Document Detail


Significance of exercise induced increase in the diastolic pressure as an indicator of severe coronary artery disease.
MedLine Citation:
PMID:  9141850     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A total of 100 patients were studied for the diastolic blood pressure response to treadmill exercise testing. No change in the diastolic pressure or lowering of the pressure was considered normal response. Seventy-four patients had normal and 26 patients had abnormal diastolic blood pressure response. Forty patients underwent coronary angiography. Fifty-five per cent of the patients with normal diastolic pressure response had normal coronaries compared to 20% with abnormal response. Eleven per cent with normal response and 40% with an abnormal response had triple vessel disease whereas 10% with abnormal response had left main coronary artery disease. Exercise induced ST segment depression was almost equal in both groups. Hence it can be concluded that abnormal diastolic pressure response to treadmill exercise testing is a fairly good indicator of coronary artery disease irrespective of ST segment changes.
Authors:
S Chatterjee; S Kumar; D P Shetty; M Panja
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Indian Medical Association     Volume:  94     ISSN:  0019-5847     ISO Abbreviation:  J Indian Med Assoc     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-06-12     Completed Date:  1997-06-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505608     Medline TA:  J Indian Med Assoc     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  443-4, 451     Citation Subset:  IM    
Affiliation:
BM Birla Heart Research Centre, Calcutta.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angina Pectoris / diagnosis,  physiopathology
Blood Pressure / physiology*
Coronary Disease / diagnosis*,  physiopathology
Diastole / physiology*
Electrocardiography
Exercise Test*
Female
Humans
Male
Middle Aged
Sensitivity and Specificity

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


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