Linked Life Data

3707015

Source:http://linkedlifedata.com/resource/pubmed/id/3707015

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1986-6-6
pubmed:abstractText
91 symptomatic patients were given an exercise test on a bicycle ergometer and a coronary arteriography test within a delay of 31 days. Of the patients (13 females and 78 males), 35 presented with a normal coronary arteriography and 56 presented with a pathological coronary arteriography (16 of whom had a history of myocardial infarction). We have studied the diagnostic value of several parameters taking into account changes in R waves upon exercise in V4 V5 V6 and changes in S waves in V1 V2. The most reliable parameter is also the easiest to calculate: it is considered positive when the R wave measured in V5 increases or does not change in the minute following cessation of exercise, as compared with the reference trace; it is considered negative when the R wave decreases. This criterion has a specificity of 60 per cent and a sensitivity of 71.4 per cent, and its diagnostic value is not improved by exclusion of patients with a history of infarction, or by exclusion of treated subjects or females. The horizontal or downsloping depression of the ST-segment has the same sensitivity but a better specificity (74%). Literature data are contradictory: some authors report that changes in the R wave upon exercise have a better predictive value than changes in the ST-segment, whereas an equal number of authors consider that the ST-segment is more informative. These differences of opinion result from methodological disparities and the large number of physiopathological elements affecting the amplitude of R waves.
pubmed:language
fre
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0003-3928
pubmed:author
pubmed:issnType
Print
pubmed:volume
35
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
135-40
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed:year
1986
pubmed:articleTitle
[Increase in the amplitude of R waves in exertion: a bad diagnostic criterion for coronary insufficiency].
pubmed:publicationType
Journal Article, English Abstract