Different Clinical and Prognostic Significance of Painful and Silent Myocardial Ischemia Detected by Exercise Electrocardiography and Dobutamine Stress Echocardiography After Uncomplicated Myocardial Infarction

Prevalence and prognostic significance of painful and silent ischemia detected by exercise electrocardiography (ECG) and dobutamine stress echocardiography (DSE) were evaluated in 407 consecutive patients recovering from acute myocardial infarction. Painful ischemia assessed by both tests was not as...

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Veröffentlicht in:	The American journal of cardiology 1998, Vol.81 (1), p.75-78
Hauptverfasser:	Bigi, Riccardo, Galati, Alfonso, Curti, Gianpiero, Coletta, Claudio, Ricci, Roberto, Fedeli, Federico, Occhi, Giuseppe, Ceci, Vincenzo, Fiorentini, Cesare
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Angina Pectoris - etiology Biological and medical sciences Cardiology. Vascular system Cardiotonic Agents Coronary heart disease Disease-Free Survival Dobutamine Drugs Echocardiography - standards Electrocardiography Exercise Test - standards Female Follow-Up Studies Heart Heart attacks Humans Male Medical diagnosis Medical sciences Middle Aged Myocardial Infarction - complications Myocardial Infarction - diagnosis Prognosis Reproducibility of Results Risk Factors Ultrasonic imaging
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Beschreibung
Zusammenfassung:	Prevalence and prognostic significance of painful and silent ischemia detected by exercise electrocardiography (ECG) and dobutamine stress echocardiography (DSE) were evaluated in 407 consecutive patients recovering from acute myocardial infarction. Painful ischemia assessed by both tests was not associated with different clinical characteristics of patients; on the other hand, it identified a higher risk subgroup compared with silent ischemia during exercise ECG but not during DSE.
ISSN:	0002-9149 1879-1913
DOI:	10.1016/S0002-9149(97)00807-2