当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY期刊下所有文献 > Exercise-induced ST segment depression in the diagnosis of multivessel coronary disease: a meta analysis.

Exercise-induced ST segment depression in the diagnosis of multivessel coronary disease: a meta analysis.

Abstract：

:To evaluate the variability in the reported accuracy of the exercise electrocardiogram (ECG) for predicting severe coronary disease, meta analysis was applied to 60 consecutively published reports comparing exercise-induced ST depression with coronary angiographic findings. The 60 reports included 62 distinct study groups comprising 12,030 patients who underwent both tests. Both technical and methodologic factors were analyzed. Wide variability in sensitivity and specificity was found (mean sensitivity 81% [range 40% to 100%, SD 12%]; mean specificity 66% [range 17% to 100%, SD 16%]). All three variables found to be significantly and independently related to sensitivity were methodologic (the exclusion of patients with right bundle branch block, the comparison with another exercise test thought to be superior in accuracy and the exclusion of patients taking digitalis). Exclusion of patients with right bundle branch block and comparison with a "better" exercise test were both significantly associated with sensitivity for the prediction of triple vessel or left main coronary artery disease. Adjustment of exercise-induced ECG changes for changes in heart rate was strongly associated with the specificity for critical disease (partial R2 = 0.436, p = 0.0001).

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Detrano R,Gianrossi R,Mulvihill D,Lehmann K,Dubach P,Colombo A,Froelicher V

doi

10.1016/0735-1097(89)90388-4

subject

Has Abstract

pub_date

1989-11-15 00:00:00

pages

1501-8

issue

6

eissn

0735-1097

issn

1558-3597

pii

0735-1097(89)90388-4

journal_volume

14

pub_type

杂志文章

相关文献

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY文献大全
  • Late na(+) current inhibition by ranolazine reduces torsades de pointes in the chronic atrioventricular block dog model.

    abstract：OBJECTIVES:This study investigated whether ranolazine reduces dofetilide-induced torsades de pointes (TdP) in a model of long QT syndrome with down-regulated K(+) currents due to hypertrophic remodeling in the dog with chronic atrioventricular block (cAVB). BACKGROUND:Ranolazine inhibits the late Na(+) current (I(NaL)...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2009.10.033

    authors： Antoons G,Oros A,Beekman JD,Engelen MA,Houtman MJ,Belardinelli L,Stengl M,Vos MA

    更新日期：2010-02-23 00:00:00

  • Myocardial infarction after vascular surgery: the role of prolonged stress-induced, ST depression-type ischemia.

    abstract：OBJECTIVES:The goal of this study was to investigate the nature of the association between silent ischemia and postoperative myocardial infarction (PMI). BACKGROUND:Silent ischemia predicts cardiac morbidity and mortality in both ambulatory and postoperative patients. Whether silent stress-induced ischemia is merely a...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(01)01265-7

    authors： Landesberg G,Mosseri M,Zahger D,Wolf Y,Perouansky M,Anner H,Drenger B,Hasin Y,Berlatzky Y,Weissman C

    更新日期：2001-06-01 00:00:00

  • Prolonging the delayed phase of myocardial protection: repetitive adenosine A1 receptor activation maintains rabbit myocardium in a preconditioned state.

    abstract：OBJECTIVES:This study was designed to examine whether the myocardium can be maintained in a protected state by extending the delayed phase of cardioprotection with chronic, intermittent adenosine A1 receptor activation. BACKGROUND:Several recent studies have explored the temporal characteristics of the protective effe...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(98)00054-0

    authors： Dana A,Baxter GF,Walker JM,Yellon DM

    更新日期：1998-04-01 00:00:00

  • Growth and development of state of the art care for people with congenital heart disease.

    abstract：:For 40 years the American College of Cardiology has been a responsible organization in promoting the art and science of cardiac care for people of all ages. This review chronicles the leapfrogging of medical and surgical creativity and contributions to saving lives and making those lives healthy through informed care ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 历史文章,杂志文章,评审

    doi：10.1016/0735-1097(89)90332-x

    authors： Engle MA

    更新日期：1989-06-01 00:00:00

  • Effects of reperfusion on complete heart block complicating anterior myocardial infarction.

    abstract：:Two patients with complete heart block complicating extensive anterior myocardial infarction underwent late (greater than 40 hours) coronary reperfusion with angioplasty. One to one atrioventricular conduction was restored within minutes of reperfusion despite a lack of measurable ventricular muscle salvage as demonst...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(84)80156-4

    authors： Wilber D,Walton J,O'Neill W,Laufer N,Pitt B

    更新日期：1984-12-01 00:00:00

  • Risk stratification for arrhythmic events in postinfarction patients based on heart rate variability, ambulatory electrocardiographic variables and the signal-averaged electrocardiogram.

    abstract：:The value of heart rate variability, ambulatory electrocardiographic (ECG) variables and the signal-averaged ECG in the prediction of arrhythmic events (sudden death or life-threatening ventricular arrhythmias) was assessed before hospital discharge in 416 consecutive survivors of acute myocardial infarction. During t...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(91)90791-7

    authors： Farrell TG,Bashir Y,Cripps T,Malik M,Poloniecki J,Bennett ED,Ward DE,Camm AJ

    更新日期：1991-09-01 00:00:00

  • Comparison of double kissing crush versus Culotte stenting for unprotected distal left main bifurcation lesions: results from a multicenter, randomized, prospective DKCRUSH-III study.

    abstract：OBJECTIVES:The study aimed to investigate the difference in major adverse cardiac event (MACE) at 1-year after double kissing (DK) crush versus Culotte stenting for unprotected left main coronary artery (UPLMCA) distal bifurcation lesions. BACKGROUND:DK crush and Culotte stenting were reported to be effective for trea...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jacc.2013.01.023

    authors： Chen SL,Xu B,Han YL,Sheiban I,Zhang JJ,Ye F,Kwan TW,Paiboon C,Zhou YJ,Lv SZ,Dangas GD,Xu YW,Wen SY,Hong L,Zhang RY,Wang HC,Jiang TM,Wang Y,Chen F,Yuan ZY,Li WM,Leon MB

    更新日期：2013-04-09 00:00:00

  • The evolving management of acute right-sided heart failure in cardiac transplant recipients.

    abstract：:Avoidance of the clinical syndrome of acute right-sided heart failure after heart transplantation is, unfortunately, not possible. Clinical experience and the literature certainly suggest that a significant factor in the successful management of right ventricular (RV) failure is recipient selection. Moreover, threshol...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/s0735-1097(01)01486-3

    authors： Stobierska-Dzierzek B,Awad H,Michler RE

    更新日期：2001-10-01 00:00:00

  • Gene Therapy With Angiotensin-(1-9) Preserves Left Ventricular Systolic Function After Myocardial Infarction.

    abstract：BACKGROUND:Angiotensin-(1-9) [Ang-(1-9)] is a novel peptide of the counter-regulatory axis of the renin-angiotensin-aldosterone system previously demonstrated to have therapeutic potential in hypertensive cardiomyopathy when administered via osmotic mini-pump. Here, we investigate whether gene transfer of Ang-(1-9) is ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2016.09.946

    authors： Fattah C,Nather K,McCarroll CS,Hortigon-Vinagre MP,Zamora V,Flores-Munoz M,McArthur L,Zentilin L,Giacca M,Touyz RM,Smith GL,Loughrey CM,Nicklin SA

    更新日期：2016-12-20 00:00:00

  • Benign congenital intracardiac thyroid and polycystic tumor causing right ventricular outflow tract obstruction and conduction disturbance.

    abstract：:A patient with a rare intracardiac tumor arising from the right side of the interventricular septum who developed conduction disturbances and symptoms of right ventricular outflow tract obstruction is reported. The patient was successfully treated with insertion of a permanent pacemaker and surgical removal of the tum...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(87)80105-5

    authors： Grigg LE,Downey W,Tatoulis J,Hunt D

    更新日期：1987-01-01 00:00:00

  • The cardiac beta-myosin heavy chain gene is not the predominant gene for hypertrophic cardiomyopathy in the Finnish population.

    abstract：OBJECTIVES:The aim of the study was to screen 36 unrelated patients with hypertrophic cardiomyopathy (HCM; 16 familial and 20 sporadic cases) from a genetically homogeneous area in eastern Finland for variants in the cardiac beta-myosin heavy chain (beta-MHC) and alpha-tropomyosin (alpha-TM) genes. BACKGROUND:Mutation...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(98)00448-3

    authors： Jääskeläinen P,Soranta M,Miettinen R,Saarinen L,Pihlajamäki J,Silvennoinen K,Tikanoja T,Laakso M,Kuusisto J

    更新日期：1998-11-15 00:00:00

  • Baroreflex Activation Therapy in Patients With Heart Failure With Reduced Ejection Fraction.

    abstract：BACKGROUND:This study demonstrated the safety and effectiveness of baroreflex activation therapy (BAT) in patients with heart failure with reduced ejection fraction (HFrEF). OBJECTIVES:The BeAT-HF (Baroreflex Activation Therapy for Heart Failure) trial was a multicenter, prospective, randomized, controlled trial; subj...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jacc.2020.05.015

    authors： Zile MR,Lindenfeld J,Weaver FA,Zannad F,Galle E,Rogers T,Abraham WT

    更新日期：2020-07-07 00:00:00

  • Exercise-induced U-wave alterations as a marker of well-developed and well-functioning collateral vessels in patients with effort angina.

    abstract：OBJECTIVES:We sought to determine whether exercise-induced U-wave alterations are observed in association with well-developed and well-functioning collateral vessels. BACKGROUND:Although exercise-induced electrocardiographic (ECG) U-wave alterations including negative and prominent U waves have been established as a m...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(99)00394-0

    authors： Miwa K,Nakagawa K,Hirai T,Inoue H

    更新日期：2000-03-01 00:00:00

  • Patent ductus arteriosus in adults--long-term follow-up: nonsurgical versus surgical treatment.

    abstract：:The long-term prognosis of adult patients with patent ductus arteriosus treated medically or surgically has not been demonstrated. One hundred seventeen adult patients ranging in age from 18 to 81 years (mean 36) were followed up for 1 to 37 years (mean 18). Forty-five patients were treated nonsurgically and 72 had su...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(86)80040-7

    authors： Fisher RG,Moodie DS,Sterba R,Gill CC

    更新日期：1986-08-01 00:00:00

  • Tetralogy of Fallot, truncus arteriosus, abnormal myocardial architecture and anomalies of the aortic arch system induced by bis-diamine in rat fetuses.

    abstract：OBJECTIVES:The aim of this study was to analyze the relation between anomalies of the heart and aortic arch arteries in near-term rat fetuses exposed to the chemical bis-diamine. BACKGROUND:Bis-diamine is known to induce cardiovascular anomalies. METHODS:Bis-diamine was given orally to normal pregnant rats, and the 6...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(93)90111-d

    authors： Kuribayashi T,Roberts WC

    更新日期：1993-03-01 00:00:00

  • Left atrial appendage function and thrombus formation in atrial fibrillation-flutter: a transesophageal echocardiographic study.

    abstract：OBJECTIVES:The purpose of this study was to investigate left atrial appendage size, function and thrombus prevalence in patients with atrial "fibrillation-flutter." BACKGROUND:Thrombus formation and peripheral embolization in atrial fibrillation are related to left atrial appendage dysfunction. Embolization occurs les...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(94)90557-6

    authors： Santiago D,Warshofsky M,Li Mandri G,Di Tullio M,Coromilas J,Reiffel J,Homma S

    更新日期：1994-07-01 00:00:00

  • The prevalence of coronary artery calcium among diabetic individuals without known coronary artery disease.

    abstract：OBJECTIVES:We sought to examine the age and gender distribution of coronary artery calcium (CAC) by diabetes status in a large cohort of asymptomatic individuals. BACKGROUND:Among individuals with diabetes, coronary artery disease (CAD) is a major cause of morbidity and mortality. Electron-beam tomography (EBT) quanti...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(02)02975-3

    authors： Hoff JA,Quinn L,Sevrukov A,Lipton RB,Daviglus M,Garside DB,Ajmere NK,Gandhi S,Kondos GT

    更新日期：2003-03-19 00:00:00

  • Cardiovascular Magnetic Resonance to Evaluate Aortic Regurgitation After Transcatheter Aortic Valve Replacement.

    abstract：BACKGROUND:Residual aortic regurgitation (AR) following transcatheter aortic valve replacement (TAVR) is associated with greater mortality; yet, determining AR severity post-TAVR using Doppler echocardiography remains challenging. Cardiovascular magnetic resonance (CMR) is purported as a more accurate means of quantify...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jacc.2016.05.059

    authors： Ribeiro HB,Orwat S,Hayek SS,Larose É,Babaliaros V,Dahou A,Le Ven F,Pasian S,Puri R,Abdul-Jawad Altisent O,Campelo-Parada F,Clavel MA,Pibarot P,Lerakis S,Baumgartner H,Rodés-Cabau J

    更新日期：2016-08-09 00:00:00

  • Biodegradable polymer versus permanent polymer drug-eluting stents and everolimus- versus sirolimus-eluting stents in patients with coronary artery disease: 3-year outcomes from a randomized clinical trial.

    abstract：OBJECTIVES:The aim of this study was to compare the 3-year efficacy and safety of biodegradable polymer with permanent polymer stents and of everolimus-eluting stents (EES) with sirolimus-eluting stents (SES). BACKGROUND:Biodegradable polymer drug-eluting stents (DES) offer potential for enhanced late outcomes in comp...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jacc.2011.06.027

    authors： Byrne RA,Kastrati A,Massberg S,Wieczorek A,Laugwitz KL,Hadamitzky M,Schulz S,Pache J,Fusaro M,Hausleiter J,Schömig A,Mehilli J,ISAR-TEST 4 Investigators.

    更新日期：2011-09-20 00:00:00

  • Reentrant ventricular arrhythmias in the late myocardial infarction period. II. Burst pacing versus multiple premature stimulation in the induction of reentry.

    abstract：:Isochronal maps of ventricular activation were analyzed in dogs 1 to 5 days after infarction utilizing a 64 channel multiplexer. Only dogs in which circus movement reentry could not be induced by a single premature stimulus were analyzed. Reentrant rhythms could be successfully induced equally by multiple (double or t...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(84)80217-x

    authors： El-Sherif N,Mehra R,Gough WB,Zeiler RH

    更新日期：1984-08-01 00:00:00

  • Pericardial thickness measured with transesophageal echocardiography: feasibility and potential clinical usefulness.

    abstract：OBJECTIVES:This study assessed the reliability of transesophageal echocardiographic measurements of pericardial thickness and the potential diagnostic usefulness of this technique. BACKGROUND:Transthoracic echocardiography cannot reliably detect thickened pericardium. The superior resolution achieved with transesophag...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(97)82756-8

    authors： Ling LH,Oh JK,Tei C,Click RL,Breen JF,Seward JB,Tajik AJ

    更新日期：1997-05-01 00:00:00

  • Predictive value of programmed ventricular stimulation after catheter ablation of post-infarction ventricular tachycardia.

    abstract：BACKGROUND:A recent meta-analysis demonstrated a survival benefit in post-infarction patients whose ventricular tachycardia (VT) was rendered noninducible by catheter ablation. Furthermore, patients with noninducible VT had a lower VT recurrence rate than did patients whose VT remained inducible after ablation. OBJECT...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jacc.2015.02.058

    authors： Yokokawa M,Kim HM,Baser K,Stevenson W,Nagashima K,Della Bella P,Vergara P,Hindricks G,Arya A,Zeppenfeld K,de Riva Silva M,Daoud EG,Kumar S,Kuck KH,Tilz R,Mathew S,Ghanbari H,Latchamsetty R,Morady F,Bogun FM

    更新日期：2015-05-12 00:00:00

  • Predicting the risk of abrupt vessel closure after angioplasty in an individual patient.

    abstract：OBJECTIVES:We proposed to examine the relation between angiographic morphologic characteristics and abrupt closure after coronary angioplasty and to develop an empirically based risk stratification system. BACKGROUND:Certain lesion morphologic characteristics are associated with higher rates of abrupt closure after co...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(94)90862-1

    authors： Tenaglia AN,Fortin DF,Califf RM,Frid DJ,Nelson CL,Gardner L,Miller M,Navetta FI,Smith JE,Tcheng JE

    更新日期：1994-10-01 00:00:00

  • A randomized controlled trial of platelet activity before and after cessation of clopidogrel therapy in patients with stable cardiovascular disease.

    abstract：OBJECTIVES:The aim of this randomized placebo-controlled trial was to determine if withdrawing clopidogrel therapy leads to increased platelet activity compared with pre-treatment values in patients with stable coronary artery or peripheral arterial disease. BACKGROUND:Reports of increased cardiovascular events after ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jacc.2013.10.018

    authors： Ford I,Scott NW,Herd V,Mitchell LR,Williams DJ,Brittenden J

    更新日期：2014-01-28 00:00:00

  • A randomized trial of rescue angioplasty versus a conservative approach for failed fibrinolysis in ST-segment elevation myocardial infarction: the Middlesbrough Early Revascularization to Limit INfarction (MERLIN) trial.

    abstract：OBJECTIVES:We sought to compare emergency coronary angiography with or without rescue percutaneous coronary intervention (PCI) with conservative treatment in patients with failed fibrinolysis complicating ST-segment elevation myocardial infarction (STEMI). BACKGROUND:Most patients with STEMI receive fibrinolytic thera...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jacc.2003.12.059

    authors： Sutton AG,Campbell PG,Graham R,Price DJ,Gray JC,Grech ED,Hall JA,Harcombe AA,Wright RA,Smith RH,Murphy JJ,Shyam-Sundar A,Stewart MJ,Davies A,Linker NJ,de Belder MA

    更新日期：2004-07-21 00:00:00

  • Early exercise after coronary stenting is safe.

    abstract：OBJECTIVES:In this study, we sought to assess safety of symptom-limited exercise stress tests the day after coronary stenting. BACKGROUND:Isolated cases of coronary stent thrombosis have been linked to early exercise stress testing, thereby questioning the safety of unrestricted physical activity after the coronary pr...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/j.jacc.2003.06.006

    authors： Roffi M,Wenaweser P,Windecker S,Mehta H,Eberli FR,Seiler C,Fleisch M,Garachemani A,Pedrazzini GB,Hess OM,Meier B

    更新日期：2003-11-05 00:00:00

  • Physical activity reduces systemic blood pressure and improves early markers of atherosclerosis in pre-pubertal obese children.

    abstract：OBJECTIVES:The aim of this study was to determine the effects of physical activity on systemic blood pressure (BP) and early markers of atherosclerosis in pre-pubertal obese children. BACKGROUND:Hypertension and endothelial dysfunction are premature complications of obesity. METHODS:We performed a 3-month randomized ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jacc.2009.08.030

    authors： Farpour-Lambert NJ,Aggoun Y,Marchand LM,Martin XE,Herrmann FR,Beghetti M

    更新日期：2009-12-15 00:00:00

  • Adiponectin and vulnerable atherosclerotic plaques.

    abstract：:High-risk plaques that are vulnerable to rupture demonstrate distinct morphological characteristics. They are differentiated from the lesions responsible for stable coronary artery disease by their large necrotic cores, thin-inflamed fibrous caps, and positive remodeling. Adiponectin is an adipocytokine that is reduce...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jacc.2010.11.011

    authors： Barseghian A,Gawande D,Bajaj M

    更新日期：2011-02-15 00:00:00

  • Oral anticoagulation and antiplatelets in atrial fibrillation patients after myocardial infarction and coronary intervention.

    abstract：OBJECTIVES:The purpose of this study was to investigate the risk of thrombosis and bleeding according to multiple antithrombotic treatment regimens in atrial fibrillation (AF) patients after myocardial infarction (MI) or percutaneous coronary intervention (PCI). BACKGROUND:The optimal antithrombotic treatment strategy...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2013.05.029

    authors： Lamberts M,Gislason GH,Olesen JB,Kristensen SL,Schjerning Olsen AM,Mikkelsen A,Christensen CB,Lip GY,Køber L,Torp-Pedersen C,Hansen ML

    更新日期：2013-09-10 00:00:00

  • Moving forward on quality of care: role of decision modeling.

    abstract：:Quality care reemerges as an issue amid the primary concern for cost. Primary problems revolve around whether treatments are efficacious and appropriate for the individual patient and whether the practice of medicine is being performed competently. A model is suggested for how these questions might be addressed. ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章

    doi：10.1016/0735-1097(89)90162-9

    authors： Neuhauser D,Napier K

    更新日期：1989-09-01 00:00:00