Prolonged ST segment depression after stress testing: Does it really identify more severe disease?

International Journal of Cardiology

Volumn 87, Issue 1, 2003, Pages 59-66

  Desai, Milind Y ^a   De la Peña Almaguer, Erasmo ^a   Mannting, Finn ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

Exercise electrocardiography; Prolonged ST segment depression; SPECT

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; CORONARY ARTERY DISEASE; DISEASE COURSE; DISEASE SEVERITY; EXERCISE TEST; FEMALE; HEART MUSCLE ISCHEMIA; HEART PERFUSION; HUMAN; LUNG VENTILATION PERFUSION RATIO; MALE; PRIORITY JOURNAL; SCORING SYSTEM; SINGLE PHOTON EMISSION COMPUTER TOMOGRAPHY; ST SEGMENT DEPRESSION; STRESS; TREADMILL EXERCISE;

AGED; CHI-SQUARE DISTRIBUTION; ELECTROCARDIOGRAPHY; EXERCISE TEST; FEMALE; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL ISCHEMIA; PROSPECTIVE STUDIES; RADIOPHARMACEUTICALS; SEVERITY OF ILLNESS INDEX; TOMOGRAPHY, EMISSION-COMPUTED, SINGLE-PHOTON;

EID: 0037212731     PISSN: 01675273     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0167-5273(02)00206-1     Document Type: Article

References (20)

1. Chaitman, BR. Exercise stress testing. In: Braunwald E, Zipes DP, Libby P, editors. Heart Disease. A Textbook of Cardiovascular Medicine. 6th Edition, W.B. Saunders Company, 2001, pp. 129-55.
2. Ellestad M.H. ECG patterns and their significance. Ellestad M.H. Stress Testing, Principles and Practice. 4th Edition:1996;237-291 F.A. Davis and Company, Philadelphia.
3. Ellestad M.H., Wan M. Predictive implications of stress testing. Circulation. 51:1975;363-367.
4. Goldschlager N., Selzer A., Cohn K. Treadmill stress tests as indicators of presence and severity of coronary artery disease. Ann Intern Med. 85:1976;277-286.
5. Cohn K., Kamm B., Feteih N., Brand R., Goldschlager N. Use of treadmill score to quantify ischemic response and predict extent of coronary artery disease. Circulation. 59:1979;286-296.
6. Weiner D.A., McCabe C.H., Ryan T.J. Identification of patiens with left main and three vessel coronary disease with clinical and exercise test variables. Am J Cardiol. 46:1980;21-27.
7. Bogaty P., Guimond J., Robitaille N.M., et al. A reappraisal of exercise electrocardiographic indexes of the severity of ischemia heart disease: angiographic and scintigraphic correlates. J Am Coll Cardiol. 29:1997;1497-1504.
8. Berman D.S., Kiat H., Friedman J.D., et al. Separate acquisition rest thallium 201/stress technetium-99m sestamibi dual isotope myocardial single photon emission computed tomography: a clinical validation study. J Am Coll Cardiol. 22:1993;1455-1464.
9. Garcia E.V., Cooke C.D., Van Train K.F., et al. Technical aspects of myocardial perfusion SPECT imaging with technetium-99m sestamibi. Am J Cardiol. 66:1990;23E-31E.
10. DePuey E.G., Nichols K.N., Dobrinsky C. Left ventricular ejection fraction from gated technetium-99m-sestamibi SPECT. J Nucl Med. 34:(11):1993;1871-1876.
11. Bachier-stier C., Sarir T., Kavanagh P.B., et al. Post exercise lung uptake of 99m Tc-sestamibi determined by a new automatic technique: Validation and application in determination of severe and extensive coronary artery disease and reduced left ventricular function. J Nucl Med. 41:2000;1190-1197.
12. Hurwitz G.A., Fox S.P., Driedger A.A., Willem C., Powe J.E. Pulmonary uptake of sestamibi on early post-stress images: angiographic relation, incidence and kinetics. Nucl Med Commun. 14:(1):1993;15-22.
13. Kumita S.L., Nishimura T., Uehara T., et al. Increased lung uptake and transient left ventricular dilatation and stress myocardial scintigraphy with Tc-99-m sestamibi. Jpn J Nucl Med. 30:1993;621-626.
14. Mazzanti M., Germano G., Kiat H., et al. Identification of severe and extensive coronary artery disease by automatic measurement of transient ischemic dilatation of the left venricle in dual isotope myocardial perfusion SPECT. J Am Coll Cardiol. 27:1996;1612-1620.
15. Ekmekei A., Toyoshima H., Kwoczynski J.K., Nagaya T., Prrinzmetal M. Angina Pectoris IV. Clinical and experimental difference between ischemia with ST elevation and ischemia with ST depression. Am J Cardiol. 7:1961;412-426.
16. Fortuin N.J., Weiss J.L. Exercise stress testing. Circulation. 56:1977;699-712.
17. Scher A.M. Electrocardiogram. Ruch I.C., Patton H.D. Physiology and biophysics. 1974;W.B. Saunders, Philadelphia.
18. Vincent G.M., Abildskov J.A., Burgess M.J. Mechanisms of ischemic ST segment displacement: evaluation by direct current recordings. Circulation. 56:1977;559-566.
19. Gavrielides S., Kaski J.C., Tousoulis D., Pupita G., Galassi A.R., Maseri A. Duration of ST segment depression after exercise induced myocardial ischemia is influenced by body position during recovery but not by type of exercise. Am Heart J. 121:1991;1665-1670.
20. Wilson R.A., Sullivan P.J., Moore R.H., et al. An ambulatory ventricular function monitor: validation and prelimnary clinical results. Am J Cardiol. 52:1983;601-606.