Detection of coronary artery disease in the presence of left ventricular atrophy

dc.contributor.authorToumanidis, S. T.en
dc.contributor.authorPantelia, M. I.en
dc.contributor.authorTrika, C. O.en
dc.contributor.authorSaridakis, N. S.en
dc.contributor.authorStamatelopoulos, S. F.en
dc.contributor.authorSideris, D. A.en
dc.contributor.authorMoulopoulos, S. D.en
dc.date.accessioned2015-11-24T19:25:05Z
dc.date.available2015-11-24T19:25:05Z
dc.identifier.issn0167-5273-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22569
dc.rightsDefault Licence-
dc.subjectBlood Pressureen
dc.subjectCoronary Angiographyen
dc.subjectCoronary Disease/complications/*diagnosis/physiopathologyen
dc.subjectEchocardiography/*methodsen
dc.subjectElectrocardiography/methodsen
dc.subjectExercise Test/*methodsen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectHypertension/complications/physiopathologyen
dc.subjectHypertrophy, Left Ventricular/*complications/diagnosis/physiopathologyen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectSensitivity and Specificityen
dc.titleDetection of coronary artery disease in the presence of left ventricular atrophyen
heal.abstractTo 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.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/9024913-
heal.identifier.secondaryhttp://ac.els-cdn.com/S0167527396028306/1-s2.0-S0167527396028306-main.pdf?_tid=61eb7b85cfe92ebc2b4a5cef7bd89eac&acdnat=1337848093_bfe178a073540fb11b3c4cf5394d7db7-
heal.journalNameInt J Cardiolen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate1996-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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