Comparison of exercise QRS amplitude changes in patients with slow coronary flow versus significant coronary stenosis

Japanese Heart Journal

Volumn 45, Issue 3, 2004, Pages 419-428

  Turkmen, Muhsin ^a   Barutcu, Irfan ^a,b   Esen, Ali Metin ^a   Karakaya, Osman ^a   Esen, Ozlem ^a   Basaran, Yelda ^a  

^a ISTANBUL UNIVERSITY   (Turkey)

^b NONE   (Turkey)

Author keywords

Athens QRS score; Ischemia; Slow coronary flow

Indexed keywords

ACTION POTENTIAL; ADULT; ANGIOCARDIOGRAPHY; ARTICLE; CALCULATION; CLINICAL ARTICLE; CLINICAL PROTOCOL; CONTROLLED STUDY; CORONARY ARTERY BLOOD FLOW; CORONARY ARTERY DISEASE; CORONARY ARTERY OBSTRUCTION; DATA ANALYSIS; DEMOGRAPHY; DIASTOLIC BLOOD PRESSURE; DISEASE ASSOCIATION; EPICARDIUM; EXERCISE TEST; FEMALE; HEART INFARCTION; HEART MUSCLE METABOLISM; HEART RATE; HUMAN; MALE; MEDICAL INSTRUMENTATION; PHENOMENOLOGY; PRIORITY JOURNAL; Q WAVE; QRS COMPLEX; R WAVE; RETROSPECTIVE STUDY; SCORING SYSTEM; ST SEGMENT DEPRESSION; STATISTICAL SIGNIFICANCE; SYSTOLIC BLOOD PRESSURE; TREADMILL EXERCISE; BLOOD FLOW VELOCITY; ELECTROCARDIOGRAPHY; HEART MUSCLE ISCHEMIA; MIDDLE AGED; PATHOPHYSIOLOGY; PHYSIOLOGY;

BLOOD FLOW VELOCITY; CORONARY CIRCULATION; CORONARY STENOSIS; ELECTROCARDIOGRAPHY; EXERCISE TEST; FEMALE; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL ISCHEMIA; RETROSPECTIVE STUDIES;

EID: 3442892989     PISSN: 00214868     EISSN: 1348673X     Source Type: Journal    
DOI: 10.1536/jhj.45.419     Document Type: Article

References (37)

1. Dart AM, Davies HA, Dalal J, Ruttley M, Henderson AH. 'Angina' and normal coronary arteriograms: A follow-up study. Eur Heart J 1980; 1: 97-100.
2. Proudfit WL, Shirley EK, Sones FM Jr. Selective cine coronary arteriography. Correlation with clinical findings in 1,000 patients. Circulation 1966; 33: 901-10.
3. Kemp HG, Kronmal RA, Vliestra RE, Frye RL. The Coronary Artery Surgery Study (CASS) participants: Seven year survivial of patients with normal or near normal coronary arteriograms. a CASS registry study. J Am Coll Cardiol 1986; 7: 476-83.
4. Tambe AA, Demany MA, Zimmerman HA, Mascarenhes E. Angina pectoris and slow velocity of dye in coronary arteries - a new angiographic finding. Am Heart J 1972; 84: 66-71.
5. Borer JS, Brensike JF, Redwood DR, et al. Limitations of the electrocardiographic response to exercise in predicting coronary artery disease. N Eng J Med 1975; 293: 367-71.
6. Detrano R, Gianrossi R, Mulvihill D, et al. Exercise-induced ST segment depression in diagnosis of coronary artery disease. A meta-analysis. Circulation 1989; 80: 87-98.
7. Sato I, Keta K, Aihara N, Ohe T, Shimomura K, Hasegawa Y. Improved accuracy of the exercise electrocardiogram in detection of coronary artery and three-vessel coronary disease. Chest 1988; 94: 737-44.
8. Michaelides AP, Triposkiadis FK, Boudoulas H, et al. New coronary artery disease index based on exercise-induced QRS changes. Am Heart J 1990; 120: 292-302.
9. Gibson CM, Cannon CP, Delay WL, et al. TIMI frame count. a quantitative method of assessing coronary artery flow. Circulation 1996; 93: 879-83.
10. Famularo MA, Paliwal Y, Redd R, Ellestad MH. Identification of septal ischemia during exercise by Q-wave analysis: correlation with coronary angiography. Am J Cardiol 1983; 51: 440-3.
11. Furuse T, Mashiba H, Jordan JW, O'Donnell J, Morris SN, McHenry PL. Usefulness of Q-wave response to exercise as a predictor of coronary artery disease. Am J Cardiol 1987; 59: 57-60.
12. Wolthuis RA, Froelicher VF, Hopkirk A, Fischer JR, Keiser N. Normal electrocardiographic wave-form characteristics during treadmill exercise testing. Circulation 1979; 60: 1028-35.
13. Charlap S, Shani J, Schulhoff N, Herman B, Lichstein E. R- and S- wave amplitude changes with acute anterior transmural ischemia. Correlations with left ventricular filling pressures. Chest 1990; 97: 566-71.
14. Van Campen CMC, Visser FC, Visser CA. The QRS score: a promising new exercise score for detecting coronary artery disease based on exercise-induced changes of Q, R, and S waves: a relationship with myocardial ischemia. Eur Heart J 1996; 17: 699-708.
15. Likoff W, Segal BS, Kasparion H. Paradox of normal selective coronary arteriograms in patients considered to have unmistakable coronary heart disease. N Eng J Med 1976; 267: 1063-5.
16. Kemp HG. Left ventricular function in patients with the anginal syndrome and normal coronary arteriograms (editorial). Am J Cardiol 1973; 32: 375-6.
17. Opherk D, Zebe H, Weihe E, et al. Reduced coronary dilatory capacity and ultrastructural changes of the myocardium in patients with angina pectoris but normal coronary arteriograms. Circulation 1981; 63: 817-25.
18. Cannon RO 3th, Watson RM, Rosing DR, Epstein SE. Angina caused by reduced vasodilator reserve of the small coronary arteries. J Am Coll Cardiol 1983; 1: 1359-73.
19. Greenberg MA, Grose RM, Neuberger N, Silverman R, Strain JE, Cohen MV. Impaired coronary vasodilator vasodilator responsiveness as a cause of lactate production during pacing-induced ischemia in patients with angina pectoris and normal coronary arteries. J Am Coll Cardiol 1987; 9: 743-51.
20. Mosseri M, Yarom R, Gotsman MS, Yasin H. Histological evidence for small-vessel coronary artery disease in patients with angina pectoris and patent large coronary arteries. Circulation 1986; 74: 964-72.
21. Mangieri E, Macchiarelli G, Ciavolella M, et al. Slow coronary flow: clinical and histopathological features in patients with otherwise normal epicardial coronary arteries. Cathet and Cardiovasc Diagn 1996; 37: 375-81.
22. Kurtoglu N, Akcay A, Dindar I. Usefulness of oral dipyridamole therapy for angiographic slow coronary artery flow. Am J Cardiol 2001; 87: 777-9.
23. Goel PK, Gupta SK, Agarwal A, Kapoor A. Slow coronary flow: A distinct angiographic subgroup in syndrome X. Angiology 2001; 52: 507-24.
24. Cesar LA, Ramires JA, Serrano Junior CV, et al. Slow coronary run off in patients with angina pectoris: clinical significance and thallium 201 scintigraphic study. Brazilian J Med Biol Res 1996; 29: 605-13.
25. Ciavolella M, Avella A, Bellagamba S, Mangieri E, Nigri A, Reale A. Angina and normal epicardial coronary arteries: radionuclide features and pathophysiological implications at long- term follow-up. Coronary Artery Dis 1994; 5: 493-9.
26. Przybojewski J, Becker PH. Angina pectoris and acute myocardial infarction due to "slow-flow phenomenon" in nonatherosclerotic coronary arteries. A case report. Angiology 1986; 37: 751-61.
27. Kapoor A, Goel PK, Gupta S. Slow coronary flow - a cause for angina with ST segment elevation and normal coronary arteries. A case report. Int J Cardiol 1998; 67: 257-61.
28. Cin VG, Celik M, Ulucan S. Relationship between QRS score and the extent of coronary artery disease. Jpn Heart J 1997; 38: 787-92.
29. Michaelides A, Ryan JM, Bacon JP, Pozderac R, Toutouzas P, Boudoulas H. Exercise-induced QRS changes (Athens QRS score) in patients with coronary artery disease: a marker of myocardial ischemia. J Cardiol 1995; 26: 263-72.
30. Koide Y, Yotsukura M, Yoshino H, Ishikawa K. A new coronary artery disease index of treadmill exercise electrocardiograms based on the step-up diagnostic method. Am J Cardiol 2001; 87: 142-7.
31. Borer JS, Brensike JF, Redwood DR, et al. Limitation of the electrocardiographic response to exercise in predicting coronary artery disease. N Eng J Med 1975; 293: 367-71.
32. Ribisl PM, Liu J, Mousa I, et al. Comparison of computer ST criteria for diagnosis of severe coronary artery disease. Am J Cardiol 1993; 71: 546-51.
33. Sezgin AT, Sigirci A, Barutcu I, et al. Vascular endothelial function in patients with slow coronary flow. Coronary Artery Dis 2003; 14: 155-61.
34. Sezgin AT, Topal E, Barutcu I, et al. Impaired left ventricular filling in patients with slow coronary flow. An Echo-Doppler study. Angiology (in press).
35. Weishammer S, Delagerdalle C, Sigel HA, et al. Haemodynamic response to exercise in patients with chest pain and normal coronary angiograms. Eur Heart J 1986; 7: 654-61.
36. Cannon RO 3rd, Bonow RO, Bacharach SL, et al. Left ventricular dysfunction in patients with angina pectoris, normal epicardial coronary arteries, and abnormal vasodilator reserve. Circulation 1985; 71: 218-26.
37. Tweddel AC, Martin W, Hotton I. Thallium scans in syndrome X. Br Heart J 1992; 68: 48-50.