CLINICAL SIGNIFICANCE OF EXERCISE-INDUCED ST CHANGES IN PATIENTS WITH PRIOR MYOCARDIAL INFARCTION : Comparison of electrocardiographic and angiographic findings
スポンサーリンク
概要
- 論文の詳細を見る
In order to investigate the clinical significance of exercise-induced ST changes in patients with prior myocardial infarction, we performed an exercise tolerance test using bicycle ergometer, coronary arteriography and left ventriculography in 77 patients with prior myocardial infarction and compared exercise-induced ST changes with coronary arteriographic and left ventriculographic findings. At end-point time in the exercise test, we observed abnormal ST elevation in 36 patients (46.7%), ST depression in 11 (14.3%) and no significant ST changes in the remaining 30 (39.0%). After exercise, 29 out of 48 patients (60.4%) with prior anterior myocardial infarction had significant ST elevation, 9 (18.8%) had ST depression, and 10 patients (20.8%) had no significant ST changes. Of the 29 patients with exercise-induced ST elevation, 26 (89.6%) had no significant coronary lesion or simply had single vessel disease, and 6 of 9 patients with ST depression (66.7%) had multiple vessel disease. Furthermore, 18 of 29 patients with exercise-induced ST elevation (62.1%) had dyskinesis, 8 (27.6%) had akinsesis and only 3 (10.3%) had hypokinesis. On the other hand, only 2 of 9 patients with exercise-induced ST depression (22.2%) had dyskinesis, 5 had akinesis, and 2 had hypokinesis. Only 7 out of 29 patients (24.1%) with prior inferior myocardial infarction had ST elevation, 2 (6.9%) had ST depression, and no significant ST changes were observed in the remaining 20 (69.0%). No significant correlation was obtained between exercise-induced ST changes and coronary arteriographic and left ventriculographic findings. These findings strongly suggest that exercise-induced ST elevation is commonly observed in patients with anterior myocardial infarction and correlated with the severity of abnormal left ventricular wall movement, and ST depression is related with the extent of coronary artery lesion.
- 社団法人日本循環器学会の論文
- 1981-10-20
著者
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Inoue Michitoshi
The First Dept. of Medicine, Osaka University
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ABE HIROSHI
The First Department of Medicine, Osaka University School of Medicine
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Fukui Sugao
National Cardiovascular Center Research Institute
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Fukui Sugao
和泉市
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Fukui Sugao
Division Of Cardiology Sakurabashl Watanabe Hospital
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Fukui Sugao
The Cardiavascular Division, Sakurabashi Watanabe Hospital
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Minamino Takazo
The Cardiavascular Division, Sakurabashi Watanabe Hospital
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Miyake Saeko
The Cardiovascular Division, Sakurabashi Watanabe Hospital.
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SATO KUNITOMO
The Cardiovascular Division, Sakurabashi Watanabe Hospital
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Inoue Michitoshi
The First Department Of Medicine Osaka University Medical School
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Kuki Satoru
First Department Of Surgery Osaka University Medical School
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Ohgitani Nobuhisa
The Cardiovascular Division Sakurabashi Watanabe Hospital
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Harigae Satoko
Division Of Cardiology Yao Municipal Hospital
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Miyake Saeko
The Cardiovascular Division Sakurabashi Watanabe Hospital
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Sato Kunitomo
Division Of Cardiology Sakurabashi Watanabe Hospital
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Satoh Kunitomo
Cardiovascular Division Sakurabashi Watanebe Hospital
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SATO HIDEUKI
The Cardiovascular Division, Sakurabashi Watanabe Hospital
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OGIDANI NOBUHISA
The Cardiovascular Division, Sakurabashi Watanabe Hospital
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Sato Kunitomo
The Cardiovascular Division Sakurabashi Watanabe Hospital
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Ohgitani Nobuhisa
Sakurabashi-watanabe Hosp.
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Ohgitani Nobuhisa
First Dep. Of Surgery Radiology Osaka Univ. Med. School And Sakurabashi Watanabe Hospital
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Ogitani Nobuhisa
First Department Of Surgery Osaka Medical School University
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Abe Hiroshi
The First Department Of Internal Medicine Osaka University Medical School
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