Document Detail


Left axis deviation: diagnostic contribution of stress testing and post-exercise systolic time intervals.
MedLine Citation:
PMID:  1261319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The response to graded submaximal upright bicycle ergometry combined with resting and postexercise systolic time intervals (STIs) was investigated in ten ambulatory subjects (study group) with normal electrocardiograms except for a frontal plane axis of greater than or equal to -30 degrees, or left axis deviation (LAD) mean -40 degrees); and eight age-matched volunteers (control group) with a normal ECG and frontal plane axis (mean +35 degrees). Following a 12-lead resting ECG, supine STIs were measured. The subjects then exercised on a bicycle ergometer at progressive workloads with ECG and blood pressure monitoring until a heart rate based on 85 percent of tha age-predicted maximum was attained or an abnormal end point was noted. STIs were repeated immediately postexercise. Prolongation of left ventricular ejection time corrected for heart rate (LVETc) of 8 msecs or more from rest to post-exercise. (deltaLVETc) was considered an abnormal STI response. The deltaLVETc can elicit left ventricular dysfunction and possible latent organic heart disease in patients with isolated left axis deviation.
Authors:
A B Miller; R C Bahler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chest     Volume:  69     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1976 Apr 
Date Detail:
Created Date:  1976-07-06     Completed Date:  1976-07-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  519-22     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Pressure
Electrocardiography*
Exercise Test
Female
Heart Rate
Humans
Male
Middle Aged

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


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