Document Detail


Early exercise testing following percutaneous transluminal coronary angioplasty.
MedLine Citation:
PMID:  2306868     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The value of early symptom-limited stress electrocardiography following percutaneous transluminal coronary angioplasty in assessing late outcome was evaluated in 218 patients. All subjects were tested using the Bruce or Sheffield Protocols, 2.5 +/- 1.3 days after percutaneous transluminal coronary angioplasty. Repeat coronary angiography was performed after percutaneous transluminal coronary angioplasty because of symptoms (58%) or as routine follow-up (42%). Stress electrocardiography results were compared to coronary angiography. The sensitivity and specificity were 35.3% and 52.6%, respectively. The positive and negative predictive values were 39.6% and 48.0%. Two acute myocardial infarctions and one coronary angiographic-proven restenosis occurred within hours of the stress electrocardiogram in three patients (1.4%). It is concluded that symptom-limited stress testing immediately following percutaneous transluminal coronary angioplasty has no prognostic value and may carry increased risk for immediate negative coronary events.
Authors:
D H Korzick; D A Underwood; C C Simpfendorfer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cleveland Clinic journal of medicine     Volume:  57     ISSN:  0891-1150     ISO Abbreviation:  Cleve Clin J Med     Publication Date:    1990 Jan-Feb
Date Detail:
Created Date:  1990-04-04     Completed Date:  1990-04-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8703441     Medline TA:  Cleve Clin J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  53-6     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Cleveland Clinic Foundation, Ohio 44195.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angioplasty, Transluminal, Percutaneous Coronary*
Electrocardiography*
Exercise Test*
Female
Humans
Male
Middle Aged
Time Factors

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


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