Document Detail

Improved myocardial ischemia detection by combined physical and mental stress testing.
MedLine Citation:
PMID:  9671017     Owner:  NLM     Status:  MEDLINE    
The hypothesis that addition of mental stress to physical exercise would modify the circulation response to stress and improve noninvasive detection of myocardial ischemia was tested in a randomized, crossover radionuclide angiocardiographic study. Compared with physical exercise or mental stress alone, combined stress led to higher heart rates and rate-pressure products in early stress stages, to more pronounced symptoms, and to a better discrimination of subjects with and without coronary artery disease by radionuclide angiography.
P R Hunziker; C Gradel; J Müller-Brand; P Buser; M Pfisterer
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The American journal of cardiology     Volume:  82     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-08-05     Completed Date:  1998-08-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  109-13     Citation Subset:  AIM; IM    
Division of Cardiology, University Hospital, Basel, Switzerland.
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MeSH Terms
Cross-Over Studies
Diagnosis, Differential
Exercise Test / methods*
Middle Aged
Myocardial Ischemia / etiology,  psychology*,  radionuclide imaging*
Stress, Psychological / complications*

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