TY - JOUR
TI - Reliability of exercise-induced ST segment changes to detect restenosis
3 months after coronary angioplasty: Significance of the appearance in
other leads
AU - Michaelides, AP
AU - Dilaveris, PE
AU - Psomadaki, ZD
AU - Aggelakas, S and
AU - Stefanadis, C
AU - Cokkinos, D
AU - Gialafos, J
AU - Toutouzas, PK
JO - American Heart Journal
PY - 1998
VL - 135
TODO - 1
SP - 74-81
PB - Mosby Year Book Inc
SN - 0002-8703, 1097-6744
TODO - 10.1016/S0002-8703(98)70345-X
TODO - null
TODO - 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.
ER -