Rose Angina Score can really estimate myocardial perfusion scan results in both diabetic and non-diabetic patients?

Original research

Rose Angina Score can really estimate myocardial perfusion scan results in both diabetic and non-diabetic patients?

Nasim Namiranian1Aryan Naghedi1Narges Soltani1Reza Nafisi Moghadam1Amir Pasha Amel Shahbaz1Seid Kazem Razavi-Ratki1*

1 Shahid Sadoughi University of Medical Sciences
Iran, 97514, Yazd, Jomhuri Blvd

* Corresponding author:
  This email address is being protected from spambots. You need JavaScript enabled to view it.


Cardiovascular diseases are among the most important causes of mortality and morbidity worldwide. There are different risk factors explained for cardiovascular diseases and diabetes mellitus (DM) is notable among them. There are different modalities for diagnosis and risk assessment of cardiovascular diseases such as myocardial perfusion imaging (MPI) but considering high price and low accessibility of this modality we decided to assess any possible association between MPI findings and Rose angina score (RAS) in both diabetic and non-diabetic patients.

Materials and methods.

In this descriptive-analytic study we enrolled 585 diabetic and non-diabetic patients with angina pectoris referred to nuclear medicine department of Shahid Sadoughi hospital, Yazd, Iran for MPI. Patients demographic information along with MPI results and Rose angina questionnaire were obtained. Data were finally analyzed using SPSS ver.21 software using appropriate statistical tests.


In this study, there were 294 diabetic and 291 non diabetic patients enrolled. 61.9% of non-diabetic patients had normal MPI results but this amount was only 38.8% among diabetic patients. Our study population did not differ based on age, gender and Rose angina score between diabetic and non-diabetic patients. Our results indicate that there is a statistically significant association between RAS and MPI findings in both diabetic (P-value=0.001) and non-diabetic (P-value=0.001) patients.


In present study we found a significant association between simple RAS questionnaire and MPI findings. We do not deny high accuracy and diagnostic value of MPI but we want to focus on clinical judgement of physicians prior to imaging modalities. We believe that in many cases, with a good clinical assessment such as RAS, many unnecessary and expensive modalities can be avoided.


Nasim Namiranian, Aryan Naghedi, Narges Soltani, Reza Nafisi Moghadam, Amir Pasha Amel Shahbaz, Seid Kazem Razavi-Ratki. Rose Angina Score can really estimate myocardial perfusion scan results in both diabetic and non-diabetic patients?. Cardiometry; Issue 16; May 2020; p.111-116; DOI: 10.12710/cardiometry.2020.16.111116; Available from:



The books presented further herein are published under the auspices of “The Fund of Outstanding Scientific Discoveries”. The books offer detailed descriptions of theory and practice of the latest scientific discoveries in the field of Physiology and Medicine, which have found a wide application and which make human life better.
Published in 2020. Cardiometry. Fundamentals of Theory and Practice
ISBN 978-5-86746-108-4
A detailed description of the theory is given and the most important criteria for cardiometric diagnostics are presented herein.

Published in 2020. The performance of the cardiovascular system in athletes. Cardiometric characteristics of physical capabilities in athletes’ performance before their sporting activities, in their sporting activities and upon ceasing them.
ISBN 978-5-86746-123-8
This is the first book defining the healthy heart. You can find everything to understand your own physical capabilities.

Published in 2007. Theoretical Principles of Heart Cycle Phase Analysis
ISBN 978-5-86746-125-4 (Russian version)
ISBN 978-3-937909-57-8 (English version)
The book deals with a new fundamental science: cardiometry, which becomes very popular due to its practical applicability.

Published in 2017. Leaflet: The one and only case in history of modern civilization: creating CARDIOMETRY, a new fundamental science. It’s a popular science essay to outline the discovery and the discoverers thereof.

Published in 2019. The paper by Russian mathematicians S.Chefranov and A.Chefranov is devoted to the new analytical solution of the 3D Navier-Stokes equation for compressible medium to clarify the sixth Millennium Prize problem.

Published in 2011. High-accuracy non-invasive measuring of main hemodynamics parameters.
ISBN 978-3-8465-1951-6
The book deals with some new approaches to solutions concerning introduction of a new point on ECG: it’s point L.

Published in 2012. The Cardiovascular System. Physiology, Diagnostics and Clinical Implications.
ISBN 978-953-51-0534-3
You can find four chapters written by the Cardiometry theory originators. One of the chapters treats a problem of measuring AP with a blood pressure cuff and describes the history of the fundamental scientific discovery.

Published in 2016. The Siege of Leningrad. Discoveries in Biology and Medicine.
ISBN 978-5-86746-126-2
The book presents unique data on Physiology in human individuals recorded under the siege of Leningrad during the World War II 1941-1945.

Released in 2004
Certificate of Discovery Registration issued in 1976
Periodic system of human organism states.
ISBN 5-86766-043-6
The periodic system table offers in detail the relevant characteristics of all the five adaptational reactions in a human organism: stress, reaction of training, reactions of calm and elevated activation and over-activation.

Published in 2006. Activation Therapy.
ISBN 5-7507-0179-4
The book provides for a detailed description of all the five adaptational reactions in a human organism: stress, reaction of training, reactions of calm and elevated activation and over-activation. It’s a New Age in health care. The only way to achieve effectiveness in medical treatment is to use the knowledge of the adaptational reactions in a human organism.
Medical equipment designed on the basis of the above mentioned fundamental discoveries
Diagnostics equipment for cardiology: PC-assisted device CARDIOCODE, designed and developed on the basis of the cardiometric technology. It’s an exclusive device capable of delivering unique data within 1 minute for the most accurate cardiovascular system diagnostics.

Unique effective pain- relief and treatment with the use of low-intensity electromagnetic field having some specific ECG wave frequencies: device Ezh-2 (Energy of Life -2). It’s the most efficient and powerful instrument for improvement of the immune system performance. Upon completion of five therapy sessions, the immune system demonstrates a three- or four-fold higher level in its performance.


Founders of a new fundamental science: Cardiometry


Russian New University

Your online partner for English language editing, proofreading, medical writing, formatting, design & development and publication support services

Online ECG / Telemetry Certification Course

Teach you everything you need to interpret arrhythmia and administer a 12-lead EKG

Cardiocode - unique diagnostics of the heart