Document Detail


Improvement in rest and exercise-induced wall motion abnormalities after coronary angioplasty: an exercise echocardiographic study.
MedLine Citation:
PMID:  2303629     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Exercise echocardiography was performed in 36 patients to evaluate functional improvement after coronary angioplasty. Thirty-one patients (86%) had provokable ischemia before angioplasty including 22 with an abnormal exercise electrocardiographic test (angina or ST depression), 25 with an abnormal exercise echocardiogram (exercise-induced wall motion abnormalities) and 16 with both tests abnormal. Nineteen patients had no induced ischemia after angioplasty. Seventeen (47%) continued to have ischemia that was limited in 12 to exercise-induced wall motion abnormalities, which were less severe compared with those of preangioplasty studies. Fifteen (65%) of 23 patients had improvement in rest wall motion abnormalities after angioplasty. The rest to immediate postexercise change in global wall motion score was significantly improved after angioplasty. The change in regional wall motion score was significantly improved after angioplasty in patients with single vessel right or left circumflex coronary artery disease and approached significant improvement (p = 0.06) in those with single vessel disease of the left anterior descending coronary artery. Exercise echocardiography improves the sensitivity of functional testing for ischemia, aids in localizing the ischemic zone and documents improvement in regional function after coronary angioplasty.
Authors:
T Broderick; S Sawada; W F Armstrong; T Ryan; J C Dillon; P D Bourdillon; H Feigenbaum
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  15     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  1990 Mar 
Date Detail:
Created Date:  1990-03-28     Completed Date:  1990-03-28     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  591-9     Citation Subset:  AIM; IM    
Affiliation:
Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary*
Coronary Disease / diagnosis,  physiopathology*,  therapy
Echocardiography*
Electrocardiography
Exercise Test*
Humans
Retrospective Studies
Grant Support
ID/Acronym/Agency:
HL-07182/HL/NHLBI NIH HHS; HL06308/HL/NHLBI NIH HHS
Comments/Corrections
Comment In:
J Am Coll Cardiol. 1990 Mar 1;15(3):600-1   [PMID:  2303630 ]

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


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