@article{3049868, title = "Reliability of exercise-induced ST segment changes to detect restenosis 3 months after coronary angioplasty: Significance of the appearance in other leads", author = "Michaelides, AP and Dilaveris, PE and Psomadaki, ZD and Aggelakas, S and and Stefanadis, C and Cokkinos, D and Gialafos, J and Toutouzas, PK", journal = "American Heart Journal", year = "1998", volume = "135", number = "1", pages = "74-81", publisher = "Mosby Year Book Inc", issn = "0002-8703, 1097-6744", doi = "10.1016/S0002-8703(98)70345-X", abstract = "Exercise-induced ST-segment changes 3 months after angioplasty sometimes may show a false-positive result, We therefore analyzed the ST changes observed during the exercise tests performed before and 3 months after angioplasty in 118 patients with single-vessel coronary artery disease. Ninety-two (78%) of the 118 patients had ST changes in the same lead before and after angioplasty whereas the remaining 26 (22%) patients had ST changes in other leads in the postangioplasty exercise test when compared with the preangioplasty test. Restenosis was found in 44 (48%) of the 92 patients with ST changes in the same lead but in only 4 (15%) of the 26 patients with ST changes in other leads. We conclude that exercise-induced ST segment changes are not reliable markers of restenosis 3 months after angioplasty. ST segment changes observed in other leads after angioplasty may show a false-positive result when compared with the preangioplasty exercise test." }