Document Detail

Predictive value of manual ECG-monitored exercise test before abdominal aortic or peripheral vascular surgery.
MedLine Citation:
PMID:  8424579     Owner:  NLM     Status:  MEDLINE    
The value of manual ECG-monitored exercise test was studied in 58 patients (39 men and 19 women) with intermittent claudication scheduled for abdominal or peripheral vascular surgery. There was a high incidence of well-known risk factors (hypercholesterolemia, smoking, and hypertension) in men and women. History of coronary artery disease (CAD) was present in 29.3% of the patients. No correlation was found between patients with single or multiple stenoses in lower extremity arteries (angiography) and CAD. Ischemic response (ECG) to manual exercise testing was positive in 14 patients (24.1%), of whom 2 (14.3%) had major cardiovascular postoperative complications. Both died of acute myocardial infarction within fourteen days. They had slow recovery (thirty to sixty minutes) of the ST segment (0.3-0.6 mV). The authors conclude that manual exercise testing might reveal serious CAD in patients with severe occlusive peripheral arterial disease of the lower extremities. In cases with slow recovery of ischemic response to exercise, coronary bypass or angioplasty could be advantageous before major vascular surgery.
R Kaaja; H Sell; O Erkola; A Harjula
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Angiology     Volume:  44     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-02-24     Completed Date:  1993-02-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  11-5     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Finland.
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MeSH Terms
Aorta, Abdominal / surgery*
Coronary Disease / diagnosis*
Exercise Test*
Intermittent Claudication / radiography,  surgery*
Leg / blood supply
Middle Aged
Postoperative Complications
Preoperative Care*
Prospective Studies
Risk Factors

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

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