Prognostic value of low-level exercise testing in patients with myocardial infarction.
スポンサーリンク
概要
- 論文の詳細を見る
The prognostic value of low-level exercise testing (EXT) before hospital discharge was assessed in 111 patients with uncomplicated acute myocardial infarction (AMI). Of 111 patients, 94 were followed for 1 year after AMI to find that 22 carried a poor prognosis: reduction in duration of EXT (6 patients), postinfarction angina (2 patients), congestive heart failure (3 patients), coronary bypass graft surgery (7 patients) and reinfarction (4 patients). The prognosis was poor in 3.7% of 54 patients who tolerated exercise for 721 seconds or longer (4.2 METs) and 50% of 40 patients tolerating it no longer than 720sec (p<0.0001). Of 22 patients who turned out to be carriers of a poor prognosis, 12 (54.5%) had an ST segment change during EXT, but 10 of the 12 patients were asymptomatic. Our results suggest that reduction in duration of exercise and asymptomatic ST segment changes during EXT provide important clues to establishing the short-term prognosis of AMI.
- International Heart Journal刊行会の論文
著者
-
Kishida Hiroshi
First Department Of Internal Medicine Nippon Medical School
-
KANAZAWA Masakuni
First Department of Internal Medicine, Nippon Medical School
-
HATA Noritake
First Department of Internal Medicine, Nippon Medical School
関連論文
- Coronary Hyperreactivity to Adrenergic Stimulation and Increased Nocturnal Vagal Tone Trigger Coronary Vasospasm
- PJ-493 Relationship between the Mismatch of TI-201 and I-123-BMIPP Myocardial SPECT and Autonomic Function in Patients with Acute Myocardial Infarction(Autonomic nervous system-5 (H) PJ83,Poster Session (Japanese),The 70th Anniversary Annual Scientific Me
- Serial assessment of left ventricular performance at rest and during bicycle exercise by ECG-gated myocardial perfusion SPECT
- Mitochondrial KATP channel opener, nicorandil, limits myocardial infarct size even when given during reperfusion alone
- RELATIONSHIP BETWEEN RESTENOSIS (RES ) AFTER PERCUTANEOUS TRANSLUMINAL CORONARY ANCIOPLASTY (PTCA) ,AND COAGULABILITY AND FIBRINOLYSIS
- Simultaneous assessment of Tc-99m-sestamibi and I-123-BMIPP myocardial distribution in patients with myocardial infarction : Evaluation of left ventricular function with ECG-gated myocardial SPECT
- 0558 The possible contribution of abnormal α-adrenergic response to neurally mediated syncope
- Mechanism of constant μ-volt lebel T-wave alternans : role of intracellular calcium cycling regulated by sarcoplasmic reticulum
- Resting Ultrasonic Tissue Characterization and Dobutamine Stress Echocardiography for Prediction of Functional Recovery in Chronic Left Ventricular Ischemic Dysfunction
- Fast Fourier transform (FFT) analysis of the effects of epalrestat, an aldose reductase inhibitor, on autonomic function in diabetic patients
- Correlation Between Atrial Natriuretic Peptide and Baroreflex Sensitivity in Patients With Congestive Heart Failure
- -0838-ROLE OF ENDOGENOUS SUPEROXIDE DISMUTASE (Cu-Zn SOD) AGAINST ISCHEMIC MYOCARDIAL INJURY IN PATIENTS c ACUTE MYOCARDIAL INFARCTION (AMI) : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- ASSESSMENT OF LEFT VENTRICULAR DIASTOLIC DYSFUNCTION BY PEAK DECELERATION RATE OF PULMONARY VENOUS DIASTOLIC FORWARD FLOW
- Relationship Between the Mismatch of 123I-BMIPP and 201Tl Myocardial Single-Photon Emission Computed Tomography and Autonomic Nervous System Activity in Patients With Acute Myocardial Infarction
- Successful Removal of a Foreign Body from the Caval Vein by Use of Endo-Myocardial Bioptome
- The effects of mexiletine on action potential duration and its restitution in guinea pig ventricular muscles.
- A case of progressive muscular dystrophy with numerous arterioluminal vessels.
- Significant Characteristics of Variant Angina Patients with Associated Syncope.
- Prognostic value of low-level exercise testing in patients with myocardial infarction.
- Prognostic Indicators of Major Cardiac Events in Patients with Asymptomatic Coronary Artery Disease.
- Prognosis of patients with persistent negative U wave following myocardial infarction.
- Negative U-wave as a Predictor of Antihypertensive Treatment Effect on Regression of Echocardiographic Hypertrophy in Hypertensive Patients.
- Dobutamine Stress Echocardiography for the Detection of Coronary Artery Disease and Viable Myocardium.
- Characteristics of symptomatic and asymptomatic myocardial ischemia during ambulatory electrocardiographic monitoring in patients with angina pectoris.