The sensitivity of 24 h Holter monitoring and exercise testing for the recognition of myocardial ischaemia: a comparative study
| Autor: | Hilger Hh, H. Günther, I Treis-Müller, T. Eggeling, A. Osterspey, Hans-Wilhelm Höpp |
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| Rok vydání: | 1988 |
| Předmět: |
Male
medicine.medical_specialty Ischemia Coronary Disease Asymptomatic Coronary artery disease Electrocardiography Heart Rate Internal medicine Heart rate medicine Humans ST segment cardiovascular diseases Depression (differential diagnoses) Monitoring Physiologic medicine.diagnostic_test business.industry Middle Aged medicine.disease Exercise Test cardiovascular system Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business Holter monitoring circulatory and respiratory physiology |
| Zdroj: | European Heart Journal. 9:46-49 |
| ISSN: | 1522-9645 0195-668X |
| DOI: | 10.1093/eurheartj/9.suppl_n.46 |
| Popis: | Seventy-nine patients with angiographically documented coronary artery disease were studied with exercise ECG and Holter ECG for ischaemic ST segment changes. Fifty-four patients (68.3%) had ischaemia on exercise, 48 patients (62.0%) had ischaemic ST segment depression during Holter monitoring. Twenty-four (30%) of the patients with a positive exercise test and 30 (61%) with a positive Holter ECG were asymptomatic during the test, 83.7% of the total count of 456 episodes of spontaneous ischemia during Holter monitoring were silent. Forty-four patients (55.7%) had ischaemic ECG changes during exercise and Holter ECG, 20 patients (25.3%) were negative on both tests. Ten (12.7%) had only a positive exercise test and five (6.3%) only a positive Holter ECG. The sensitivity of Holter monitoring for the detection of ischaemia in patients with coronary artery disease is comparable to the sensitivity of the exercise ECG. |
| Databáze: | OpenAIRE |
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