PMID: 148209May 1, 1978Paper

Exercise testing for detection of myocardial ischemia in patients with abnormal electrocardiograms at rest

The American Journal of Cardiology
B SURAWICZ, S Saito

Abstract

This review consists of two parts: (1) discussion of the electrophysiologic mechanisms that are believed to produce ventricular repolarization changes during the electrocardiographic stress test, and (2) clinical assessment of the electrocardiographic changes with stress in patients with an abnormal electrocardiogram at rest. In the first part, the mechanisms of S-T segment elevation, S-T segment depression, T wave changes and linked S-T and T wave changes are reviewed. In the second part, all electrocardiographic abnormalities at rest are grouped into four categories: (1) changes that mask the manifestations of ischemia, (2) changes that stimulate or exaggerate the manifestations of ischemia, (3) changes that have no important effect on the manifestations of ischemia, and (4) changes that reproduce the patterns of acute myocardial infarction after an apparent healing. The reported studies of electrocardiographic stress testing in patients who have abnormal electrocardiogram at rest are summarized.

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Citations

Mar 9, 1999·Clinical Cardiology·M MehtaA Mehta
Jun 1, 1995·The American Journal of the Medical Sciences·M C Mehta, A C Jain
Jul 10, 2007·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Hala Mahfouz BadranMohamed Seteha
Jun 1, 1981·The American Journal of Cardiology·B R Chaitman, J S Hanson
Dec 1, 1979·The American Journal of Cardiology·K FoxJ Shillingford
Mar 1, 1984·The American Journal of Cardiology·H O HirzelH P Krayenbuehl
May 1, 1982·The American Journal of Cardiology·T D FriedmanB L Segal
Jan 1, 1981·International Journal of Cardiology·D M McCarthy
Apr 1, 1980·The American Journal of Cardiology·S SriwattanakomenE F Lanna
Jan 1, 1980·Scandinavian Journal of Clinical and Laboratory Investigation·R JonassonE Orinius
May 26, 2009·American Journal of Physiology. Heart and Circulatory Physiology·Mark PotseRuben Coronel

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