| Postexercise systolic blood pressure response: clinical application to the assessment of ischemic heart disease. | |
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MedLine Citation:
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PMID: 9787278 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Stress test parameters indicating the presence and extent of coronary artery disease have traditionally included such variables as exercise duration, and the blood pressure and ST-segment responses to exercise. The three-minute systolic blood pressure ratio, another important indicator of significant coronary artery disease, is a useful and readily obtainable measure that can be applied in all patients who are undergoing stress testing for the evaluation of known or suspected ischemic heart disease. The ratio is calculated by dividing the systolic blood pressure three minutes into the recovery phase of a treadmill exercise test by the systolic blood pressure at peak exercise. A three-minute systolic blood pressure ratio greater than 0.90 is considered abnormal and has a diagnostic accuracy of approximately 75 percent for the detection of coronary artery disease (i.e., an accuracy comparable to that of ST-segment depression). Higher values for the ratio are associated with more extensive coronary artery disease, as well as an adverse prognosis after myocardial infarction. Thus, the three-minute systolic blood pressure ratio provides information that is complementary to the traditional exercise test parameters for identifying high-risk ischemic heart disease. |
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Authors:
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A J Taylor; G A Beller |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: American family physician Volume: 58 ISSN: 0002-838X ISO Abbreviation: Am Fam Physician Publication Date: 1998 Oct |
Date Detail:
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Created Date: 1998-11-06 Completed Date: 1998-11-06 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 1272646 Medline TA: Am Fam Physician Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1126-30 Citation Subset: AIM; IM |
Affiliation:
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Walter Reed Army Medical Center, Washington, D.C., USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Blood Pressure* Diagnosis, Differential Exercise* Humans Myocardial Ischemia / diagnosis*, physiopathology* Prognosis Systole |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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