Intermittent claudication as a manifestation of silent myocardial ischemia: A pilot study
| Autor: | Andrew N. Nicolaides, H.H.G. Eastcott, P.R. Taylor, S. Serenkuma, A-M Salmasi, Sonecha Tn, A. Al-Katoubi |
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| Rok vydání: | 1991 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Ischemia medicine.disease Intermittent claudication Internal medicine medicine Cardiology Claudication distance Surgery Circumflex medicine.symptom Cardiology and Cardiovascular Medicine Claudication business Electrocardiography Stroke Silent myocardial ischemia |
| Zdroj: | Journal of Vascular Surgery. 14:76-86 |
| ISSN: | 0741-5214 |
| DOI: | 10.1016/0741-5214(91)90157-p |
| Popis: | One hundred consecutive patients with intermittent claudication were screened noninvasively with electrocardiography chest wall mapping stress test and transcutaneous aortovelography during bicycle ergometry. Electrocardiographic chest wall stress testing indicated three-vessel coronary disease in 25 patients and left anterior descending plus circumflex (left main stem equivalent) disease in seven. In these 32 patients transcutaneous aortovelography demonstrated a decrease in stroke distance (an index of cardiac stroke volume) (median, −28%; 90% range, +5% to −48%), and coronary angiography confirmed the presence and severity of the disease. The claudication distance ranged between 50 and 250 meters. After myocardial revascularization or medical therapy a significant increase occurred in the stroke distance after exercise (median, +20; 90% range, +40% to −25%); also a significant increase in the postexercise pressure index and a reduction in the recovery time ( p |
| Databáze: | OpenAIRE |
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