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pubmed-article:11786941pubmed:abstractTextThis study evaluates the clinical usefulness of ST/HR slope derived from ST elevation on exercise to predict the improvement in regional wall motion following coronary revascularization in patients with healed myocardial infarction. We studied 58 patients with a diseased, infarct-related and single-vessel coronary artery. The decline calculated from the final 12 data points relating ST-segment elevation to heart rate during exercise were derived (ST/HR slope). Hypokinesis in the infarcted region was assessed by the centerline method and expressed in terms of standard deviations (SD/chord). The increase more than 30% of the SD/chord, which was defined as the improvement in regional wall motion, was seen in 23 of the 30 patients with a ST/HR slope of > or = 5.0 (microV/bpm), and in 4 of the 28 patients with a ST/HR slope <5.0 (microV/bpm) (P <.0001). Thus, a ST/HR slope derived from ST elevation on exercise identifies subgroups of patients who show a good recovery of regional wall motion.lld:pubmed
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pubmed-article:11786941pubmed:dateRevised2009-11-11lld:pubmed
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pubmed-article:11786941pubmed:articleTitleA new predictor of improvement in regional left ventricular function assessed by ST/HR slope derived from ST elevation on exercise testing in patients with healed myocardial infarction.lld:pubmed
pubmed-article:11786941pubmed:affiliationFirst Department of Internal Medicine, Kagoshima University, Sakuagaoka, Kagoshima, Japan.lld:pubmed
pubmed-article:11786941pubmed:publicationTypeJournal Articlelld:pubmed
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