Short-term reproducibility of time domain, spectral temporal mapping, and spectral turbulence analysis of the signal-averaged electrocardiogram in normal subjects and patients with acute myocardial infarction.

Abstract:

:The aim of this prospective study was to compare the short-term reproducibility of the signal-averaged ECG (SAECG) with three analysis techniques, conventional time-domain analysis, spectral-temporal mapping (STM), and spectral-turbulence analysis (STA), in a large series of normal subjects and patients with acute myocardial infarction (AMI). Two consecutive SAECGs were recorded in 225 consecutive patients 10.2 +/- 2.7 days after AMI and in 85 healthy volunteers. The visual, diagnostic, and quantitative reproducibility of the three techniques was compared. Time-domain analysis was the most reproducible method, having high R2 correlations, statistically fewer inconsistent diagnostic recordings, and statistically smaller differences compared with other techniques. STM was the least reproducible, justifying caution in its current form. Although STA was significantly less reproducible than time-domain analysis, it was also significantly better than STM. Two STA parameters, spectral entropy and interslice correlation mean, showed good reproducibility, suggesting that modification of this analysis technique could be useful in risk stratification.

journal_name

Am Heart J

journal_title

American heart journal

authors

Vázquez R,Caref EB,Torres F,Reina M,Ortega F,el-Sherif N

doi

10.1016/0002-8703(95)90202-3

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

1011-9

issue

5

eissn

0002-8703

issn

1097-6744

pii

0002-8703(95)90202-3

journal_volume

130

pub_type

杂志文章
  • Study design for the Immediate Myocardial Metabolic Enhancement During Initial Assessment and Treatment in Emergency Care (IMMEDIATE) Trial: A double-blind randomized controlled trial of intravenous glucose, insulin, and potassium for acute coronary syndr

    abstract:BACKGROUND:Experimental studies suggest that metabolic myocardial support by intravenous (IV) glucose, insulin, and potassium (GIK) reduces ischemia-induced arrhythmias, cardiac arrest, mortality, progression from unstable angina pectoris to acute myocardial infarction (AMI), and myocardial infarction size. However, tr...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.ahj.2012.02.002

    authors: Selker HP,Beshansky JR,Griffith JL,D'Agostino RB,Massaro JM,Udelson JE,Rashba EJ,Ruthazer R,Sheehan PR,Desvigne-Nickens P,Rosenberg YD,Atkins JM,Sayah AJ,Aufderheide TP,Rackley CE,Opie LH,Lambrew CT,Cobb LA,Macleod BA

    更新日期:2012-03-01 00:00:00

  • Rationale and design of dal-PLAQUE: a study assessing efficacy and safety of dalcetrapib on progression or regression of atherosclerosis using magnetic resonance imaging and 18F-fluorodeoxyglucose positron emission tomography/computed tomography.

    abstract::dal-PLAQUE is a placebo-controlled multicenter study designed to assess the effect of dalcetrapib on imaging measures of plaque inflammation and plaque burden. dal-PLAQUE is a multimodality imaging study in the context of the large dal-HEART Program. Decreased high-density lipoprotein cholesterol is linked to increase...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.ahj.2011.05.006

    authors: Fayad ZA,Mani V,Woodward M,Kallend D,Bansilal S,Pozza J,Burgess T,Fuster V,Rudd JH,Tawakol A,Farkouh ME

    更新日期:2011-08-01 00:00:00

  • Relapses, recurrences, valve replacements, and mortality during the long-term follow-up after infective endocarditis.

    abstract:BACKGROUND:Late prognosis after infective endocarditis has not been systematically studied in large series of patients with different underlying heart conditions in recent years. METHODS:We studied an inception cohort study of 420 patients discharged after treatment of endocarditis from a university tertiary care hosp...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1067/mhj.2001.111952

    authors: Mansur AJ,Dal Bó CM,Fukushima JT,Issa VS,Grinberg M,Pomerantzeff PM

    更新日期:2001-01-01 00:00:00

  • Comparison of a new 3-item self-reported measure of adherence to medication with pharmacy claims data in patients with cardiometabolic disease.

    abstract:BACKGROUND:Less than half of patients with cardiometabolic disease consistently take prescribed medications. While health insurers and some delivery organizations use claims to measure adherence, most clinicians do not have access during routine interactions. Self-reported scales exist, but their practical utility is o...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2020.06.012

    authors: Lauffenburger JC,Fontanet CP,Isaac T,Gopalakrishnan C,Sequist TD,Gagne JJ,Jackevicius CA,Fischer MA,Solomon DH,Choudhry NK

    更新日期:2020-10-01 00:00:00

  • Clinical status of patients removed from a transplant waiting list rivals that of transplant recipients at significant cost savings.

    abstract::We retrospectively contrasted the medical outcome of patients removed from the heart transplant consideration list because of clinical improvement with that of transplant recipients. Of 60 patients awaiting transplantation, 18 were removed from the list (group A), and 42 required transplant or died (group B). Group A ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/s0002-8703(96)90462-7

    authors: Levine TB,Levine AB,Goldberg AD,Tobes M,Narins B,Lesch M

    更新日期:1996-12-01 00:00:00

  • R-wave amplitude responses to rapid atrial pacing: a marker for myocardial ischemia.

    abstract::Atrial pacing-induced changes in the sum of R-wave amplitude were measured in leads V5, X, Y, and Z at rates of 100 bpm (phase I), 150 bpm (phase II), and immediately after pacing (phase III) in 33 patients undergoing cardiac catheterization for evaluation of chest pain. Seventeen (51%) patients showed evidence of isc...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(84)90133-9

    authors: David D,Kitchen JG 3rd,Michelson EL,Naito M,Sawin HS,Chen CC

    更新日期:1984-01-01 00:00:00

  • Does aspirin use adversely influence intermediate-term postdischarge outcomes for hospitalized patients who are treated with angiotensin-converting enzyme inhibitors or angiotensin receptor blockers? Findings from Organized Program to Facilitate Life-Savi

    abstract:BACKGROUND:Conflicting data exist regarding a potential deleterious association between aspirin (ASA) and angiotensin-converting enzyme inhibitors (ACEIs) when used concurrently in patients with heart failure (HF). How such an interaction may be influenced by underlying etiology of HF and whether it extends to patients...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2009.11.009

    authors: Levy PD,Nandyal D,Welch RD,Sun JL,Pieper K,Ghali JK,Fonarow GC,Gheorghiade M,O'Connor CM

    更新日期:2010-02-01 00:00:00

  • Effects of intra-aortic balloon counterpulsation on coronary pressure in patients with stenotic coronary arteries.

    abstract:BACKGROUND:The benefits of intra-aortic balloon pumping (IABP) usage reportedly occur through systolic unloading of the left ventricle and the augmentation of diastolic coronary flow. The aim of this study was to assess the change in intracoronary pressure distal to the coronary stenosis after the IABP by using an intr...

    journal_title:American heart journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ahj.2007.05.019

    authors: Yoshitani H,Akasaka T,Kaji S,Kawamoto T,Kume T,Neishi Y,Koyama Y,Yoshida K

    更新日期:2007-10-01 00:00:00

  • Knowledge to action: Rationale and design of the Patient-Centered Care Transitions in Heart Failure (PACT-HF) stepped wedge cluster randomized trial.

    abstract:INTRODUCTION:Heart Failure (HF) is a common cause of hospitalization in older adults. The transition from hospital to home is high-risk, and gaps in transitional care can increase the risk of re-hospitalization and death. Combining health care services supported by meta-analyses, we designed the PACT-HF transitional ca...

    journal_title:American heart journal

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.ahj.2017.12.013

    authors: Van Spall HGC,Lee SF,Xie F,Ko DT,Thabane L,Ibrahim Q,Mitoff PR,Heffernan M,Maingi M,Tjandrawidjaja MC,Zia MI,Panju M,Perez R,Simek KD,Porepa L,Graham ID,Haynes RB,Haughton D,Connolly SJ

    更新日期:2018-05-01 00:00:00

  • Effectiveness of a planned strategy using cardiac rehabilitation nurses for the management of dyslipidemia in patients with coronary artery disease.

    abstract:BACKGROUND:Firm evidence exists for reduction in mortality and morbidity by lipid-lowering therapy in patients with coronary artery disease (CAD), yet a significant proportion remain untreated. This prospective study determined the effectiveness of a planned strategy of management using a cardiac rehabilitation nurse i...

    journal_title:American heart journal

    pub_type: 临床试验,杂志文章

    doi:10.1067/mhj.2001.118739

    authors: Senaratne MP,Griffiths J,Mooney D,Kasza L,Macdonald K,Hare S

    更新日期:2001-12-01 00:00:00

  • Effect of probucol in hyperlipidemic patients during two years of administration.

    abstract::Probucol, a new cholesterol-lowering agent, was administered to ambulatory outpatients representing several classes of hyperlipoproteinemia (HL) for two years without dietary restriction. In 32 patients with Type II HL and 12 with Type IIB HL, statistically significant reduction in mean serum cholesterol levels occurr...

    journal_title:American heart journal

    pub_type: 临床试验,杂志文章

    doi:10.1016/0002-8703(78)90088-1

    authors: Parsons WB Jr

    更新日期:1978-08-01 00:00:00

  • Adenosine in myocardial perfusion imaging using positron emission tomography.

    abstract::Because of its unique ability to demonstrate the metabolic consequences of myocardial ischemia, positron emission tomography (PET) is extremely valuable in assessing myocardial viability. PET imaging can identify the myocardial segments that are likely to improve after revascularization and may be more sensitive and s...

    journal_title:American heart journal

    pub_type: 杂志文章,评审

    doi:10.1016/0002-8703(91)90803-p

    authors: Gupta NC,Esterbrooks D,Mohiuddin S,Hilleman D,Sunderland J,Shiue CY,Frick MP

    更新日期:1991-07-01 00:00:00

  • Epidemiologic assessment of angina before and after myocardial infarction: The Framingham study.

    abstract::Angina pectoris before and after MI was evaluated in a sample of 729 men and women from a general population in whom MI developed during a 36-year period of follow-up. Relations of AP to subsequent CHD events and mortality after initial MI were analyzed by proportional hazards regression models and were adjusted for c...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/s0002-8703(96)90406-8

    authors: Brand FN,Larson M,Friedman LM,Kannel WB,Castelli WP

    更新日期:1996-07-01 00:00:00

  • Heart failure disease management in an indigent population.

    abstract:BACKGROUND:Multidisciplinary disease management programs (MDMP) have demonstrated reduced hospitalizations in motivated pretransplant heart failure populations, but little is known about their effectiveness in largely indigent patients who are not transplant candidates. METHODS AND RESULTS:We studied 35 patients with ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1067/mhj.2001.111956

    authors: O'Connell AM,Crawford MH,Abrams J

    更新日期:2001-02-01 00:00:00

  • Recurrent cerebrovascular events in patients with patent foramen ovale, atrial septal aneurysm, or both and cryptogenic stroke or transient ischemic attack. French Study Group on Patent Foramen Ovale and Atrial Septal Aneurysm.

    abstract::Patent foramen ovale (PFO) and atrial septal aneurysm (ASA) have been identified as potential risk factors for stroke, but information about the risk of recurrent cerebral ischemia is scarce. The aim of this retrospective study was to assess the absolute risk of recurrent cerebrovascular events in 132 patients under 6...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(95)90212-0

    authors: Mas JL,Zuber M

    更新日期:1995-11-01 00:00:00

  • Achieving rapid reperfusion with primary percutaneous coronary intervention remains a challenge: insights from American Heart Association's Get With the Guidelines program.

    abstract:BACKGROUND:The speed of reperfusion (door-to-balloon [D2B] time) is a well established performance metric for patients with ST-elevation myocardial infarction. Although preferably D2B times should be

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2008.01.010

    authors: Mehta RH,Bufalino VJ,Pan W,Hernandez AF,Cannon CP,Fonarow GC,Peterson ED,American Heart Association Get With the Guidelines Investigators.

    更新日期:2008-06-01 00:00:00

  • Trends in outcomes among older patients with non-ST-segment elevation myocardial infarction.

    abstract:OBJECTIVES:The objective of this study is to assess trends in evidence-based therapy use and short- and long-term mortality over time among older patients with non-ST-segment elevation myocardial infarction (NSTEMI). BACKGROUND:With the prevalence of national quality improvement efforts, the use of evidence-based ther...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2013.10.008

    authors: Chin CT,Wang TY,Chen AY,Mathews R,Alexander KP,Roe MT,Peterson ED

    更新日期:2014-01-01 00:00:00

  • The effects of the angiotensin-converting enzyme inhibitor imidapril on plasma plasminogen activator inhibitor activity in patients with acute myocardial infarction.

    abstract::This study sought to determine whether early treatment with angiotensin-converting enzyme (ACE) inhibitors in patients with acute myocardial infarction (AMI) is useful for the improvement of fibrinolytic function, as well as left ventricular function. This study was designed to examine the levels of plasma plasminogen...

    journal_title:American heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0002-8703(97)80021-x

    authors: Oshima S,Ogawa H,Mizuno Y,Yamashita S,Noda K,Saito T,Sumida H,Suefuji H,Kaikita K,Soejima H,Yasue H

    更新日期:1997-11-01 00:00:00

  • Relation of fibrinogen to presence and severity of coronary artery disease is independent of other coexisting heart disease. The ECAT Angina Pectoris Study Group.

    abstract::Six hundred fifty seven patients with angina pectoris underwent coronary angiography after measurement of plasma fibrinogen levels. Coronary artery disease (CAD) was angiographically confirmed in 75% of the patients. Other cardiac disease, either alone or in combination with CAD, was diagnosed in 8% and 11% of cases, ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(93)90747-w

    authors: Bolibar I,Kienast J,Thompson SG,Matthias R,Niessner H,Fechtrup C

    更新日期:1993-06-01 00:00:00

  • Response of the left ventricle in idiopathic dilated cardiomyopathy to postextrasystolic potentiation.

    abstract::The effectiveness of postextrasystolic potentiation (PESP) was assessed to detect residual function of the left ventricle in seven patients with idiopathic dilated cardiomyopathy (IDC). The postextrasystolic changes in the aortic pressure pulse, global left ventricular function, and quantitative regional left ventricu...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(87)90661-2

    authors: Yamazoe M

    更新日期:1987-06-01 00:00:00

  • Response of the right ventricle to exercise in patients with chronic heart disease.

    abstract::The response of the right ventricle to exercise was examined in 19 patients with heart disease by constructing right ventricular function curves and determining the relationship between right ventricular afterload and preload. Simultaneous cardiac output and right heart pressures were measured at rest, during exercise...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(83)90354-x

    authors: Weiner BH,Alpert JS,Dalen JE,Ockene IS

    更新日期:1983-03-01 00:00:00

  • Transseptal left heart catheterization with a Swan-Ganz flow-directed catheter: review of 173 studies.

    abstract::Of 178 transseptal left heart catheterizations performed, 173 successful cases are reported, with the use of a Swan-Ganz, flow-directed, balloon-tipped catheter. By means of a modified Brockenbrough technique, which is described in detail, a 10F Teflon tube (3.3 mm outside diameter) was inserted into the left atrium. ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(85)90603-9

    authors: Bagger JP,Sennels F,Vejby-Christensen H,Rasmussen K,Thomsen PE,Gøtzsche H

    更新日期:1985-02-01 00:00:00

  • Vascular reactivity to norepinephrine and hemodynamic parameters in borderline hypertension.

    abstract::Pressor response to norepinephrine, cardiopulmonary blood volume, and hemodynamic parameters were studied in 41 borderline hypertensive patients in comparison with 42 permanent essential hypertensive patients and 28 normal subjects. Borderline hypertensive subjects had high cardiac index (p less than 0.0001), normal t...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(75)90155-6

    authors: Safar ME,London GM,Weiss YA,Milliez PL

    更新日期:1975-04-01 00:00:00

  • Plasma concentrations of alpha-human atrial natriuretic polypeptide and cyclic GMP in patients with heart disease.

    abstract::Plasma concentrations of immunoreactive alpha-human atrial natriuretic polypeptide (i alpha-hANP) and cyclic guanosine monophosphate (cGMP) were measured in 70 patients with heart disease. Plasma concentrations of i alpha-hANP were directly related to the severity of heart disease (F = 29.61, p less than 0.001). Plasm...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(87)90663-6

    authors: Hirata Y,Ishii M,Matsuoka H,Sugimoto T,Iizuka M,Uchida Y,Serizawa T,Sato H,Kohmoto O,Mochizuki T

    更新日期:1987-06-01 00:00:00

  • Regional metabolism during coronary occlusion, reperfusion, and reocclusion using phosphorus31 nuclear magnetic resonance spectroscopy in the intact rabbit.

    abstract::Few studies have examined metabolic consequences of coronary occlusion and reperfusion using phosphorus31 nuclear magnetic resonance (31P-NMR) in an intact animal model. Accordingly, we developed a model to study serial changes in myocardial metabolism in the intact open-chest rabbit. Ten animals underwent 20 +/- 2 mi...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(89)90656-x

    authors: Kavanaugh KM,Aisen AM,Fechner KP,Chenevert TL,Dunham WR,Buda AJ

    更新日期:1989-01-01 00:00:00

  • Cocaine use is associated with an increased risk of stent thrombosis after percutaneous coronary intervention.

    abstract:BACKGROUND:The treatment of cocaine-related acute coronary syndromes presents unique challenges. Although percutaneous coronary intervention in cocaine abusers appears to be safe in the short term, longer-term outcomes have not been reported. We postulated that cocaine use would be associated with increased risk for st...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2007.04.004

    authors: McKee SA,Applegate RJ,Hoyle JR,Sacrinty MT,Kutcher MA,Sane DC

    更新日期:2007-07-01 00:00:00

  • Angiographic correlates of recurrent sustained ventricular tachycardia in chronic ischemic heart disease.

    abstract::We report the angiographic studies of 53 consecutive patients with angiographic coronary artery disease (CAD) and recurrent sustained ventricular tachycardia occurring at least 6 weeks remote from an acute myocardial infarction. Triple-vessel disease was present in 25 patients (47%), double-vessel disease in 19 patien...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(83)90392-7

    authors: Lam W,Pietras R,Bauernfeind R,Swiryn S,Strasberg B,Palileo E,Rosen KM

    更新日期:1983-06-01 00:00:00

  • Myocardial hibernation identified by hyperbaric oxygen treatment and echocardiography in postinfarction patients: comparison with exercise thallium scintigraphy.

    abstract::To evaluate the potential for hyperbaric oxygen (HBO) to produce transient improvement in function in areas of myocardium ischemic at rest (hibernating myocardium), 24 patients were studied within 1 week of acute myocardial infarction. Results were compared with single-photon emission computed tomography (SPECT) thall...

    journal_title:American heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0002-8703(92)90394-b

    authors: Swift PC,Turner JH,Oxer HF,O'Shea JP,Lane GK,Woollard KV

    更新日期:1992-11-01 00:00:00

  • Impact of moderate physical activity on the longitudinal trajectory of a cardiac specific biomarker of injury: Results from a randomized pilot study of exercise intervention.

    abstract:BACKGROUND:In animal models, physical activity (PA) prevents cardiac myocyte cell death. Data for PA mitigating myocyte injury in humans are limited to observational studies. Using a randomized controlled trial design, we sought to determine if introducing moderate PA to previously sedentary older adults could reduce t...

    journal_title:American heart journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ahj.2016.07.001

    authors: deFilippi CR,de Lemos JA,Newman AB,Guralnik JM,Christenson RH,Pahor M,Church T,Espeland M,Krithevsky SB,Stafford R,Seliger SL,LIFE Study Group.

    更新日期:2016-09-01 00:00:00

  • Temporal trends and patterns of early clopidogrel use across the spectrum of acute coronary syndromes.

    abstract:BACKGROUND:Randomized trials have established efficacy of clopidogrel in various types of acute coronary syndromes (ACS). The objective of this study was to examine the temporal trends and patterns of early clopidogrel use (within the first 24 hours of hospitalization) across the spectrum of patients with ACS in Canada...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ahj.2009.01.002

    authors: Rao RV,Goodman SG,Yan RT,Spencer FA,Fox KA,DeYoung JP,Rose B,Grondin FR,Gallo R,Gore JM,Yan AT,Canadian Global Registry of Acute Coronary Events (GRACE\/GRACE(2)) Investigators.

    更新日期:2009-04-01 00:00:00