0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Limited Exercise Testing Soon After Myocardial Infarction: Correlation with Early Coronary and Left Ventricular Angiography

KERRY M. SCHWARTZ, M.D.; JON D. TURNER, M.D.; L. THOMAS SHEFFIELD, M.D.; DAVID I. ROITMAN, M.D.; SANTOSH KANSAL, M.D.; SILVIO E. PAPAPIETRO, M.D.; JOHN A. MANTLE, M.D.; CHARLES E. RACKLEY, M.D.; RICHARD O. RUSSELL Jr., M.D.; and WILLIAM J. ROGERS, M.D.
[+] Article and Author Information

Presented in part at the 28th Annual Scientific Session of the American College of Cardiology, 11-15 March 1979, Miami Beach, Florida.

▸Requests for reprints should be addressed to William J. Rogers, M.D.; Division of Cardiology, Department of Medicine, University of Alabama in Birmingham; Birmingham, AL 35294.


Birmingham, Alabama


© 1981 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1981;94(6):727-734. doi:10.7326/0003-4819-94-6-727
Text Size: A A A

Forty-eight patients within 3 weeks of myocardial infarction underwent both limited treadmill graded exercise testing and coronary and left ventricular angiography. Nineteen (90%) of 21 patients with positive exercise tests (≥ 1 mm ST depression, angina, or both) had multivessel coronary artery disease. In the 27 patients with negative exercise test results, 15 (55%) had multivessel disease, 11 (41%) had single-vessel disease, and one (4%) had no coronary stenosis. Exercise-induced ST segment elevation occurred in 24 patients and predicted a significantly lower ejection fraction and higher angiographic abnormally contracting segment size. Patients experiencing angina during or after exercise had a significantly shorter 2-year survival (54% ± 21%) than patients without exercise-induced angina (97% ± 3%) (p < 0.03). Thus limited exercise testing postinfarction is useful in evaluating the presence of multivessel coronary artery disease and left ventricular dysfunction and predicting long-term survival.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)