Myocardial perfusion stress test in women

<p><strong>Aim:</strong> The utility of the <sup>99m</sup>Tc-sestamibi myocardial perfusion stress imaging (MPI) over stress echo test (SEHO) in women with intermediate pre-test probability scores. <strong>Methodology:</strong> Our study included 98 women with suspected ischemic heart disease and intermediate pre-test probability scores who underwent MPI and SEHO. They were followed for 26 ± 6 months. The data about MACE and possible coronary angiography were collected. <strong>Results:</strong> The SEHO test was pathological in 31% of the study population. Almost half of those patients had atypical chest pain. MPI was positive in 32% of the examined group. In the follow-up period, MACE was present in 36 patients: PCI (20), CABG (8), acute coronary syndrome (8). The results of the MPI had a high statistically significant correlation with the coronary angiography findings in the follow-up period (<em>p</em> < 0.001, <em>μ</em> = 0.878). Additionally, the SEHO test and coronary angiography results correlated well (<em>p </em>< 0.05, <em>μ</em> = 0.582). However, MPI test result and SEHO result were not significantly associated with MACE based on Cox proportional hazard analyses (<em>p </em>> 0.05). <strong>Conclusion:</strong> MPI may be the complementary procedure for the evaluation of heart conditions in women with intermediatepre-test probability scores, since it correlates well with coronary angiography findings.</p>