Early exercise testing after coronary care for suspected unstable coronary artery disease — safety and diagnostic value
| Autor: | M. Areskog, Eva Swahn, Lars Wallentin |
|---|---|
| Rok vydání: | 1986 |
| Předmět: |
Adult
Male medicine.medical_specialty Adrenergic beta-Antagonists Myocardial Infarction Ischemia Coronary Disease Chest pain Angina Pectoris Coronary artery disease Electrocardiography Sex Factors Internal medicine medicine Humans Myocardial infarction Diagnostic Errors Depression (differential diagnoses) ST depression business.industry Incidence (epidemiology) Age Factors Middle Aged medicine.disease Exercise Test Coronary care unit Cardiology Female Safety medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Heart Journal. 7:594-601 |
| ISSN: | 1522-9645 0195-668X |
| DOI: | 10.1093/oxfordjournals.eurheartj.a062110 |
| Popis: | The safety of and the diagnostic information provided by a predischarge exercise test performed 2-7 days after admission to the coronary care unit (CCU) was evaluated in 400 patients less than 65 years of age with suspected unstable coronary artery disease, i.e. probable or definite non-transmural myocardial infarction, progressive angina pectoris or recurring chest pain of recent onset ('new chest pain'). No serious complications occurred. Signs of ischaemia during exercise tests were more common in older than in younger men and more often found in subjects with than without pathological findings in resting ECGs in the CCU. Above 45 years of age, more than half of the men with progressive angina or non-transmural MI had SI depression greater than or equal to 2 mm and/or limiting chest pain, whereas men less than 45 years of age had a 10-25% incidence of corresponding findings in the test. In women above 55 years with progressive angina or non-transmural MI, 30-35% had ST depression and/or limiting chest pain at the test while 20-30% of women below 55 years of age had similar findings at the test. Beta-adrenoceptor blockade was used by half of the patients but did not seem to conceal signs of severe ischaemia. Thus a predischarge exercise test can be performed safely in patients with suspected unstable coronary artery disease in order to support or reduce the suspicion of severe disease. |
| Databáze: | OpenAIRE |
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