Document Detail


Cardiokymography during exercise testing: a new device for the detection of coronary artery disease and left ventricular wall motion abnormalities.
MedLine Citation:
PMID:  6846158     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The cardiokymograph (CKG) is a device that has been shown to reflect left ventricular (LV) wall motion abnormalities. Its accuracy in detecting coronary artery disease (CAD) during treadmill exercise testing was assessed in 204 consecutive patients undergoing coronary arteriography. Of the 188 patients with a technically adequate CKG, 146 (78%) had significant CAD. The sensitivity and specificity were similar for both the exercise electrocardiogram (ECG) (66% and 86%, respectively) and the exercise CKG (73% and 95%, respectively). An abnormal exercise CKG was significantly more common in patients with 3-vessel CAD than in those with 1-vessel disease (97% versus 52%, respectively; p less than 0.001) and in patients with left anterior descending disease than in those without (85% versus 26%, respectively; p less than 0.001). Seventy patients showed both an abnormal exercise ECG and CKG; all had CAD and 86% had multivessel CAD. Forty-eight patients demonstrated a normal exercise ECG and CKG; 29% had CAD but only 6% had multivessel CAD. Among 55 patients who had simultaneous exercise radionuclide ventriculography, new septal or apical wall motion abnormalities were found in 79% (23 of 29) of patients with an abnormal CKG compared with 19% (5 of 26) of patients with a normal CKG (p less than 0.001). Thus, the CKG during exercise testing accurately reflects LV wall motion abnormalities and can be used to improve the diagnostic accuracy of exercise testing as an additional marker of myocardial ischemia.
Authors:
D A Weiner; C H McCabe; G Dagostino; S S Cutler; T J Ryan
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  51     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1983 May 
Date Detail:
Created Date:  1983-06-10     Completed Date:  1983-06-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1307-11     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Coronary Disease / diagnosis*,  physiopathology
Electrocardiography
Exercise Test / methods*
Female
Heart / radionuclide imaging
Heart Ventricles / physiopathology*
Humans
Male
Middle Aged
Movement
Myography / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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