Abnormal exercise electrocardiogram in an asymptomatic person — what next?
No reasonable guidelines exist for evaluating an asymptomatic individual (without evidence for ischemic heart disease on history or electrocardiography) with a positive exercise ECG. Available data indicate that persons with a strongly positive test should undergo a coronary angiography. In persons...
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| Veröffentlicht in: | International Journal of Cardiology 1994, Vol.43 (1), p.1-9 |
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| container_title | International Journal of Cardiology |
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| creator | Juneja, Rajnish Wasir, Harbans S. |
| description | No reasonable guidelines exist for evaluating an asymptomatic individual (without evidence for ischemic heart disease on history or electrocardiography) with a positive exercise ECG. Available data indicate that persons with a strongly positive test should undergo a coronary angiography. In persons with mild to moderately positive results, cinefluoroscopy is indicated and those who show coronary calcification should have a coronary angiogram. Although stress thallium-201 is often done before coronary angiography, its role is limited. Scant data exist in women and suggest that the overall approach may not be markedly different. However, ST changes in women have a low specificity. Recent studies indicate a 95% specificity and sensitivity for positron emission tomography. Despite its high costs it may still be the most cost-effective modality by saving unwanted radionuclide studies and arteriographies. |
| doi_str_mv | 10.1016/0167-5273(94)90084-1 |
| format | Article |
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Available data indicate that persons with a strongly positive test should undergo a coronary angiography. In persons with mild to moderately positive results, cinefluoroscopy is indicated and those who show coronary calcification should have a coronary angiogram. Although stress thallium-201 is often done before coronary angiography, its role is limited. Scant data exist in women and suggest that the overall approach may not be markedly different. However, ST changes in women have a low specificity. Recent studies indicate a 95% specificity and sensitivity for positron emission tomography. 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Available data indicate that persons with a strongly positive test should undergo a coronary angiography. In persons with mild to moderately positive results, cinefluoroscopy is indicated and those who show coronary calcification should have a coronary angiogram. Although stress thallium-201 is often done before coronary angiography, its role is limited. Scant data exist in women and suggest that the overall approach may not be markedly different. However, ST changes in women have a low specificity. Recent studies indicate a 95% specificity and sensitivity for positron emission tomography. Despite its high costs it may still be the most cost-effective modality by saving unwanted radionuclide studies and arteriographies.</description><subject>Abnormal</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Asymptomatic</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cineangiography</subject><subject>Cineradiography</subject><subject>Coronary Disease - diagnosis</subject><subject>Coronary heart disease</subject><subject>Electrocardiography</subject><subject>Exercise electrocardiogram</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Risk Factors</subject><subject>Thallium-201</subject><issn>0167-5273</issn><issn>1874-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtO6zAQhi0E4pTLG3CkLBCCRcBO3DjZgCrETarEBtbWZDzh-CiJi51y2fEQPCFPgkurLpE8sqX55vfoY-xA8FPBRXEWS6XjTOXHlTypOC9lKjbYSJQqPtRYbrLRGvnDdkL4zzmXVVVus-0yApngIzad1L3zHbQJvZFHGyihlnDwDsEb6548dIntE4gnvHezwXUwWExm5IPrk6-Pz-T1HwxJT2_DxR7baqANtL-6d9nj9dXD5W06vb-5u5xMU8zLYkgFSpXnWYV1lhk-NiSF4orMGIAkFlkDgKUyRV2XSNDkSjXAgZu6kUCIZb7Ljpa5M--e5xQG3dmA1LbQk5sHrQpZiEqoCMoliN6F4KnRM2878O9acL2QqBeG9MKQrqT-kahFHPu7yp_XHZn10Mpa7B-u-hAQ2sZDH82tsTx-nclFzPkSo-jixZLXAS31SMb6qFgbZ3_f4xvFjY_o</recordid><startdate>1994</startdate><enddate>1994</enddate><creator>Juneja, Rajnish</creator><creator>Wasir, Harbans S.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1994</creationdate><title>Abnormal exercise electrocardiogram in an asymptomatic person — what next?</title><author>Juneja, Rajnish ; Wasir, Harbans S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-1c473329cb22d05de41707ed5aae4c62faac87d6bb8ceaf377fa0a0dbf4aecc83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Abnormal</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Asymptomatic</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cineangiography</topic><topic>Cineradiography</topic><topic>Coronary Disease - diagnosis</topic><topic>Coronary heart disease</topic><topic>Electrocardiography</topic><topic>Exercise electrocardiogram</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Risk Factors</topic><topic>Thallium-201</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Juneja, Rajnish</creatorcontrib><creatorcontrib>Wasir, Harbans S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International Journal of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Juneja, Rajnish</au><au>Wasir, Harbans S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abnormal exercise electrocardiogram in an asymptomatic person — what next?</atitle><jtitle>International Journal of Cardiology</jtitle><addtitle>Int J Cardiol</addtitle><date>1994</date><risdate>1994</risdate><volume>43</volume><issue>1</issue><spage>1</spage><epage>9</epage><pages>1-9</pages><issn>0167-5273</issn><eissn>1874-1754</eissn><coden>IJCDD5</coden><abstract>No reasonable guidelines exist for evaluating an asymptomatic individual (without evidence for ischemic heart disease on history or electrocardiography) with a positive exercise ECG. Available data indicate that persons with a strongly positive test should undergo a coronary angiography. In persons with mild to moderately positive results, cinefluoroscopy is indicated and those who show coronary calcification should have a coronary angiogram. Although stress thallium-201 is often done before coronary angiography, its role is limited. Scant data exist in women and suggest that the overall approach may not be markedly different. However, ST changes in women have a low specificity. Recent studies indicate a 95% specificity and sensitivity for positron emission tomography. Despite its high costs it may still be the most cost-effective modality by saving unwanted radionuclide studies and arteriographies.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>8175210</pmid><doi>10.1016/0167-5273(94)90084-1</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0167-5273 |
| ispartof | International Journal of Cardiology, 1994, Vol.43 (1), p.1-9 |
| issn | 0167-5273 1874-1754 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Abnormal Adolescent Adult Aged Aged, 80 and over Asymptomatic Biological and medical sciences Cardiology. Vascular system Cineangiography Cineradiography Coronary Disease - diagnosis Coronary heart disease Electrocardiography Exercise electrocardiogram Exercise Test Female Heart Humans Male Medical sciences Middle Aged Risk Factors Thallium-201 |
| title | Abnormal exercise electrocardiogram in an asymptomatic person — what next? |
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