Diagnosis of Obstructive Coronary Disease by Maximal Exercise and Atrial Pacing

作者: MICHAEL H. KELEMEN , RONALD E. GILLILAN , RICHARD J. BOUCHARD , RICHARD L. HEPPNER , J. RICHARD WARBASSE

DOI: 10.1161/01.CIR.48.6.1227

关键词:

摘要: The reliability of graded maximal exercise treadmill testing and right atrial pacing in diagnosing significant obstructive coronary artery disease was evaluated 74 consecutive patients referred to a cardiac unit with chest pain consistent angina pectoris. results pacing, regard the presence or absence patient's characteristic discomfort ischemic ST segment depression, were compared findings determined by selective arteriography. Ischemic depression defined as downward displacement one full mm more horizontal sagging segment. Forty-nine studied found have arteriographic obstruction, i.e., greater than 75% obstruction major artery. occurrence during is an excellent indicator presenc...

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