: placing a phone call (with no option for voice mail) or sending a letter, what we now call “snail” mail. In grade school, we had a “pen pal” program with students from foreign countries. The average time between sending and receiving a letter was at least 6-8 weeks. Few back then could have envisioned the world of instant communication in which we now dwell. Indeed, there was a collective wonderment that greeted the introduction of the portable fax machine and phone devices in the mid 1980’s. and I recall how distinct and odd it looked to see a few people here and there who were seemingly talking to themselves as they carried small portable phone devicesand how quickly that changed!