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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1981-7-20
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pubmed:abstractText |
Limited (heart rate to less than or equal to 120 beats/min) standardized treadmill stress testing was done before hospital discharge in 40 survivors of uncomplicated acute myocardial infarction. Each patient had subsequent coronary arteriography. Twenty-one had inferior, 10, anterior, and nine, nontransmural infarctions; in 30 patients this was their first infarction. A positive electrocardiographic response or angina, or both, occurred in 15 patients and correctly detected most patients with multivessel disease (sensitivity 67%, predictive value 87%) and patients at risk for coronary events: 35% of positive responders admitted for angina in the first month after discharge versus 4% of patients with a negative test (p less than 0.05). During a 7-month follow-up period, 73% of patients with a positive test result developed angina versus 16% of those with negative test results (p less than 0.001). Thus, predischarge post-myocardial infarction limited stress testing correctly identifies the high-risk subset of patients with multivessel coronary disease and thereby allows intelligent selection of patients for early coronary arteriography.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0003-4819
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
94
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
734-9
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:7235413-Adult,
pubmed-meshheading:7235413-Angina Pectoris,
pubmed-meshheading:7235413-Angiocardiography,
pubmed-meshheading:7235413-Coronary Disease,
pubmed-meshheading:7235413-Exercise Test,
pubmed-meshheading:7235413-Humans,
pubmed-meshheading:7235413-Middle Aged,
pubmed-meshheading:7235413-Myocardial Infarction,
pubmed-meshheading:7235413-Prognosis,
pubmed-meshheading:7235413-Risk,
pubmed-meshheading:7235413-Stroke Volume
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pubmed:year |
1981
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pubmed:articleTitle |
Early post-myocardial infarction treadmill stress testing. An accurate predictor of multivessel coronary disease and subsequent cardiac events.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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