Document Detail

Significance of exercise induced U wave inversion as a marker for coronary artery disease.
MedLine Citation:
PMID:  22665396     Owner:  NLM     Status:  MEDLINE    
Exercise stress testing for detecting inducible ischaemia was first introduced in the 1950s and remained one of the only methods of stressing the heart for years to come. The presence of inducible ischaemia was assessed by ECG changes during exercise apart from other factors, namely, duration of exercise, blood pressure and heart rate response, metabolic equivalents achieved, etc. With the emergence of other tests to look for inducible ischaemia, for example, dobutamine stress echocardiography and myocardial perfusion scanning and also as the threshold for invasive evaluation has decreased, unusual and infrequently encountered ECG changes are not looked for during exercise stressing with the same degree of diligence. The authors describe below the case of a 49-year-old male whose left anterior descending artery stenosis was diagnosed on exercise stress test on the basis of a negative U wave.
Shelley Raveendran; Rebecca Hadfield; Sanjiv Petkar; Nadim Malik
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-02-10
Journal Detail:
Title:  BMJ case reports     Volume:  2012     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2012  
Date Detail:
Created Date:  2012-06-05     Completed Date:  2013-02-12     Revised Date:  2014-02-18    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
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MeSH Terms
Biological Markers
Coronary Angiography
Coronary Artery Bypass
Coronary Artery Disease / diagnosis*,  physiopathology*,  surgery
Exercise Test
Middle Aged
Positron-Emission Tomography
Reg. No./Substance:
0/Biological Markers

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

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