Document Detail


Relation of patient characteristics to cardiac ischemia during daily life activity (an Asymptomatic Cardiac Ischemia Pilot Data Bank Study).
MedLine Citation:
PMID:  8677864     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiac ischemia during daily life activities, detected by ambulatory electrocardiographic (AECG) monitoring has been associated with increased risk for adverse outcomes. Because daily life ischemia is usually asymptomatic, prevalence and descriptive data of patients with asymptomatic cardiac ischemia (ACI) are not well defined. Accordingly, patients screened for the Asymptomatic Cardiac Ischemia Pilot (ACIP) trial by 48-hour AECG monitoring were investigated to identify factors associated with ACI. A total of 1,820 patients with ischemia on a screening stress test and/or known or suspected coronary artery disease underwent AECG monitoring. Their mean age was 61 years, range 33 to 89; 83% were men and 81% were white. On AECG monitoring, ACI occurred in 897 patients (49%). There was a modest trend (p = 0.04) between increasing age and ACI prevalence. Increased risk for ACI was observed in patients reporting angina 6 weeks before screening (odds ratio 1.38, 99% confidence interval 1.08 to 1.77, p = 0.0008). There was a positive association between increases in heart rate during daily life and ACI prevalence (p < 0.0001). No daily, monthly, or seasonal variation in ACI prevalence was found, although ACI was more prevalent in northern than southern sites. In this group of clinically stable patients, selected on the basis of high risk for coronary artery disease, the prevalence of ACI was higher than expected from previous reports. Several readily available clinical characteristics (i.e., advanced age, recent angina, increased heart rate change with daily activity) were associated with significantly increased probability of ACI.
Authors:
C J Pepine; T Andrews; J E Deanfield; S Forman; N Geller; J A Hill; C Pratt; W J Rogers; G Sopko; R Steingart; P H Stone; C R Conti
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of cardiology     Volume:  77     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-08-15     Completed Date:  1996-08-15     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1267-72     Citation Subset:  AIM; IM    
Affiliation:
University of Florida, College of Medicine, Division of Cardiology, Gainesville, Florida, USA.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Adult
Case-Control Studies
Coronary Disease / diagnosis,  epidemiology
Databases, Factual
Electrocardiography, Ambulatory
Female
Humans
Logistic Models
Male
Middle Aged
Myocardial Ischemia / diagnosis,  epidemiology*
Pilot Projects
Prevalence
Risk Factors
Seasons
Grant Support
ID/Acronym/Agency:
HV-90-07/HV/NHLBI NIH HHS; HV-91-05/HV/NHLBI NIH HHS; HV90-08/HV/NHLBI NIH HHS

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


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