Document Detail


Comparison of the prognostic values of ischemia during daily life and ischemia induced by treadmill exercise testing.
MedLine Citation:
PMID:  8141074     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although silent ischemia is common in patients with stable coronary artery disease (CAD), controversy surrounds the issue regarding the most appropriate method for detection. Routinely performed exercise tolerance testing provides important prognostic information. However, ambulatory electrocardiographic monitoring (AEM) has the distinct advantage of enabling evaluation of silent ischemia during daily life. Although numerous AEM studies have found a greater occurrence of silent ischemia than symptomatic ischemia in patients with stable angina pectoris, the independent prognostic value of AEM findings has not been definitively established. Several recent studies have addressed the question of whether AEM supplies additional information beyond that obtained from exercise testing. The results of these studies revealed that myocardial ischemia during daily life that is detected by AEM provides additional and independent prognostic information in patients with stable CAD who have evidence of ischemia during exercise testing.
Authors:
P C Deedwania
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  The American journal of cardiology     Volume:  73     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1994 Mar 
Date Detail:
Created Date:  1994-04-25     Completed Date:  1994-04-25     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:  15B-18B     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, Veterans Affairs Medical Center, Fresno, California 93703.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Coronary Disease / diagnosis*
Electrocardiography, Ambulatory
Exercise Test
Exercise Tolerance / physiology
Humans
Myocardial Ischemia / epidemiology*
Prevalence
Prognosis

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


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