Detection of exercise-induced myocardial ischemia from symptomatology experienced during testing in men and women.

The Canadian Journal of Cardiology
Bianca D'AntonoDenis Burelle

Abstract

To examine the capacity of angina and related symptoms experienced during exercise-stress testing to detect the presence of ischemia, controlling for other clinical factors. The authors undertook a prospective study of 482 women and 425 men (mean age 58 years) undergoing exercise stress testing with myocardial perfusion imaging. One hundred forty-six women and 127 men reported chest pain, and of these, 25% of women and 66% of men had myocardial perfusion imaging evidence of ischemia during testing. The present article focuses on patients with chest pain during testing. Outcome measures included chest pain localization, extension, intensity and quality, as well as the presence of various nonpain-related symptoms. Backward logistical regression analyses were performed separately on men and women who had experienced chest pain during testing. Men who described their chest pain as 'heavy' were 4.6 times more likely to experience ischemia during testing (P=0.039) compared with other men, but this pain descriptor only slightly improved accuracy of prediction beyond that provided by control variables. In women, several symptoms added to the sensitivity of the prediction, such as a numb feeling in the face or neck region (OR 4.5; P=0.0...Continue Reading

References

Aug 1, 1987·Pain·Ronald Melzack
Apr 1, 1997·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·R P FleetB D Beitman

❮ Previous
Next ❯

Citations

Sep 17, 2011·European Heart Journal·Martha H MackayChristopher E Buller
Jan 1, 2007·The Libyan Journal of Medicine·Hassan A Mohamed
Apr 11, 2008·The Canadian Journal of Cardiology·Bianca D'AntonoDenis Burelle

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.