| Value of exercise stress test, radionuclide angiography and coronary angiography in predicting new coronary events in asymptomatic patients after a first episode of myocardial infarction. | |
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MedLine Citation:
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PMID: 1563857 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One-hundred-and-fifty-five consecutive symptom-free patients underwent maximal treadmill exercise testing, rest and stress radionuclide angiography at least two months after an uncomplicated acute myocardial infarction; of these, 90 underwent coronary angiography. All patients were followed-up for a mean of 32 +/- 13 months regarding the prediction of hard (death and reinfarction) and soft (angina and coronary surgery) coronary events. The specificity, sensitivity, positive and negative predictive value of exercise stress test were 47%, 76% and 41% for any coronary events; none of the patients who incurred a hard coronary event showed ischemia during electrocardiographic exercise tests. Sensitivity, specificity and positive predictive value for failure to increase the ejection fraction of at least 5% were 60%, 45% and 30% for any coronary event and 25%, 49% and 2% for any hard coronary event. The presence of multivessel disease at coronary angiography showed a sensitivity of 62% for any coronary event and of 67% for hard coronary events; specificities were 66% and 57%, and predictive values were 52% and 10%, respectively. It is concluded that electrocardiographic exercise testing, radionuclide angiography and coronary angiography are not helpful two months after an episode of uncomplicated myocardial infarction in order to identify patients who will suffer a new coronary event. |
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Authors:
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A Fubini; E Cecchi; M Bobbio; M T Spinnler; S Bergerone; M Di Leo; P Morello; F Pecchio; G Castellano; G Macchia |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: International journal of cardiology Volume: 34 ISSN: 0167-5273 ISO Abbreviation: Int. J. Cardiol. Publication Date: 1992 Mar |
Date Detail:
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Created Date: 1992-05-20 Completed Date: 1992-05-20 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 319-25 Citation Subset: IM |
Affiliation:
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Istituto de Medicina e Chirurgia Cardiovascolare, Università di Torino, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Coronary Angiography Coronary Disease / diagnosis*, radiography, radionuclide imaging Electrocardiography Exercise Test Female Follow-Up Studies Humans Male Middle Aged Myocardial Infarction / complications* Predictive Value of Tests Prognosis Radionuclide Angiography Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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