Salama, M., Elgamaal, M., Sadek, A., Hafez, A. (2019). Value of Duke Treadmill Score in Setting Priority of Patients for Coronary Angiography. The Egyptian Journal of Hospital Medicine, 76(4), 3933-3939. doi: 10.21608/ejhm.2019.41910
Mohsen Ali Salama; Mohamed Saad Elgamaal; Aymen Elsaeed Sadek; Ahmed Yehia Hafez. "Value of Duke Treadmill Score in Setting Priority of Patients for Coronary Angiography". The Egyptian Journal of Hospital Medicine, 76, 4, 2019, 3933-3939. doi: 10.21608/ejhm.2019.41910
Salama, M., Elgamaal, M., Sadek, A., Hafez, A. (2019). 'Value of Duke Treadmill Score in Setting Priority of Patients for Coronary Angiography', The Egyptian Journal of Hospital Medicine, 76(4), pp. 3933-3939. doi: 10.21608/ejhm.2019.41910
Salama, M., Elgamaal, M., Sadek, A., Hafez, A. Value of Duke Treadmill Score in Setting Priority of Patients for Coronary Angiography. The Egyptian Journal of Hospital Medicine, 2019; 76(4): 3933-3939. doi: 10.21608/ejhm.2019.41910
Value of Duke Treadmill Score in Setting Priority of Patients for Coronary Angiography
Department of Cardiology, Faculty of Medicine, Al-Azhar University
Abstract
Background: exercise treadmill test remains a good test in identification of coronary artery disease(CAD). The Duke Treadmill Score (DTS), shown to predict CAD better than ST segment deviation alone. Aim of the work: To determine the potential of DTS in setting priority of patients for coronary angiography. Patients and methods: This was a prospective study that was done from July 2017 to October 2018 and included 150 patients referred to Damannhour Teaching Hospital for evaluation of chest pain. Patients underwent: history, clinical examination, ECGs, Echocardiography, Treadmill exercise ECG with calculation of DTS then coronary angiography that was correlated with DTS and other variables. Results: There were 59 patients(39.3%)with high DTS and 91patients (60.7%) with intermediate DTS. For the intermediate Duke's risk group the result of coronary angiography distributed on normal (26.4%), single vessel disease (33%), two vessel disease (22%), and three vessels disease or left main disease (18.7%). For high Duke's risk group the result of coronary angiography showed mainly three vessels disease or left main disease (54.2%), two vessels disease (27.1%), single vessel disease (6.8%) and normal vessel (11.9%), The P value was<0.001.Adding patient's risk factors to intermediate DTS group were statistically significant in the diagnosis of CAD ,the P value was<0.001. Conclusion: The DTS is a good predictor for CAD. Intermediate risk DTS group exercise test results should be managed individually according to clinical data.
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