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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1995-5-1
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pubmed:abstractText |
The prognostic significance of silent myocardial ischemia detected during graded exercise testing (GXT) is uncertain. The angiographic characteristics and long-term follow-up of 83 patients with silent ischemia (group 1), mean age 58 +/- 9 years, were compared with 83 age- and sex-matched patients with typical angina pectoris (group 2). Basic characteristics and mean follow-up (42 +/- 22 months) were similar in both groups. Patients with silent ischemia were characterized by longer duration of exercise test (6.5 vs. 4.8 min, p < 0.01), larger extent of maximum ST depression during peak exercise (2.4 vs. 2.0 mm, p < 0.01) and higher maximal double product at peak exercise (24,650 vs. 20,825, p < 0.01) compared to group 2. Long-term follow-up revealed similar rates of mortality (3.6 vs. 4.8%, p = NS) and major cardiac events (19.3 vs. 21.7%, p = NS). However, patients with typical angina tended to have more revascularization procedures (81 vs. 61%, p < 0.1). Thus, patients with silent ischemia have a better GXT capacity compared to patients with typical angina pectoris. Despite a similar severity of coronary involvement, patients with typical angina pectoris tend to have more revascularization procedures, yet the long-term prognosis appears similar.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0008-6312
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
85
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
407-14
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7697676-Angina Pectoris,
pubmed-meshheading:7697676-Coronary Angiography,
pubmed-meshheading:7697676-Electrocardiography,
pubmed-meshheading:7697676-Exercise Test,
pubmed-meshheading:7697676-Female,
pubmed-meshheading:7697676-Follow-Up Studies,
pubmed-meshheading:7697676-Humans,
pubmed-meshheading:7697676-Male,
pubmed-meshheading:7697676-Middle Aged,
pubmed-meshheading:7697676-Myocardial Ischemia,
pubmed-meshheading:7697676-Prognosis
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pubmed:year |
1994
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pubmed:articleTitle |
Silent myocardial ischemia during exercise testing: does it indicate a different angiographic and prognostic syndrome?
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pubmed:affiliation |
Department of Cardiology, Hadassah University Hospital, Jerusalem, Israel.
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pubmed:publicationType |
Journal Article
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