Document Detail

False positive ECG and coronary heart disease.
MedLine Citation:
PMID:  8270558     Owner:  NLM     Status:  MEDLINE    
In 1983, we carried out a cross-sectional, rural community based study and highlighted an abysmally low prevalence of probable coronary heart disease in resting electrocardiogram. A seven year follow-up (1983-1990) of 179 suspects showed no morbidity or mortality from coronary heart disease. Eighty one out of 98 suspects tested negative on a symptom limited maximal exercise test. Though seventeen suspects had an asymptomatic exercise-induced ST depression (> 1.0 mm) their haemodynamic response to exercise and effort tolerance was excellent. Of the twelve subjects who took a repeat exercise test six months later, eleven failed to show ST depression on exercise. We attribute the false positivity of exercise test and its poor reproducibility to labile electrocardiographic changes unmasked by exercise.
U N Jajoo; K P Rao; S P Kalantri; O P Gupta; A P Jain
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Association of Physicians of India     Volume:  41     ISSN:  0004-5772     ISO Abbreviation:  J Assoc Physicians India     Publication Date:  1993 Apr 
Date Detail:
Created Date:  1994-02-02     Completed Date:  1994-02-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505585     Medline TA:  J Assoc Physicians India     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  205-7     Citation Subset:  IM    
Department of Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha.
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MeSH Terms
Coronary Disease / diagnosis,  epidemiology*,  mortality
Cross-Sectional Studies
Exercise Test
False Positive Reactions
Follow-Up Studies
Middle Aged
Rural Health
Comment In:
J Assoc Physicians India. 1994 Mar;42(3):262-3   [PMID:  7860532 ]

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