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Titolo:
THE INFLUENCE OF THROMBOLYTIC THERAPY ON THE PREDICTIVE VALUE OF EXERCISE TESTING 3 WEEKS AFTER ACUTE MYOCARDIAL-INFARCTION
Autore:
ABBOUD L; HIR J; EISEN I; MARKIEWICZ W;
Indirizzi:
RAMBAM MED CTR,DEPT CARDIOL,POB 9602 IL-31096 HAIFA ISRAEL RAMBAM MED CTR,DEPT CARDIOL IL-31096 HAIFA ISRAEL TECHNION ISRAEL INST TECHNOL,FAC MED HAIFA ISRAEL
Titolo Testata:
Journal of internal medicine
fascicolo: 5, volume: 236, anno: 1994,
pagine: 537 - 542
SICI:
0954-6820(1994)236:5<537:TIOTTO>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-ARTERY DISEASE; LIMITED VALUE; TRIAL; RISK; ANGIOGRAPHY; ISCHEMIA; SOON; ERA;
Keywords:
EXERCISE TESTING; MYOCARDIAL INFARCTION; THROMBOLYTIC THERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
L. Abboud et al., "THE INFLUENCE OF THROMBOLYTIC THERAPY ON THE PREDICTIVE VALUE OF EXERCISE TESTING 3 WEEKS AFTER ACUTE MYOCARDIAL-INFARCTION", Journal of internal medicine, 236(5), 1994, pp. 537-542

Abstract

Objectives. To evaluate the prognostic value of exercise testing performed soon after acute myocardial infarction (AMI) in patients treatedwith thrombolytic therapy. Design. A 1-year prospective follow-up of 185 subjects treated with thrombolytic therapy who survived AMI, and who performed exercise testing 3 weeks after AMI, These patients were compared with 272 patients not receiving thrombolytic therapy during the same period. Subjects, Patients recovering from AMI, without medicalcontraindications to exercise testing performed 3 weeks after AMI. Main outcome measures. ST-segment deviations during exercise testing 3 weeks post-AMI were related to clinical outcome 1-year post-AMI and to the administration of thrombolytic therapy during the acute phase of infarction. Results, In patients treated with thrombolytic therapy, theonly exercise-test-related parameter predicting subsequent cardiac events was ST-segment elevation. In contrast, patients not receiving thrombolytic therapy and demonstrating ST-segment depression of greater than or equal to 1 mm during exercise had more clinical cardiac events than those without this finding (12.3 vs. 3.9%; P < 0.05). Conclusion. This study casts doubt on the ability of exercise testing to select ahigh-risk population requiring early intervention to prevent recurrent coronary events after thrombolysis for AMI.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 00:53:45