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L. J. Shaw, C. Vasey, S. Sawada, C. Rimmerman and T. H. Marwick, “Impact of Gender on Risk Stratification by Exercise and Dobutamine Stress Echocardiography: LongTerm Mortality in 4234 Women and 6898 Men,” European Heart Journal, Vol. 26, No. 5, 2005, pp. 447456. doi:10.1093/eurheartj/ehi102

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• TITLE: Prognostic Utility of Dobutamine Stress Echocardiography in the Obese African American Population

  AUTHORS: Arfaat Khan, Eduardo Valdiviezo, Gurjit Singh, Somsupha Kanjanauthai, Waheeda Nazneen, Karthik Ananthasubramaniam

  KEYWORDS: African American; Obesity; Stress Echocardiography; Dobutamine Stress Echocardiography; Outcomes

  JOURNAL NAME: Open Journal of Medical Imaging, Vol.2 No.2, June 13, 2012

  ABSTRACT: Background: The predictive value of Dobutamine Stress Echocardiography (DSE) in the obese African American patient population is not well known. Methods: We conducted a retrospective study of 555 African American patients between 1/1/2001-12/31/2001. DSE responses were classified into normal, ischemia, scar, or scar +/? ischemia. End-points utilized were all cause death (ACD) and major adverse cardiac events (MACE). Results: There were a total of 409 obese patients and 146 non-obese patients. By multi-variate analysis only the scar group in the obese population predicted ACD (p = 0.003) and combined MACE (p = 0.014). Kaplan Meir analysis demonstrated that only the scar group was associated with decrease in freedom from all cause death (p