| Predictive value of manual ECG-monitored exercise test before abdominal aortic or peripheral vascular surgery. | |
MedLine Citation:
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PMID: 8424579 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
Authors:
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R Kaaja; H Sell; O Erkola; A Harjula |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Angiology Volume: 44 ISSN: 0003-3197 ISO Abbreviation: Angiology Publication Date: 1993 Jan |
Date Detail:
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Created Date: 1993-02-24 Completed Date: 1993-02-24 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0203706 Medline TA: Angiology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 11-5 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Finland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Angiography Aorta, Abdominal / surgery* Coronary Disease / diagnosis* Electrocardiography* Exercise Test* Female Humans Intermittent Claudication / radiography, surgery* Leg / blood supply Male 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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