Document Detail


Simultaneous transesophageal two-dimensional echocardiography and atrial pacing for detecting coronary artery disease.
MedLine Citation:
PMID:  1590229     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study describes a new technique for assessing wall motion abnormalities, combining transesophageal echocardiography (TEE) and transesophageal atrial pacing in 71 patients. Stable capture was reached in 70 patients (99%). In 3 patients (4%) pacing was discontinued prematurely because of discomfort. TEE during pacing was performed in 52 patients with and in 18 patients without coronary artery disease (CAD). In 43 of 52 patients with CAD, regional wall motion abnormalities occurred (sensitivity 83%). No wall motion abnormalities occurred in 17 of 18 patients without CAD (specificity 94%, positive predictive value 98%). Wall motion abnormalities related to another vascular region were observed in 17 of 22 patients with previous myocardial infarction (sensitivity 77%, specificity 100%, positive predictive value 100%). Simultaneous 12-lead electrocardiography during atrial pacing was performed in 57 patients and yielded positive results in 21 of 40 patients with (sensitivity 52%) and in 3 of 17 patients without (specificity 82%, positive predictive value 88%) CAD. Exercise stress testing was performed in 66 patients. Twenty-four of 48 patients with CAD had a positive exercise electrocardiogram (sensitivity 50%); a false-positive exercise electrocardiogram was observed in 3 of 18 patients (specificity 83%, positive predictive value 89%). It is concluded that TEE during transesophageal atrial pacing is a feasible and promising alternative technique for the assessment of CAD, with a higher sensitivity than simultaneous 12-lead and exercise electrocardiography.
Authors:
O Kamp; C C De Cock; A J Küpper; J P Roos; C A Visser
Related Documents :
1149209 - Appraisal of sinus node artery disease.
11279319 - Reduced heart rate variability in ischemic heart disease is only partially caused by is...
3155759 - Intracoronary thrombus: role in coronary occlusion complicating percutaneous translumin...
7505919 - Coronary artery bypass in patients with previously placed implantable defibrillators.
17395309 - High-sensitivity c-reactive protein may be an indicator of the development of atheroscl...
17785219 - Angiographic extent of coronary artery stenosis in patients with high and intermediate ...
12697269 - Timps and mmps expression in csf from patients with tsp/ham.
17390739 - Anemia in patients with wegener's granulomatosis.
23503369 - Modeling the influence of the a118g polymorphism in the oprm1 gene and of noxious stimu...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  69     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-06-24     Completed Date:  1992-06-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1412-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiology, Free University Hospital, Amsterdam, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cardiac Pacing, Artificial*
Coronary Disease / diagnosis*,  ultrasonography
Echocardiography* / methods
Electrocardiography
Exercise Test
Female
Humans
Male
Middle Aged
Predictive Value of Tests
Sensitivity and Specificity

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


Previous Document:  Usefulness of pirenzepine, an M1 antimuscarinic agent, for effort myocardial ischemia.
Next Document:  Outcome after prolonged balloon inflations of greater than 20 minutes for initially unsuccessful per...