Correct utilization of exercise electrocardiographic leads in differentiation of men with coronary artery disease from patients with a low likelihood of coronary artery disease using peak exercise ST-segment depression

American Journal of Cardiology

Volumn 81, Issue 8, 1998, Pages 964-969

  Viik, Jari ^a   Lehtinen, Rami ^b   Turjanmaa, Väinö ^b   Niemelä, Kari ^b   Malmivuo, Jaakko ^b  

^a TAMPERE UNIVERSITY OF TECHNOLOGY   (Finland)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BICYCLE ERGOMETRY; CORONARY ARTERY DISEASE; DATA ANALYSIS; DIAGNOSTIC VALUE; DISEASE ASSOCIATION; ELECTROCARDIOGRAM; EXERCISE; HUMAN; MAJOR CLINICAL STUDY; PRIORITY JOURNAL; RECEIVER OPERATING CHARACTERISTIC; ST SEGMENT DEPRESSION; STATISTICAL ANALYSIS;

CORONARY DISEASE; DATA INTERPRETATION, STATISTICAL; DIAGNOSIS, DIFFERENTIAL; ELECTROCARDIOGRAPHY; EXERCISE TEST; HUMANS; MALE; MIDDLE AGED; ROC CURVE; SEVERITY OF ILLNESS INDEX;

EID: 0032522409     PISSN: 00029149     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0002-9149(98)00073-3     Document Type: Article

References (26)

1. Fletcher GF, Balady G, Froelicher VF, Hartley LH, Haskell WL, Pollock ML. Exercise standards: a statement for Healthcare professionals from the American Heart Association. Circulation 1995;91:580-615.
2. Jain A, Murray DR. Detection of myocardial ischemia. Curr Probl Cardiol 1995;20:779-824.
3. Detrano R, Gianrossi R, Froelicher V. The diagnostic accuracy of the exercise electrocardiogram: a meta-analysis of 22 years of research. Prog Cardiovasc Dis 1989;32:173-206.
4. Simoons ML, Block P. Toward the optimal lead system and optimal criteria for exercise electrocardiography. Am J Cardiol 1981;47:1366-1374.
5. Hyttinen J. Development of regional aimed ECG leads especially for myocardial ischemia diagnosis [PhD thesis], Tampere, Finland: Tampere University of Technology, 1994. 162 p.
6. Viik J, Lehtinen R, Turjanmaa V, Niemelä K, Malmivuo J. Effect of lead selection on conventional and heart rate-adjusted ST segment analysis in detection of coronary artery disease during exercise testing. Am Heart J 1997;134: 488-494.
7. Diamond GA, Forrester JS. Analysis of probability as an aid in the clinical diagnosis of coronary artery disease. N Engl J Med 1979;300:1350-1358.
8. Arstila M, Kallio V, Seppänen A (eds). Clinical Exercise Testing. Standards for Procedures and Recommendations for the Interpretation (in Finnish). Turku, Finland: Publication of the Social Insurance Institution, 1984.
9. Mason RE, Likar I. A new system of multiple-lead exercise electrocardiography. Am Heart J 1966;71:196-205.
10. Okin PM, Bergman G, Kligfield P. Effect of ST segment measurement point on performance of standard and heart rate-adjusted ST segment criteria for the identification of coronary artery disease. Circulation 1991;84:57-66.
11. Lehtinen R, Sievänen H, Turjanmaa V, Niemelä K, Malmivuo J. Effect of ST segment measurement point on performance of the exercise ECG analysis. Int J Cardiol 1997;61:239-245.
12. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982;143:29-36.
13. DeLong ER, DeLong DM, Clarke-Pearson DL. Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics 1988;44:837-845.
14. Vida S. A computer program for non-parametric receiver operating characteristic analysis. Comp Meth Prog Bio 1993;40:95-101.
15. Altman DG. Practical Statistics for Medical Research. London: Chapman & Hall, 1995:210-212.
16. Tucker SC, Kemp E, Holland WE, Horgan JH. Multiple lead ECG submaximal treadmill exercise test in angiographically documented coronary heart disease. Angiology 1976;27:149-156.
17. Fox RM, Hakki A-H, Iskandrian AS, Hackney J. Relation between electrocardiographic and scintigraphic location of myocardial ischemia during exercise in one-vessel coronary artery disease. Am J Cardiol 1984;53:1529-1531.
18. Miller TD, Desser KB, Lawson M. How many electrocardiographic leads are required for exercise treadmill tests? J Electrocardiol 1987;20:131-137.
19. London MJ, Hollenberg M, Wong MG, Levenson L, Tubau IF, Browner W, Mangano DT, and the S.P.I Research Group. Intraoperative myocardial ischemia: localization by continuous 12-lead electrocardiography. Anesthesiology 1988;69: 232-241.
20. Hyttinen J, Viik J, Lehtinen R, Plonsey R, Malmivuo J. Computer model analysis of the relationship of ST-segment and ST-segment/heart rate slope response to the constituents of the ischemic injury source. J Electrocardiol 1997;30:161-174.
21. Viik J, Lehtinen R, Malmivuo J. Capability of the single ECG leads of the 12-lead system to discriminate patients with CAD and without CAD-ROC-analysis approach. In: Van Oosterom A, Oostendorp T, Oijen, eds. XXIInd International Congress on Electrocardiology, University of Nijmegen, Nijmegen, Netherlands, 1995;234-235.
22. Chaitman BR, Bourassa MG, Wagniart P, Corbara F, Ferguson RJ. Improved efficiency of treadmill exercise testing using a multiple lead ECG system and basic hemodynamic exercise response. Circulation 1978;57:71-79.
23. Robertson D, Kostuk WJ, Ahuja SP. The localization of coronary artery stenoses by 12 lead ECG response to graded exercise test: support for intercoronary steal. Am Heart J 1976;91:437-444.
24. Dunn RF, Freedman B, Bailey IK, Uren RF, Kelly DT. Localization of coronary artery disease with exercise electrocardiography: correlation with thallium-201 myocardial perfusion scanning. Am J Cardiol 1981;48:837-843.
25. Fuchs RM, Achuff SC, Grunwald L, Yin FCP, Griffith LSC. Electrocardiographic localization of coronary artery narrowings: studies during myocardial ischemia and infarction in patients with one-vessel disease. Circulation 1982;66: 1168-1176.
26. Krucoff MW. Poor performance of lead V5 in single- and dual-channel ST-segment monitoring during coronary occlusion. J Electrocardiol 1988(suppl): S30-S34.