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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
1987-12-31
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pubmed:abstractText |
We reviewed a group of 80 patients who had bicycle exercise stress testing and cardiac catheterization: 60 patients with known coronary artery disease (CAD) had a remote myocardial infarction, anterior, inferior, Q and no Q wave (post MI), 20 patients evaluated for suspected CAD resulted to have normal coronary arteries or lesions less than 50%. Patients were divided into three groups according to the extent of CAD. Group I with anatomically or functionally high risk CAD: left main (LM) stenosis greater than or equal to 50%, 3 vessels CAD greater than or equal to 70%, proximal left anterior descending stenosis (PLAD) greater than or equal to 90% with another vessel CAD; group II with one or two vessels CAD greater than or equal to 70%; group III with no or insignificant CAD. Linear regression analysis of the heart rate (HR)--related change in ST segment depression (ST/HR slope) was compared with six conventional electrocardiographic exercise test criteria to evaluate whether ST/HR slope can identify with improved accuracy group I. When all 80 patients are assessed together, ST/HR slope greater than or equal to 60 mm/beat/min 10(3) compared with standard electrocardiographic criteria failed to discriminate significantly between high-risk CAD (group I) and less extensive (group II) or insignificant CAD (group III). When only Q wave inferior post MI are considered, ST/HR slope greater than or equal to 60 mm/beat/min. 10(3) compared with ST segment depression greater than or equal to 1 mm identifies group I with 90% +/- 4 versus 75% +/- 6 overall predictive accuracy (p less than 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0046-5968
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
17
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
594-600
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3678710-Coronary Disease,
pubmed-meshheading:3678710-Electrocardiography,
pubmed-meshheading:3678710-Exercise Test,
pubmed-meshheading:3678710-Female,
pubmed-meshheading:3678710-Heart Rate,
pubmed-meshheading:3678710-Humans,
pubmed-meshheading:3678710-Male,
pubmed-meshheading:3678710-Myocardial Infarction,
pubmed-meshheading:3678710-Prognosis,
pubmed-meshheading:3678710-Risk Factors
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pubmed:year |
1987
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pubmed:articleTitle |
[Correlation between the ST/heart rate slope and the severity of coronary disease in inferior infarcts. A new criterion of positivity of the ergometric test].
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pubmed:affiliation |
Divisione di Cardiologia, Ospedale Mauriziano, Umberto 1, Torino.
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pubmed:publicationType |
Journal Article,
English Abstract
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