Computer-derived treadmill exercise score quantifies the degree of revascularization and improved exercise performance after coronary artery bypass surgery
A computer-derived treadmill exercise score (TES) that quantifies the severity of the ischemic ST response to exercise was used to detect noninvasively graft occlusion or the progression of new lesions after coronary artery bypass surgery. Three months after surgery TES completely normalized in 68%...
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| Veröffentlicht in: | The American heart journal 1983-11, Vol.106 (5), p.1096-1104 |
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| container_title | The American heart journal |
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| creator | Hollenberg, Milton Wisneski, Judith A Gertz, Edward W Ellis, Robert J |
| description | A computer-derived treadmill exercise score (TES) that quantifies the severity of the ischemic ST response to exercise was used to detect noninvasively graft occlusion or the progression of new lesions after coronary artery bypass surgery. Three months after surgery TES completely normalized in 68% of patients and improved by more than 70% in another 18% of patients, thus reflecting excellent improvement in exercise-induced ischemia in 87% of patients. Surgical results correlated well with completeness of revascularization as shown by repeat coronary angiography. When TES, done serially up to 4 years after surgery, remained unchanged, grafts were patent and no new critical lesions had occurred. Deterioration in TES always predicted either late graft occlusion or appearance of new, high-grade lesions in the native vessels. Thus TES provides a new, accurate method that quantifies the ischemic response to exercise and detects graft occlusion or new obstructive lesions in the native coronary arteries. |
| doi_str_mv | 10.1016/0002-8703(83)90658-0 |
| format | Article |
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Vascular system ; Computers ; Coronary Artery Bypass ; Coronary Circulation ; Coronary Disease - diagnosis ; Coronary Disease - physiopathology ; Coronary Disease - surgery ; Coronary heart disease ; Electrocardiography ; Exercise Test - methods ; Heart ; Humans ; Medical sciences ; Postoperative Period ; Preoperative Care</subject><ispartof>The American heart journal, 1983-11, Vol.106 (5), p.1096-1104</ispartof><rights>1983</rights><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-1d518501bda70a5dc4181f2bbd87ddad6c2cde74e54d536a140521ae2c3e8f9d3</citedby><cites>FETCH-LOGICAL-c386t-1d518501bda70a5dc4181f2bbd87ddad6c2cde74e54d536a140521ae2c3e8f9d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-8703(83)90658-0$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9417983$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6605673$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hollenberg, Milton</creatorcontrib><creatorcontrib>Wisneski, Judith A</creatorcontrib><creatorcontrib>Gertz, Edward W</creatorcontrib><creatorcontrib>Ellis, Robert J</creatorcontrib><title>Computer-derived treadmill exercise score quantifies the degree of revascularization and improved exercise performance after coronary artery bypass surgery</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>A computer-derived treadmill exercise score (TES) that quantifies the severity of the ischemic ST response to exercise was used to detect noninvasively graft occlusion or the progression of new lesions after coronary artery bypass surgery. Three months after surgery TES completely normalized in 68% of patients and improved by more than 70% in another 18% of patients, thus reflecting excellent improvement in exercise-induced ischemia in 87% of patients. Surgical results correlated well with completeness of revascularization as shown by repeat coronary angiography. When TES, done serially up to 4 years after surgery, remained unchanged, grafts were patent and no new critical lesions had occurred. Deterioration in TES always predicted either late graft occlusion or appearance of new, high-grade lesions in the native vessels. Thus TES provides a new, accurate method that quantifies the ischemic response to exercise and detects graft occlusion or new obstructive lesions in the native coronary arteries.</description><subject>Arterial Occlusive Diseases - diagnosis</subject><subject>Arterial Occlusive Diseases - physiopathology</subject><subject>Arterial Occlusive Diseases - surgery</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Computers</subject><subject>Coronary Artery Bypass</subject><subject>Coronary Circulation</subject><subject>Coronary Disease - diagnosis</subject><subject>Coronary Disease - physiopathology</subject><subject>Coronary Disease - surgery</subject><subject>Coronary heart disease</subject><subject>Electrocardiography</subject><subject>Exercise Test - methods</subject><subject>Heart</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Postoperative Period</subject><subject>Preoperative Care</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-r1DAUxYMoz_HpN1DIQkQX1aRN03TzQAb_wQM3ug63ye0z0jZ9N-3g-FX8sqbOMEtX4XB_9-RwLmPPpXgrhdTvhBBlYRpRvTbVm1bo2hTiAdtJ0TaFbpR6yHYX5DF7ktLPLHVp9BW70lrUuql27M8-jvO6IBUeKRzQ84UQ_BiGgeMvJBcS8uQiIb9fYVpCHzDx5Qdyj3eEyGPPCQ-Q3DoAhd-whDhxmDwP40xxM7zYzEh9pBEmhxz6_CfPvnECOnKgLI-8O86QEk8r3WX5lD3qYUj47Pxes-8fP3zbfy5uv376sn9_W7jK6KWQvpamFrLz0AiovVPSyL7sOm8a78FrVzqPjcJa-brSIJWoSwlYugpN3_rqmr06-ebA9yumxY4hORwGmDCuyRrRKGFqmUF1Ah3FlAh7O1MYc34rhd1uYrfC7Va4NZX9dxMr8tqLs__ajegvS-cj5PnL8zzXCENPuaGQLlirZNOaDbs5YZi7OAQkm1zAXKYPhG6xPob_5_gLAcitaQ</recordid><startdate>198311</startdate><enddate>198311</enddate><creator>Hollenberg, Milton</creator><creator>Wisneski, Judith A</creator><creator>Gertz, Edward W</creator><creator>Ellis, Robert J</creator><general>Mosby, Inc</general><general>Elsevier</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>198311</creationdate><title>Computer-derived treadmill exercise score quantifies the degree of revascularization and improved exercise performance after coronary artery bypass surgery</title><author>Hollenberg, Milton ; Wisneski, Judith A ; Gertz, Edward W ; Ellis, Robert J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-1d518501bda70a5dc4181f2bbd87ddad6c2cde74e54d536a140521ae2c3e8f9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Arterial Occlusive Diseases - diagnosis</topic><topic>Arterial Occlusive Diseases - physiopathology</topic><topic>Arterial Occlusive Diseases - surgery</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Computers</topic><topic>Coronary Artery Bypass</topic><topic>Coronary Circulation</topic><topic>Coronary Disease - diagnosis</topic><topic>Coronary Disease - physiopathology</topic><topic>Coronary Disease - surgery</topic><topic>Coronary heart disease</topic><topic>Electrocardiography</topic><topic>Exercise Test - methods</topic><topic>Heart</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Postoperative Period</topic><topic>Preoperative Care</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hollenberg, Milton</creatorcontrib><creatorcontrib>Wisneski, Judith A</creatorcontrib><creatorcontrib>Gertz, Edward W</creatorcontrib><creatorcontrib>Ellis, Robert J</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>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hollenberg, Milton</au><au>Wisneski, Judith A</au><au>Gertz, Edward W</au><au>Ellis, Robert J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Computer-derived treadmill exercise score quantifies the degree of revascularization and improved exercise performance after coronary artery bypass surgery</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>1983-11</date><risdate>1983</risdate><volume>106</volume><issue>5</issue><spage>1096</spage><epage>1104</epage><pages>1096-1104</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>A computer-derived treadmill exercise score (TES) that quantifies the severity of the ischemic ST response to exercise was used to detect noninvasively graft occlusion or the progression of new lesions after coronary artery bypass surgery. Three months after surgery TES completely normalized in 68% of patients and improved by more than 70% in another 18% of patients, thus reflecting excellent improvement in exercise-induced ischemia in 87% of patients. Surgical results correlated well with completeness of revascularization as shown by repeat coronary angiography. When TES, done serially up to 4 years after surgery, remained unchanged, grafts were patent and no new critical lesions had occurred. Deterioration in TES always predicted either late graft occlusion or appearance of new, high-grade lesions in the native vessels. Thus TES provides a new, accurate method that quantifies the ischemic response to exercise and detects graft occlusion or new obstructive lesions in the native coronary arteries.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>6605673</pmid><doi>10.1016/0002-8703(83)90658-0</doi><tpages>9</tpages></addata></record> |
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| ispartof | The American heart journal, 1983-11, Vol.106 (5), p.1096-1104 |
| issn | 0002-8703 1097-6744 |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Arterial Occlusive Diseases - diagnosis Arterial Occlusive Diseases - physiopathology Arterial Occlusive Diseases - surgery Biological and medical sciences Cardiology. Vascular system Computers Coronary Artery Bypass Coronary Circulation Coronary Disease - diagnosis Coronary Disease - physiopathology Coronary Disease - surgery Coronary heart disease Electrocardiography Exercise Test - methods Heart Humans Medical sciences Postoperative Period Preoperative Care |
| title | Computer-derived treadmill exercise score quantifies the degree of revascularization and improved exercise performance after coronary artery bypass surgery |
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