The diagnostic accuracy of the exercise electrocardiogram: A meta-analysis of 22 years of research
Progress in Cardiovascular DiseasesPublished 1 November 1989
Robert Detrano, R Gianrossi, Victor F. Froelicher
Citations199
SJR quartileQ1
SJR score1.81
SNIP1.92
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Abstract
An evaluation of the cardiovascular system is essential during a comprehensive assessment of patients with sleep-disordered breathing. Obstructive sleep apnea is independently associated with hypertension, coronary artery disease, congestive heart failure, cardiac arrhythmias, and stroke. Central sleep apnea, specifically Cheyne-Stokes respiration, is common in patients with heart failure patients and is associated with increased mortality. Despite the strong association between sleep-disordered breathing and cardiovascular disease, the diagnostic evaluation should be individualized. History and physical examination help to determine the need for further cardiovascular testing. Diagnostic tests used for additional evaluation include the electrocardiogram, echocardiogram, cardiac stress test and coronary angiogram.
Keywords
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59 Citations1977James E. Whinnery, Victor F. Froelicher +4 more
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58 Citations1964Chuichi Kawai, Herbert N. Hultgren
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55 Citations1977Maj James E. Whinnery, Victor F. Froelicher +3 more
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The American Journal of CardiologySeptal Q wave in exercise testing: Angiographic correlation
51 Citations1981Hugo Morales-Ballejo, Paul S. Greenberg +2 more
It is suggested that low Q wave voltage and it failure to increase after exercise imply abnormal septal activation, reflecting loss of contraction associated with ischemia.
The American Journal of CardiologySignificance of exercise-induced junctional S-T depression in evaluation of coronary artery disease
51 Citations1977Akira Kurita, Bernard Chaitman +1 more
It is found that junctional depression of more than 2 mm is associated with the same incidence of coronary disease when the S-T segment is slowly ascending (upsloping pattern) as when it is horizontal.
CardiologyDifferent Prognostic Value of Exercise Electrocardiogram in Men and Women
51 Citations2008C Manca, Dei Cas +3 more
In 1,455 subjects who underwent a bicycle ergometer stress test for evaluation of atypical chest pain, the incidence of coronary events was assessed by the life table method and the poor predictive value of ischemic ST responses to exercise in women is emphasized.
CHEST JournalMyocardial Ischemic Effects of Isometric, Dynamic and Combined Exercise in Coronary Artery Disease
48 Citations1975Richard E. Kerber, Roger Miller +1 more
American Heart JournalThe electrocardiogram during and after emergence from diabetic coma
47 Citations1937Samuel Bellet, W Wallace Dyer
Observations suggested that rather marked and, on the whole, consistent alterations of the T-waves and lengthening of the Q-T interval were present during certain stages of diabetic coma, not as one might expect at the height of the coma, but rather after the acidosis had been partially or even completely controlled.
Annals of Internal MedicineA Double Master's Two-Step Test: Clinical, Angiographic and Hemodynamic Correlations
47 Citations1971Gerald M. FitzGibbon, G. W. BURGGRAF +2 more
One hundred and sixty men, of 41.6 years mean age, with known or suspected coronary artery disease, including, for the majority, a history of angina or myocardial infarction, or both, had at least one prior heart attack.
The American Journal of MedicineA clinical evaluation of coronary arteriography
45 Citations1967Herbert N. Hultgren, Anthony Calciano +2 more
Coronary arteriography is indicated in selected patients being evaluated for coronary endarterectomy or valvular surgery and in certain patients with chest pain of uncertain origin whose exercise tests are negative or equivocal.
American Heart JournalEarly exercise testing after stabilization of unstable angina: Correlation with coronary angiographic findings and subsequent cardiac events
45 Citations1986Samuel M. Butman, Harold G. Olson +1 more
Submaximal exercise testing after stabilization of patients with unstable angina is safe and useful in evaluating patients for the presence of multivessel coronary artery disease and when the 42 patients taking beta blockers were examined, these values were essentially unchanged.
CirculationImpaired Maximal Exercise Performance with Hypertensive Cardiovascular Disease
42 Citations1969HEE ONG WONG, Irwin S. Kasser +3 more
Differences in duration of exercise and circulatory responses, particularly the product of maximal heart rate and maximal systolic pressure/100, indicate variations in pathophysiological mechanisms.
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