A NEW SEMIAUTOMATED ALGORITHM TO QUANTIFY HOLTER-DETECTED MYOCARDIAL-ISCHEMIA - PRELIMINARY EXPERIENCE IN THE TRIMETAZIDINE EUROPEAN MULTICENTER TRIAL (TEMS)

被引：3

作者：

DETRY, JM

FESLER, R

BERCKMANS, T

LECLERCQ, P

机构：

[1] Division of Cardiology, University of Louvain, Saint-Luc University Hospital, Brussels

来源：

CARDIOVASCULAR DRUGS AND THERAPY | 1990年 / 4卷

关键词：

MYOCARDIAL ISCHEMIA; ISCHEMIC AREA; HOLTER; ST SEGMENT;

D O I：

10.1007/BF00051290

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Holter-detected myocardial ischemia, either painful or painless, is an important issue in the functional and prognostic evaluation of coronary patients. This paper describes one of the first attempts to reliably quantify the duration and severity of the ischemic ST-segment changes over a given period of time; the algorithm described here provides physicians with a global index of ischemia that is the total ischemic area, namely, the integral of ST-segment depression or elevation over time (expressed in mm x min). The diagnostic and prognostic power of this new index remains to be established and to be compared with the actually used simple measurements, i.e., the number and duration of ischemic events.

引用

页码：841 / 846

页数：6

共 18 条

[1]

Detry J., Kapita B.M., Cosyns J., Et al., Diagnostic value of history and maximal exercise electrocardiography in men and women suspected of coronary heart disease, Circulation, 56, pp. 756-761, (1977)

[2]

Diamond G.A., Forester J.S., Analysis of probability as an aid in the clinical diagnosis of coronary-artery disease, N Engl J Med, 300, pp. 1350-1358, (1979)

[3]

Chaitman B.R., Waters D.D., Bourassa M.G., Et al., The importance of clinical subsets in interpreting maximal treadmill exercise test results: The role of multiple-lead ECG systems, Circulation, 59, pp. 560-570, (1979)

[4]

Weiner D.A., Ryan T.J., McCabe C.H., Et al., Exercise stress testing. Correlations among history of angina, ST-segment response and prevalence of coronary artery disease in the coronary artery surgery study (CASS), N Engl J Med, 301, pp. 230-235, (1979)

[5]

Melin J.A., Piret L.J., Vanbutsele R.J.M., Et al., Diagnostic value of exercise electrocardiography and thallium myocardial scintigraphy in patients without previous myocardlal infarction: A Bayesian approach, Circulation, 63, pp. 1019-1024, (1981)

[6]

Detry J., Robert A., Luwaert R.J., Et al., Diagnostic value of computerized exercise testing in men without previous myocardial infarction. A multivariate, compartmental and probabilistic approach, Eur Heart J, 6, pp. 227-238, (1985)

[7]

Stern S., Tzivoni D., Early detection of silent ischemic heart disease by 24-hour electrocardiographic monitoring of active subjects, Br Heart J, 36, (1974)

[8]

Schang S.J., Pepine C.J., Transient asymptomatic ST segment depression during activity, Am J Cardiol, 39, pp. 396-402, (1977)

[9]

Cohn P.F., Silent myocardial ischemia in patients with a defective anginal warning system, Am J Cardiol, 45, pp. 607-702, (1980)

[10]

Deanfield J.E., Selwyn A.P., Chierchia S., Et al., Myocardial ischemia during daily life in patients with stable angina: Its relation to symptoms and heart rate changes, Lancet, 2, pp. 753-758, (1983)

← 1 2 →