Coronary Jeopardy Score Predicts Ischemic Etiology in Patients With Left Ventricular Systolic Dysfunction

Holly Morgan; Matthew Ryan; Natalia Briceno; Bhavik Modi; Haseeb Rahman; Sophie Arnold; Adriana Villa; Amedeo Chiribiri; Divaka Perera

doi:10.25270/jic/21.00435

Coronary Jeopardy Score Predicts Ischemic Etiology in Patients With Left Ventricular Systolic Dysfunction

Holly Morgan, Matthew Ryan, Natalia Briceno, Bhavik Modi, Haseeb Rahman, Sophie Arnold, Adriana Villa, Amedeo Chiribiri, Divaka Perera

Richard Dimbleby Laboratory of Cancer Virology, Department of Virology, Rayne Institute, United Medical and Dental School of Guys, St Thomas' Hospital, London, U.K.

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

Abstract

While cardiovascular magnetic resonance imaging (CMR) is the gold standard diagnostic test for heart failure etiology, it is not universally available. Our aim was to investigate whether quantifying the extent of coronary disease on angiography can predict the presence of an ischemic etiology. We included 176 patients who underwent CMR and coronary angiography for new heart failure with reduced ejection fraction. Based on CMR, 65% had an ischemic etiology and 35% were non-ischemic. A BCIS jeopardy score threshold ≥6 had 76% sensitivity and 97% specificity. In HFrEF, the extent of coronary disease on angiography can be used to rule in or out an ischemic etiology.

Original language	English
Pages (from-to)	E683-E685
Journal	The Journal of invasive cardiology
Volume	34
Issue number	9
DOIs	https://doi.org/10.25270/jic/21.00435
Publication status	Published - Sept 2022

Keywords

Coronary Angiography/methods
Coronary Artery Disease/complications
Heart Failure/diagnosis
Humans
Predictive Value of Tests
Stroke Volume
Ventricular Dysfunction, Left/diagnosis
Ventricular Function, Left

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.25270/jic/21.00435

Cite this

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title = "Coronary Jeopardy Score Predicts Ischemic Etiology in Patients With Left Ventricular Systolic Dysfunction",

abstract = "While cardiovascular magnetic resonance imaging (CMR) is the gold standard diagnostic test for heart failure etiology, it is not universally available. Our aim was to investigate whether quantifying the extent of coronary disease on angiography can predict the presence of an ischemic etiology. We included 176 patients who underwent CMR and coronary angiography for new heart failure with reduced ejection fraction. Based on CMR, 65% had an ischemic etiology and 35% were non-ischemic. A BCIS jeopardy score threshold ≥6 had 76% sensitivity and 97% specificity. In HFrEF, the extent of coronary disease on angiography can be used to rule in or out an ischemic etiology.",

keywords = "Coronary Angiography/methods, Coronary Artery Disease/complications, Heart Failure/diagnosis, Humans, Predictive Value of Tests, Stroke Volume, Ventricular Dysfunction, Left/diagnosis, Ventricular Function, Left",

author = "Holly Morgan and Matthew Ryan and Natalia Briceno and Bhavik Modi and Haseeb Rahman and Sophie Arnold and Adriana Villa and Amedeo Chiribiri and Divaka Perera",

year = "2022",

month = sep,

doi = "10.25270/jic/21.00435",

language = "English",

volume = "34",

pages = "E683--E685",

journal = "The Journal of invasive cardiology",

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T1 - Coronary Jeopardy Score Predicts Ischemic Etiology in Patients With Left Ventricular Systolic Dysfunction

AU - Morgan, Holly

AU - Ryan, Matthew

AU - Briceno, Natalia

AU - Modi, Bhavik

AU - Rahman, Haseeb

AU - Arnold, Sophie

AU - Villa, Adriana

AU - Chiribiri, Amedeo

AU - Perera, Divaka

PY - 2022/9

Y1 - 2022/9

N2 - While cardiovascular magnetic resonance imaging (CMR) is the gold standard diagnostic test for heart failure etiology, it is not universally available. Our aim was to investigate whether quantifying the extent of coronary disease on angiography can predict the presence of an ischemic etiology. We included 176 patients who underwent CMR and coronary angiography for new heart failure with reduced ejection fraction. Based on CMR, 65% had an ischemic etiology and 35% were non-ischemic. A BCIS jeopardy score threshold ≥6 had 76% sensitivity and 97% specificity. In HFrEF, the extent of coronary disease on angiography can be used to rule in or out an ischemic etiology.

AB - While cardiovascular magnetic resonance imaging (CMR) is the gold standard diagnostic test for heart failure etiology, it is not universally available. Our aim was to investigate whether quantifying the extent of coronary disease on angiography can predict the presence of an ischemic etiology. We included 176 patients who underwent CMR and coronary angiography for new heart failure with reduced ejection fraction. Based on CMR, 65% had an ischemic etiology and 35% were non-ischemic. A BCIS jeopardy score threshold ≥6 had 76% sensitivity and 97% specificity. In HFrEF, the extent of coronary disease on angiography can be used to rule in or out an ischemic etiology.

KW - Coronary Angiography/methods

KW - Coronary Artery Disease/complications

KW - Heart Failure/diagnosis

KW - Humans

KW - Predictive Value of Tests

KW - Stroke Volume

KW - Ventricular Dysfunction, Left/diagnosis

KW - Ventricular Function, Left

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DO - 10.25270/jic/21.00435

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SN - 1042-3931

VL - 34

SP - E683-E685

JO - The Journal of invasive cardiology

JF - The Journal of invasive cardiology

IS - 9

ER -

Coronary Jeopardy Score Predicts Ischemic Etiology in Patients With Left Ventricular Systolic Dysfunction

Abstract

Keywords

UN SDGs

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