Document Detail

Does recovery-limited ST segment depression during exercise ECG stress testing confer the same prognosis as that occurring during exercise? A case and a review of the literature.
MedLine Citation:
PMID:  19518009     Owner:  NLM     Status:  MEDLINE    
The case of a 44-year-old male with no cardiac risk factor who complained of typical angina is presented. The patient underwent an exercise electrocardiogram (ECG) stress test that showed ST segment depression limited to the recovery period of testing. He subsequently underwent coronary angiogram and percutaneous coronary intervention (PCI) of his right coronary artery. The literature on recovery-limited ST segment depression during exercise ECG stress testing was reviewed. The diagnostic and prognostic value of recovery-limited ST depression was similar to ST segment depression during the active phase of exercise ECG stress testing and should, therefore, be interpreted as a positive test. Moreover, the prevalence of ST segment depression limited to the recovery period is higher than earlier studies had suggested, emphasizing the importance of monitoring patients during the recovery period following the cessation of exercise.
Adam V Weizman; Chi-Ming Chow
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of insurance medicine (New York, N.Y.)     Volume:  41     ISSN:  0743-6661     ISO Abbreviation:  J Insur Med     Publication Date:  2009  
Date Detail:
Created Date:  2009-06-12     Completed Date:  2009-07-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8401468     Medline TA:  J Insur Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  72-6     Citation Subset:  T    
Dept. of Medicine, University of Toronto, Toronto, Ontario.
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MeSH Terms
Angina Pectoris / diagnosis*,  physiopathology,  therapy
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Angiography
Exercise Test*
Tomography, X-Ray Computed

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