Detection of coronary artery disease in the presence of left ventricular atrophy
Φόρτωση...
Ημερομηνία
Συγγραφείς
Toumanidis, S. T.
Pantelia, M. I.
Trika, C. O.
Saridakis, N. S.
Stamatelopoulos, S. F.
Sideris, D. A.
Moulopoulos, S. D.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
Int J Cardiol
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
To evaluate the accuracy of exercise echocardiography for the recognition of coronary artery disease in the presence of left ventricular hypertrophy 70 patients were studied. Significant coronary artery disease was present in 25 patients and left ventricular hypertrophy had 29 patients. All patients underwent an exercise ECG and echocardiographic test during which cine-loop digitized echocardiography was obtained. Wall motion was analyzed and a regional wall motion score index was calculated. The overall sensitivities of exercise ECG and echocardiography for detecting coronary artery disease were 60% and 64%, respectively, and the specificities were 49% and 78%, respectively. In patients with left ventricular hypertrophy the specificity of exercise echocardiography was higher (71%) compared to exercise ECG (21%) while in patients without hypertrophy the sensitivity was higher (70% vs. 40%, respectively). Of the 19 patients with a non-diagnostic stress ECG, echocardiography correctly identified 100% of those with coronary artery disease but only 53% of those without disease. It is concluded that exercise digital echocardiography represents a good diagnostic alternative to the exercise ECG for identifying coronary artery disease in the presence of left ventricular hypertrophy and should be useful in patients with a non-diagnostic exercise ECG.
Περιγραφή
Λέξεις-κλειδιά
Blood Pressure, Coronary Angiography, Coronary Disease/complications/*diagnosis/physiopathology, Echocardiography/*methods, Electrocardiography/methods, Exercise Test/*methods, Female, Humans, Hypertension/complications/physiopathology, Hypertrophy, Left Ventricular/*complications/diagnosis/physiopathology, Male, Middle Aged, Sensitivity and Specificity
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/9024913
http://ac.els-cdn.com/S0167527396028306/1-s2.0-S0167527396028306-main.pdf?_tid=61eb7b85cfe92ebc2b4a5cef7bd89eac&acdnat=1337848093_bfe178a073540fb11b3c4cf5394d7db7
http://ac.els-cdn.com/S0167527396028306/1-s2.0-S0167527396028306-main.pdf?_tid=61eb7b85cfe92ebc2b4a5cef7bd89eac&acdnat=1337848093_bfe178a073540fb11b3c4cf5394d7db7
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής