TY - JOUR
TI - Reliability of the exercise-induced ST-segment changes to detect
restenosis three 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 - 3
SP - 449-456
PB - Mosby Year Book Inc
SN - 0002-8703, 1097-6744
TODO - 10.1016/S0002-8703(98)70321-7
TODO - null
TODO - Background Exercise-induced ST-segment changes 3 months after
angioplasty may sometimes show a false-positive result.
Methods 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.
Results 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 test when
compared with the preangioplasty exercise test. Restenosis was found in
44 (48%) of the 92 patients with ST changes in the same lead but in
only four (15%) of the 26 patients with ST changes in other leads.
Conclusions Exercise-induced ST-segment changes are not reliable markers
of restenosis 3 months after angioplasty. ST-segment changes observed in
other leads after angioplasty compared with the preangioplasty exercise
test may show a false-positive result.
ER -