Document Detail


The impact of novel exercise criteria and indices for the diagnostic and prognostic ability of exercise testing.
MedLine Citation:
PMID:  20303605     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Exercise testing (ET) stands as one of the most easy, affordable, cost effective, non invasive methods for diagnosing coronary heart disease. Its sensitivity, specificity and prognostic value, especially in the prime era of its implementation in the cardiac diagnostic procedure, is relatively limited. Novel exercise criteria and indices based either on ST segment changes or ST segment independent parameters, such as "Athens QRS score", have greatly improved the diagnostic ability and accuracy of ET. Complex ECG-derived indices linked to ST changes along with the use of right-sided precordial leads have also enhanced the diagnostic accuracy of ET with respect to the extent of ischemic heart disease and the detection of specific culprit vessels. ET contains also a prognostic value, since several ET-derived parameters have been associated with adverse outcome, including ST changes, blood pressure and heart rate response to exercise and duration of exercise.
Authors:
Andreas P Michaelides; Dimitris Tousoulis; Leonidas G Raftopoulos; Charalambos Antoniades; Dimitris Tsiachris; Christodoulos I Stefanadis
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-03-19
Journal Detail:
Title:  International journal of cardiology     Volume:  143     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-23     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  119-23     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Cardiology, University of Athens Hippokration Hospital, Athens, Greece. michaelides@freemail.gr
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MeSH Terms
Descriptor/Qualifier:
Coronary Artery Disease / diagnosis*
Exercise Test / methods*,  standards*
Humans
Prognosis
Reproducibility of Results
Sensitivity and Specificity

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


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