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Stress Testing Combined with Myocardial Perfusion Imaging May Not Be Needed for Bariatric Surgery Candidates

By MedImaging International staff writers
Posted on 08 Aug 2011
A study has revealed that stress testing with myocardial perfusion imaging as part of a preoperative workup for bariatric surgery candidates may be unnecessary.

The research was published online in July 2011 in advance of print in the Journal of Nuclear Cardiology. The study was conducted by clinicians from Rhode Island Hospital (USA; Providence, RI, USA) and Brown University (Providence, RI, USA). Obesity is considered to be an epidemic in the United States, with more than two-thirds of the adult population overweight, and half of those adults are obese. Severe obesity is considered a chronic disease because of its potential to cause serious and potentially life-threatening health consequences. While the best approach to treatment of obesity is yet to be determined, bariatric surgery has been found to be safe and effective in reducing some of the complications associated with obesity.

Many bariatric surgery candidates are screened for cardiovascular disease prior to surgery because of the high prevalence of coronary artery disease (CAD) risk factors in this population, along with the presence of underlying functional limitations, which may make assessment of CAD symptoms difficult. A typical tool used for this is stress testing with myocardial perfusion imaging (MPI). The incidence, however, of clinically significant abnormalities identified through stress MPI performed for this indication has not yet been established.

In order to determine whether this test is required and should be considered a necessary part of the bariatric surgery workup, a James Arrighi, MD, a cardiologist with Rhode Island Hospital, led a study of 383 consecutive stress MPI studies performed on patients undergoing before the planned bariatric surgery. The mean age of the population was 42, 83% female, and a body mass index of 49 (±8).

Dr. Arrighi and his team reported several important findings in this study. First, 67% of patients underwent stress-only imaging, despite the fact that overweight patients are frequently difficult to image. Stress-only imaging significantly reduces the time required, radiation exposure, and cost associated with the test. Second, the study findings revealed that the incidence of abnormal MPI studies was low, and associated with a very low incidence of death or cardiac events at one-year follow-up, with less than 1% incidence of death from all causes or incidence of coronary revascularization, and there were no myocardial infarctions. Third, the perioperative cardiovascular events were extremely low, in spite of the high prevalence of risk factors for coronary artery disease.

Dr. Arrighi said, “Overall, SPECT [single photon emission tomography] MPI findings were normal in 89% and equivocal in 6% of the patients. The incidence of abnormal findings on MPI was only 5%. While stress testing in this patient population has been a relatively common practice with good cause, the findings of this study suggest that these tests may not be indicated in all patients. The results of our study suggest that this patient population is actually at very low risk for cardiovascular events, and if this is indeed the case, the routine preoperative stress testing with MPI for the detection of CAD may be unlikely to affect outcome. Additional studies are needed, however, to determine how higher-risk patients should be selected for preoperative noninvasive risk stratification.”

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94 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
105 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
106 (51.021575927734): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294736487 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
107 (47.922134399414): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294736487 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
109 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
110 (49.829483032227): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294736487 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (497.81799316406): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294736487 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (558.85314941406): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
113 (344.99168395996): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
114 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
115 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
116 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
117 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
118 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
119 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
120 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
121 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
122 (236.03439331055): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
123 (!!!!! 19009.113311768): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
124 (460.86311340332): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294736487 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294736487 AND type='deeppockets_item' AND published='1' LIMIT 1
125 (!!!!! 7300.853729248): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
126 (87.02278137207): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
127 (267.98248291016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
128 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
129 (203.13262939453): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
130 (64.13459777832): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
131 (181.91337585449): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
132 (45.061111450195): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
133 (216.00723266602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
134 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
135 (430.82237243652): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
136 (329.97131347656): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (189.06593322754): SELECT name FROM jos_deeppockets WHERE id=213
138 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=213
139 (528.09715270996): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
140 (444.17381286621): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
142 (45.7763671875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
143 (!!!!! 7673.0251312256): TRUNCATE TABLE jos_trademed_module
144 (102.04315185547): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294736487 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
145 (61.988830566406): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294736487 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (837.08763122559): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
147 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
149 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
150 (!!!!! 1147.0317840576): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
151 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
152 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
153 (66.041946411133): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294736487 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294736487 AND type='deeppockets_item' AND published='1' LIMIT 1
154 (30.040740966797): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)
155 (27.179718017578): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)
156 (28.133392333984): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
157 (463.00888061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
158 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736487 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736487 AND published='1' LIMIT 1
159 (56.982040405273): select jos_twitters.link from jos_twitters where cat=10
160 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10
161 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10
162 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10
163 (329.97131347656): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)
164 (!!!!! 1082.181930542): insert into jos_banners_delta values (14615,'2025-06-22 00:31:01','216.73.216.120','view'),(14202,'2025-06-22 00:31:01','216.73.216.120','view'),(14203,'2025-06-22 00:31:01','216.73.216.120','view')