Evaluation of ST-segment changes during and after maximal exercise tests in one-, two- and three-vessel coronary artery disease

Scandinavian Cardiovascular Journal

Volumn 38, Issue 5, 2004, Pages 270-277

  Bjurö, Thorvald ^a   Gullestad, Lars ^b   Endresen, Knut ^c   Nordlander, Margareta ^a   Malm, Anders R ^a   Höglund, Lena ^a   Wahlqvist, Inger ^a   Pernow, John ^d  

^a ASTRAZENECA R AND D   (Sweden)

^b VESTRE VIKEN HOSPITAL TRUST   (Norway)

^c OSLO UNIVERSITY HOSPITAL   (Norway)

^d KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Coronary angiography; Exercise test; Heart rate recovery; Post exercise ST segment slope; ST HR recovery loop; ST HR slope; Time to >1 mm ST depression

Indexed keywords

ACTION POTENTIAL; ADULT; AGED; ANGIOCARDIOGRAPHY; ARTICLE; COMPUTER ANALYSIS; CONTROLLED STUDY; CORONARY ARTERY DISEASE; DATA ANALYSIS; ELECTROCARDIOGRAPHY; EXERCISE TEST; HEART RATE; HUMAN; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE ANALYSIS; PRIORITY JOURNAL; RECORDING; ST SEGMENT DEPRESSION; STABLE ANGINA PECTORIS; STATISTICAL ANALYSIS; STATISTICAL SIGNIFICANCE;

ADULT; AGED; ANGINA PECTORIS; CORONARY ANGIOGRAPHY; CORONARY ARTERIOSCLEROSIS; ELECTROCARDIOGRAPHY; EXERCISE TEST; HUMANS; MALE; MIDDLE AGED; REFERENCE VALUES; STROKE VOLUME; TIME FACTORS;

EID: 7744244845     PISSN: 14017431     EISSN: None     Source Type: Journal    
DOI: 10.1080/14017430410021606     Document Type: Article

References (23)

1. Gianrossi R, Detrano R, Mulvihill D, et al. Exercise-induced ST depression in the diagnosis of coronary artery disease. A meta-analysis. Circulation 1989; 80: 87-98.
2. f inhibitor, in stable angina. Circulation 2003; 107: 817-823.
3. Bruce RA, McDonough JR. Stress testing in screening for cardiovascular disease. Bull NY Acad Med 1969; 45: 1288-1305.
4. Okin PM, Ameisen O, Kligfield P. Recovery-phase patterns of ST-segment depression in the heart rate domain. Identification of coronary artery disease by the rate-recovery loop. Circulation 1989; 80: 533-541.
5. Lehtinen R, Sievänen H, Viik J, et al. Accurate detection of coronary artery disease by integrated analysis of the ST-segment depression/heart rate patterns during the exercise and recovery phases of the exercise electrocardiography test. Am J Cardiol 1996; 78: 1002-1006.
6. Herpin D, Ferrandis J, Couderq C, et al. Usefulness of a quantitative analysis of the recovery phase patterns of the ST-segment depression in the diagnosis of coronary artery disease. Am J Med 1996; 101: 592-598.
7. Goldschlager N, Selzer A, Cohn K. Treadmill stress tests as indicators of presence and severity of coronary artery disease. Ann Intern Med 1976; 85: 277-286.
8. Rodriguez M, Moussa I, Froning J, Kochumian M, Froelicher VF. Improved exercise test accuracy using discriminant function analysis and "recovery ST slope". J Electrocardiol 1993; 26: 207-218.
9. Do D, Marcus R, Froelicher V, et al. Predicting severe angiographic coronary artery disease using computerization of clinical and exercise test data. Chest 1998; 114: 1437-1445.
10. Cole CR, Blackstone EH, Pashkow FJ, et al. Heart-rate recovery immediately after exercise as a predictor of mortality. N Engl J Med 1999; 341: 1351-1357.
11. Gullestad L, Bjurö T, Aaberge L, et al. The effect of a neuropeptide Y Y1 receptor antagonist in patients with angina pectoris. Eur Heart J 2003; 24: 1120-1127.
12. Falk K-J, Angelhed J-E, Bjurö T. Real-time processing of multiple-lead exercise electrocardiograms. Med Progr Technol 1982; 8: 159-174.
13. Suurkula M, Arvidsson A, Fagerberg B, et al. A new method to quantify postexercise ST-deviation - the ST-deficit. A study in men at high and low-risk for coronary heart disease. Clin Physiol 2001; 21: 541-555.
14. Stewart RAH, Kittelson J, Kay IP. Statistical methods to improve the precision of the treadmill exercise test. JACC 2000; 36: 1274-1279.
15. Daly C, Norrie J, Murdoch DL, Ford I, Dargie HJ, Fox K. The value of routine non-invasive tests to predict clinical outcome in stable angina. Eur Heart J 2003; 24: 532-540.
16. Bogaty P, Guimond J, Robitaille N-M, et al. A reappraisal of exercise electrocardiographic indexes of the severity of ischemic heart disease: Angiographic and scintigraphic correlates. J Am Coll Cardiol 1997; 24: 1497-1504.
17. Okin PM, Kligfield P. Heart rate adjustment of ST segment depression and performance of the exercise electrocardiogram: A critical evaluation. J Am Coll Cardiol 1995; 25: 1726-1735.
18. Desai MY, De la Peña-Almaguer, Manting F. Prolonged ST segment depression after stress testing: Does it really identify more severe disease? Int J Cardiol 2003; 87: 59-66.
19. Akutsu Y, Shinozuka A, Nishimura H, et al. Significance of ST-segment morphology noted on electrocardiography during the recovery phase after exercise in patients with ischemic heart disease as analyzed with simultaneous dual-isotope single photon emission tomography. Am Heart J 2002; 144: 335-342.
20. Rywik TM, Zink RC, Gittings NS, et al. Independent prognostic significance of ischemic ST-segment response limited to recovery from treadmill exercise in asymptomatic subjects. Circulation 1989; 97: 2117-2122.
21. Forslund L, Hjelmdahl P, Held C, et al. Prognostic implications of results from exercise testing in patients with chronic stable angina pectoris treated with metoprolol or verapamil. Eur Heart J 2000; 21: 901-910.
22. Bigi R, Cortigiano L, Gregori D, et al. Exercise versus recovery electrocardiography in predicting mortality in patients with uncomplicated myocardial infarction. Eur Heart J 2004; 25: 558-564.
23. Scanlon PJ, Faxon DP, Audet A-M, et al. ACC/AHA guidelines for coronary angiography: Executive summary and recommendations. Circulation 1999; 99: 2345-2357.