ST segment depression in hypertensive patients: A comparison of exercise test versus Holter ECG

Vascular Health and Risk Management

Volumn 4, Issue 5, 2008, Pages 1073-1080

  Uen, Sakir ^a   Fimmers, Rolf ^b   Weisser, Burkhard ^c   Baulmann, Johannes ^a   Balta, Osman ^a   Nickenig, Georg ^a  

^a UNIVERSITY HOSPITAL BONN   (Germany)

^b UNIVERSITY OF BONN   (Germany)

^c UNIVERSITY OF KIEL   (Germany)

Author keywords

Arterial hypertension; Blood pressure measurement; Combined 24 h ABPM ECG; ST segment depression

Indexed keywords

ACETYLSALICYLIC ACID; ANGIOTENSIN 1 RECEPTOR ANTAGONIST; ANTILIPEMIC AGENT; ANTITHROMBOCYTIC AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CALCIUM CHANNEL BLOCKING AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; DIURETIC AGENT; NITRATE;

ADULT; ARTICLE; BLOOD PRESSURE MEASUREMENT; CLINICAL TRIAL; CONTROLLED STUDY; DAILY LIFE ACTIVITY; DIABETES MELLITUS; DIASTOLIC BLOOD PRESSURE; ELECTROCARDIOGRAPHY; ERGOMETRY; EXERCISE TEST; FEMALE; GERMANY; HEART BEAT; HEART RATE; HOLTER MONITORING; HUMAN; HYPERTENSION; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; MULTICENTER STUDY; RETROSPECTIVE STUDY; ST SEGMENT DEPRESSION; SYSTOLIC BLOOD PRESSURE;

ACTIVITIES OF DAILY LIVING; ADULT; AGED; BLOOD PRESSURE; BLOOD PRESSURE MONITORING, AMBULATORY; ELECTROCARDIOGRAPHY, AMBULATORY; EXERCISE TEST; FEMALE; GERMANY; HEART CONDUCTION SYSTEM; HEART RATE; HUMANS; HYPERTENSION; MALE; MIDDLE AGED; MYOCARDIAL ISCHEMIA; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES;

EID: 56849083270     PISSN: 11766344     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (27)

1. Aronow WS, Ahn C, Mercando AD, et al. 2002. Prevalence of and association between silent myocardial ischemia and coronary events in older men and women with and without cardiovascular disease. J Am Geriatr Soc, 50:1075-8.
2. Asmar R, Benetos A, Pannier B, et al. 1996. Prevalence and circadian variation of ST-segment depression and its concomitant BP changes in asymptomatic systemic hypertension. Am J Cardiol, 77:384-90.
3. Banai S, Moriel M, Benhorin J, et al. 1990. Changes in myocardial ischemic threshold during daily activities. Am J Cardiol, 66:1403-6.
4. Barna I, Keszei A, Dunai A. 1998. Evaluation of Meditech ABPM-04 ambulatory BP measuring device according to the British Hypertension Society protocol. Blood Press Monit, 3:363-8.
5. Benetos A, Rudnichi A, Safar M, et al. 1998. Pulse pressure and cardiovascular mortality in normotensive and hypertensive subjects. Hypertension, 32:560-4.
6. Benhorin J, Banai S, Moriel M, et al. 1993a. Circadian variation in ischemic threshold and their relation to the occurrence of ischemic episodes. Circulation, 87:808-14.
7. Benhorin J, Pinsger G, Moriel M, et al. 1993b. Ischemic threshold during two exercise testing protocols and during ambulatory electrocardiographic monitoring. J Am Coll Cardiol, 22:671-7.
8. Benhorin J, Moriel M, Gavish A, et al. 1991. Usefulness of severity of myocardial ischemia on exercise testing in predicting the severity of myocardial ischemia during daily activity. Am J Cardiol, 68:176-80.
9. Cannon RO, Epstein SE. 1988. Microvascular angina as a cause of chest pain with angiographically normal coronary arteries. Am J Cardiol, 61:1338-43.
10. Deedwania PC, Nelson JR. 1990. Pathophysiology of silent myocardial ischemia during daily life. Hemodynamic evaluation by simultaneous electrocardiographic and blood pressure monitoring. Circulation, 82:1296-304.
11. Fleg JL, Gerstenblith G, Zonderman AB, et al. 1990. Prevalence and prognostic significance of exercise-induced silent myocardial ischemia detected by thallium. scintigraphy and electrocardiography in asymptomatic volunteers. Circulation, 81:428-36.
12. Gaetano AL, Alessandro M, Vincenzo P, et al. 1997. Ischemic-like ST-segment changes during Holter monitoring in patients with angina pectoris and normal coronary arteries but negative exercise testing. Am J Cardiol, 79:1-6.
13. Hedblad B, Janzon L. 1992. Hypertension and ST-segment-depression during ambulatory electrocardiographic recording results from the retrospective population study "Men born in 1914" From Malmö, Sweden. Hypertension, 20:32-7.
14. Jong B, Crijns HJ. 2001. Silent ST depression and cardiovascular end-organ damage in newly found, older hypertensives. Hypertension, 37:1083-8.
15. Motz W, Vogt M, Scheler S, et al. 1991. Coronary circulation in arterial hypertension. J Cardiovasc Pharm, 17(Suppl 2):35-9.
16. Papanicolaou MN, Califf RM, Hlatky MA, et al. 1986. Prognostic implications of angiographically normal and insignificantly narrowed coronary arteries. Am J Cardiol, 58:1181-7.
17. Pepine CJ, Sharaf B, Andrew TC, et al. 1997. Relation between clinical, arigiographic and ischemic findings at baseline and ischemia related adverse outcomes at 1 year in the Asymptomatic Cardiac Ischemia Pilot study. ACIP Study Group. J Am Coll Cardiol, 29:1483-9.
18. Raby KE, Barry J, Treasure CB, et al. 1993. Usefulness of Holter monitoring for detecting myocardial ischemia in patients with nondiagnostic exercise treadmill test. Am J Cardiol, 72:889-93.
19. Sajadieh A, Nielsen OW, Rasmussen V, et al. 2005. Prevalence and prognostic significance of daily- life silent myocardial ischemia in middle- aged elderly subjects with no apparent heart disease. Eur Heart J, 26:1402-9.
20. Stagmo M, Juul-Möller S, Israelsson B. 2005. Fiteen-year risk of major coronary events predicted by Holter ST-monitoring in asymptomatic middle-aged men. Eur J Cardiovasc Prev Rehabil, 2:478-83.
21. Stramba-Badiale M, Bonazzi O, Casadei G, et al. 1998. Prevalence of episodes of ST-segment depression among mild to moderate hypertensive patients in northern Italy: the Cardioscreening study. J Hypertension, 16:681-8.
22. Svenson P, Niklasson U, Ostergren J. 2001. Episodes of ST-segment depression is related to changes in ambulatory blood pressure and heart rate in intermittent claudication. J Intern Med, 250:398-405.
23. Tzivoni D, Gavish J, Gottlieb S, et al. 1988. Prognostic significance of ischemic episodes in patients with previous myocardial infarction. Am J Cardiol, 62:661-4.
24. Uen S, Un I, Fimmers R, et al. 2006. Myocardial ischemia during everyday life in patients with arterial hypertension: prevalence, risk factors, triggering mechanism and circadian variability. Blood Press Monit, 11:173-82.
25. Uen S, Mengden T, Glänzer K, et al. 2000. Silent myocardial ischemia in hypertensive individuals. Praxis, 89:757-64.
26. Uen S, Baulmann J, Duesing R, et al. 2003. ST-segment depression in hypertensive patients is linked to elevations in blood pressure, pulse pressure and double product by 24 h 24-h ABPM/ECG monitoring. J Hypertens, 21:1-7.
27. Vogt M, Motz W, Strauer BE. 1989. Coronary flow reserve in arterial hypertension. Scand J Clin Lab Invest Suppl, 196:7-15.