| Autor: |
C W, Barlow, E R, Soicher, J B, Barlow, B M, Friedman, D P, Myburgh |
| Rok vydání: |
1991 |
| Předmět: |
|
| Zdroj: |
Aviation, space, and environmental medicine. 62(2) |
| ISSN: |
0095-6562 |
| Popis: |
Flight surgeons recognize that ongoing vigilance is necessary to detect coronary artery disease (CAD) in aircrew. Regular physical examinations with only a resting electrocardiogram, albeit having a very low predictive value for detection of CAD in asymptomatic subjects, are now widely practised. Routine stress electrocardiography has been criticized for yielding too many so-called "false positive" results because ST/T changes that develop during and after exercise are prevalent. Recent studies in our institution indicate, however, that the time-course behavior patterns of these ST/T configurational "abnormalities" after exercise are different from those reflecting myocardial ischemia due to epicardial CAD. Time-course analysis increases the predictive value of exercise testing and has dramatically decreased the number of asymptomatic aircrew being subjected to coronary arteriography in our institution. Routine exercise electrocardiography provides a reliable, cost-effective means of detecting aircrew with CAD and a baseline for comparison at subsequent examination, and we strongly recommend that it be universally reinstated. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
