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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
|
pubmed:dateCreated |
1989-10-5
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pubmed:abstractText |
Noninvasive stress and pharmacologic tests with procainamide and propafenone were studied as methods to identify patients with Wolff-Parkinson-White syndrome (WPW) who would otherwise be judged at risk of sudden death on the basis of electrophysiologic criteria: the shortest RR interval during induced atrial fibrillation less than or equal to 250 ms or accessory pathway anterograde effective refractory period less than or equal to 250 ms. Sixty-five patients were studied. Twenty-four patients fulfilled the electrophysiologic risk criteria (group A) and 41 patients fulfilled none of these criteria (group B). Persistence of preexcitation during stress test showed a sensitivity of 96% and a specificity of 17% to identify group A patients; its positive predictive value was 40% and negative predictive value 88%. With both procainamide and propafenone tests persistence of preexcitation identified group A patients with a sensitivity of 96% and a specificity of 51%; their positive and negative predictive value were, respectively, 53 and 95%. Stress and pharmacologic tests have good sensitivity and negative predictive value, but low specificity and positive predictive value.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
|
pubmed:volume |
64
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
|
pubmed:pagination |
487-90
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2773792-Adolescent,
pubmed-meshheading:2773792-Adult,
pubmed-meshheading:2773792-Child,
pubmed-meshheading:2773792-Death, Sudden,
pubmed-meshheading:2773792-Exercise Test,
pubmed-meshheading:2773792-Female,
pubmed-meshheading:2773792-Humans,
pubmed-meshheading:2773792-Male,
pubmed-meshheading:2773792-Middle Aged,
pubmed-meshheading:2773792-Procainamide,
pubmed-meshheading:2773792-Propafenone,
pubmed-meshheading:2773792-Risk Factors,
pubmed-meshheading:2773792-Wolff-Parkinson-White Syndrome
|
pubmed:year |
1989
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pubmed:articleTitle |
Stress and pharmacologic tests as methods to identify patients with Wolff-Parkinson-White syndrome at risk of sudden death.
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pubmed:affiliation |
Istituto di Medicina e Chirurgia Cardiovascolare, Università di Torino, Italy.
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pubmed:publicationType |
Journal Article,
Comparative Study
|