Electrocardiographic evidence of ischemia during ventricular paced rhythms
Exercise‐induced electrocardiographic (ECG) changes are the most widely recognized noninvasive means for detecting myocardial ischemia. The specificity of these changes depends on the normalcy of the resting ECG. Right ventricular pacing produces major QRS and ST‐T changes very similar to those of c...
Gespeichert in:
| Veröffentlicht in: | Clinical cardiology (Mahwah, N.J.) N.J.), 1996-06, Vol.19 (6), p.520-522 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 522 |
|---|---|
| container_issue | 6 |
| container_start_page | 520 |
| container_title | Clinical cardiology (Mahwah, N.J.) |
| container_volume | 19 |
| creator | Diaz, Claro F. Ganim, Mazen S. Ellestad, Myrvin H. |
| description | Exercise‐induced electrocardiographic (ECG) changes are the most widely recognized noninvasive means for detecting myocardial ischemia. The specificity of these changes depends on the normalcy of the resting ECG. Right ventricular pacing produces major QRS and ST‐T changes very similar to those of complete left bundle‐branch block. They alter the resting ECG such that ischemic changes are considerably difficult to detect. Because of these resting abnormalities, ECG changes during treadmill exercise testing usually do not facilitate the diagnosis of ischemia or coronary artery disease. The following are two cases of ischemic ECG changes that occurred during right ventricular pacing. To our knowledge, there have been no reports of the classic ECG changes of ST‐segment depression suggestive of ischemia which occurred during right ventricular pacing and which were discemible from the resting ECG changes. |
| doi_str_mv | 10.1002/clc.4960190616 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78300823</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>78300823</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4406-1fd903077198b1084830ab8fad4f64b64db6e678b40af760c98338e930088f523</originalsourceid><addsrcrecordid>eNqFkDtPwzAUhS0EKqWwsiFlQGwp13Hqx4iq8lIlFpgtx7Ebo7ywE1D_PakaFbYOV3c43z336CB0jWGOAZJ7Xep5KihgARTTEzTFgiQxZ4SdoilgCrFIuDhHFyF8DjzwhEzQhDMBguIpel2VRne-0crnrtl41RZOR-bb5abWJmps5IIuTOVUlPfe1Zvo29Sdd7ovlY9apU0e-WLbFVW4RGdWlcFcjXuGPh5X78vneP329LJ8WMc6TYHG2OYCCDCGBc8w8JQTUBm3Kk8tTTOa5hk1lPEsBWUZBS04IdwIAsC5XSRkhu72vq1vvnoTOlkNGU1Zqto0fZCM79CEHAUTnGDC6WIA53tQ-yYEb6xsvauU30oMcteyHFqWfy0PBzejc59VJj_gY62DfjvqKmhVWq9q7cIBI5iTxTAzJPbYjyvN9shTuVwv_0X4BQVelKc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>21213865</pqid></control><display><type>article</type><title>Electrocardiographic evidence of ischemia during ventricular paced rhythms</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Diaz, Claro F. ; Ganim, Mazen S. ; Ellestad, Myrvin H.</creator><creatorcontrib>Diaz, Claro F. ; Ganim, Mazen S. ; Ellestad, Myrvin H.</creatorcontrib><description>Exercise‐induced electrocardiographic (ECG) changes are the most widely recognized noninvasive means for detecting myocardial ischemia. The specificity of these changes depends on the normalcy of the resting ECG. Right ventricular pacing produces major QRS and ST‐T changes very similar to those of complete left bundle‐branch block. They alter the resting ECG such that ischemic changes are considerably difficult to detect. Because of these resting abnormalities, ECG changes during treadmill exercise testing usually do not facilitate the diagnosis of ischemia or coronary artery disease. The following are two cases of ischemic ECG changes that occurred during right ventricular pacing. To our knowledge, there have been no reports of the classic ECG changes of ST‐segment depression suggestive of ischemia which occurred during right ventricular pacing and which were discemible from the resting ECG changes.</description><identifier>ISSN: 0160-9289</identifier><identifier>EISSN: 1932-8737</identifier><identifier>DOI: 10.1002/clc.4960190616</identifier><identifier>PMID: 8790961</identifier><identifier>CODEN: CLCADC</identifier><language>eng</language><publisher>New York: Wiley Periodicals, Inc</publisher><subject>Aged ; Biological and medical sciences ; Cardiac Pacing, Artificial ; Cardiology. Vascular system ; Coronary Angiography ; Coronary heart disease ; electrocardiogram ; Electrocardiography ; Exercise ; Heart ; Humans ; ischemia ; Male ; Medical sciences ; Middle Aged ; Myocardial Ischemia - diagnosis ; Myocardial Ischemia - physiopathology ; pacemaker ; Ventricular Function, Right - physiology</subject><ispartof>Clinical cardiology (Mahwah, N.J.), 1996-06, Vol.19 (6), p.520-522</ispartof><rights>Copyright © 1996 Wiley Periodicals, Inc.</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4406-1fd903077198b1084830ab8fad4f64b64db6e678b40af760c98338e930088f523</citedby><cites>FETCH-LOGICAL-c4406-1fd903077198b1084830ab8fad4f64b64db6e678b40af760c98338e930088f523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fclc.4960190616$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fclc.4960190616$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3183518$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8790961$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Diaz, Claro F.</creatorcontrib><creatorcontrib>Ganim, Mazen S.</creatorcontrib><creatorcontrib>Ellestad, Myrvin H.</creatorcontrib><title>Electrocardiographic evidence of ischemia during ventricular paced rhythms</title><title>Clinical cardiology (Mahwah, N.J.)</title><addtitle>Clin Cardiol</addtitle><description>Exercise‐induced electrocardiographic (ECG) changes are the most widely recognized noninvasive means for detecting myocardial ischemia. The specificity of these changes depends on the normalcy of the resting ECG. Right ventricular pacing produces major QRS and ST‐T changes very similar to those of complete left bundle‐branch block. They alter the resting ECG such that ischemic changes are considerably difficult to detect. Because of these resting abnormalities, ECG changes during treadmill exercise testing usually do not facilitate the diagnosis of ischemia or coronary artery disease. The following are two cases of ischemic ECG changes that occurred during right ventricular pacing. To our knowledge, there have been no reports of the classic ECG changes of ST‐segment depression suggestive of ischemia which occurred during right ventricular pacing and which were discemible from the resting ECG changes.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiac Pacing, Artificial</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Angiography</subject><subject>Coronary heart disease</subject><subject>electrocardiogram</subject><subject>Electrocardiography</subject><subject>Exercise</subject><subject>Heart</subject><subject>Humans</subject><subject>ischemia</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Ischemia - diagnosis</subject><subject>Myocardial Ischemia - physiopathology</subject><subject>pacemaker</subject><subject>Ventricular Function, Right - physiology</subject><issn>0160-9289</issn><issn>1932-8737</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDtPwzAUhS0EKqWwsiFlQGwp13Hqx4iq8lIlFpgtx7Ebo7ywE1D_PakaFbYOV3c43z336CB0jWGOAZJ7Xep5KihgARTTEzTFgiQxZ4SdoilgCrFIuDhHFyF8DjzwhEzQhDMBguIpel2VRne-0crnrtl41RZOR-bb5abWJmps5IIuTOVUlPfe1Zvo29Sdd7ovlY9apU0e-WLbFVW4RGdWlcFcjXuGPh5X78vneP329LJ8WMc6TYHG2OYCCDCGBc8w8JQTUBm3Kk8tTTOa5hk1lPEsBWUZBS04IdwIAsC5XSRkhu72vq1vvnoTOlkNGU1Zqto0fZCM79CEHAUTnGDC6WIA53tQ-yYEb6xsvauU30oMcteyHFqWfy0PBzejc59VJj_gY62DfjvqKmhVWq9q7cIBI5iTxTAzJPbYjyvN9shTuVwv_0X4BQVelKc</recordid><startdate>199606</startdate><enddate>199606</enddate><creator>Diaz, Claro F.</creator><creator>Ganim, Mazen S.</creator><creator>Ellestad, Myrvin H.</creator><general>Wiley Periodicals, Inc</general><general>Wiley</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>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>199606</creationdate><title>Electrocardiographic evidence of ischemia during ventricular paced rhythms</title><author>Diaz, Claro F. ; Ganim, Mazen S. ; Ellestad, Myrvin H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4406-1fd903077198b1084830ab8fad4f64b64db6e678b40af760c98338e930088f523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiac Pacing, Artificial</topic><topic>Cardiology. Vascular system</topic><topic>Coronary Angiography</topic><topic>Coronary heart disease</topic><topic>electrocardiogram</topic><topic>Electrocardiography</topic><topic>Exercise</topic><topic>Heart</topic><topic>Humans</topic><topic>ischemia</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Ischemia - diagnosis</topic><topic>Myocardial Ischemia - physiopathology</topic><topic>pacemaker</topic><topic>Ventricular Function, Right - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Diaz, Claro F.</creatorcontrib><creatorcontrib>Ganim, Mazen S.</creatorcontrib><creatorcontrib>Ellestad, Myrvin H.</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>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Diaz, Claro F.</au><au>Ganim, Mazen S.</au><au>Ellestad, Myrvin H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electrocardiographic evidence of ischemia during ventricular paced rhythms</atitle><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle><addtitle>Clin Cardiol</addtitle><date>1996-06</date><risdate>1996</risdate><volume>19</volume><issue>6</issue><spage>520</spage><epage>522</epage><pages>520-522</pages><issn>0160-9289</issn><eissn>1932-8737</eissn><coden>CLCADC</coden><abstract>Exercise‐induced electrocardiographic (ECG) changes are the most widely recognized noninvasive means for detecting myocardial ischemia. The specificity of these changes depends on the normalcy of the resting ECG. Right ventricular pacing produces major QRS and ST‐T changes very similar to those of complete left bundle‐branch block. They alter the resting ECG such that ischemic changes are considerably difficult to detect. Because of these resting abnormalities, ECG changes during treadmill exercise testing usually do not facilitate the diagnosis of ischemia or coronary artery disease. The following are two cases of ischemic ECG changes that occurred during right ventricular pacing. To our knowledge, there have been no reports of the classic ECG changes of ST‐segment depression suggestive of ischemia which occurred during right ventricular pacing and which were discemible from the resting ECG changes.</abstract><cop>New York</cop><pub>Wiley Periodicals, Inc</pub><pmid>8790961</pmid><doi>10.1002/clc.4960190616</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0160-9289 |
| ispartof | Clinical cardiology (Mahwah, N.J.), 1996-06, Vol.19 (6), p.520-522 |
| issn | 0160-9289 1932-8737 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78300823 |
| source | MEDLINE; Access via Wiley Online Library; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aged Biological and medical sciences Cardiac Pacing, Artificial Cardiology. Vascular system Coronary Angiography Coronary heart disease electrocardiogram Electrocardiography Exercise Heart Humans ischemia Male Medical sciences Middle Aged Myocardial Ischemia - diagnosis Myocardial Ischemia - physiopathology pacemaker Ventricular Function, Right - physiology |
| title | Electrocardiographic evidence of ischemia during ventricular paced rhythms |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-16T10%3A11%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Electrocardiographic%20evidence%20of%20ischemia%20during%20ventricular%20paced%20rhythms&rft.jtitle=Clinical%20cardiology%20(Mahwah,%20N.J.)&rft.au=Diaz,%20Claro%20F.&rft.date=1996-06&rft.volume=19&rft.issue=6&rft.spage=520&rft.epage=522&rft.pages=520-522&rft.issn=0160-9289&rft.eissn=1932-8737&rft.coden=CLCADC&rft_id=info:doi/10.1002/clc.4960190616&rft_dat=%3Cproquest_cross%3E78300823%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=21213865&rft_id=info:pmid/8790961&rfr_iscdi=true |