Evaluation of exercise-induced QRS amplitude changes (Athens score) and their clinical value
Autor: | Lu Zaiying, Stig HausØ |
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Rok vydání: | 1993 |
Předmět: |
Adult
Male Coronary angiography medicine.medical_specialty Coronary Disease Sensitivity and Specificity Coronary artery disease Electrocardiography QRS complex Management of Technology and Innovation Internal medicine Humans Medicine ST segment Depression (differential diagnoses) Aged Retrospective Studies business.industry Middle Aged medicine.disease Medicine public health Exercise Test Clinical value Cardiology Female Maximal exercise business |
Zdroj: | Journal of Tongji Medical University. 13:177-182 |
ISSN: | 0257-716X |
DOI: | 10.1007/bf02886512 |
Popis: | The index of exercises-induced amplitude changes in a combination of Q, R and S waves, named Athens score, was tested in 213 patients, who underwent coronary angiography within 3 days of a maximal exercise test. Of the 155 cases with conclusive exercise test results, according to the coronary angiography document, 23 (14.8%) were diagnosed as having no significant coronary artery disease (CAD); 27 (17.4%) as 1-vessel disease; 28 (18.1%) as 2-vessel disease and 77 (49.7%) as 3-vessel disease. The Athens score for them was 4.87 +/- 2.89, 0.02 +/- 3.35, -1.70 +/- 3.68, -1.75 +/- 3.98 respectively, F = 19.65, P0.01. An Athens score of 2 mm predicted CAD with sensitivity of 84.9% and specificity of 78.3% both being higher than those of ST segment depression (75.0% and 60.9%). It was concluded that the Athens score was a promising index for improving the efficiency of exercise test to predict CAD. |
Databáze: | OpenAIRE |
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