Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Investigation of the most effective provocation test for patients with coronary spastic angina - Usefulness of accelerated exercise following hyperventilation
Autore:
Sueda, S; Saeki, H; Otani, T; Ochi, N; Kukita, H; Kawada, H; Matsuda, S; Uraoka, T;
Indirizzi:
Saiseikai Saijo Hosp, Dept Cardiol, Saijo, Ehime 790, Japan Saiseikai Saijo Hosp Saijo Ehime Japan 790 rdiol, Saijo, Ehime 790, Japan Uwajima Social Insurance Hosp, Dept Cardiol, Uwajima, Japan Uwajima SocialInsurance Hosp Uwajima Japan ept Cardiol, Uwajima, Japan Kita Med Assoc Hosp, Dept Cardiol, Ozu, Japan Kita Med Assoc Hosp Ozu Japan Med Assoc Hosp, Dept Cardiol, Ozu, Japan
Titolo Testata:
JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION
fascicolo: 2, volume: 63, anno: 1999,
pagine: 85 - 90
SICI:
0047-1828(199902)63:2<85:IOTMEP>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
COLD PRESSOR TEST; VARIANT ANGINA; ARTERIAL SPASM; MYOCARDIAL ISCHEMIA; SEGMENT ELEVATION; SENSITIVITY; PECTORIS; ATTACKS; DISEASE;
Keywords:
cold stress; coronary vasospasm; exercise; hyperventilation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Sueda, S SaiseikainSaijo Hosp, Dept Cardiol, Tsuitachi 269-1, Saijo, Ehime790, Japa Saiseikai Saijo Hosp Tsuitachi 269-1 Saijo Ehime Japan 790 , Japa
Citazione:
S. Sueda et al., "Investigation of the most effective provocation test for patients with coronary spastic angina - Usefulness of accelerated exercise following hyperventilation", JPN CIRC J, 63(2), 1999, pp. 85-90

Abstract

This study sought to compare the clinical usefulness of the hyperventilation plus cold stress test or the hyperventilation combined with accelerated exercise test with other single tests in patients with coronary spastic angina. The study examined 24 patients (23 men, mean age 66 years) with angiographically confirmed coronary spastic angina and less than 50% stenosis. Moreover, none had spontaneous ST segment elevation before the study. Under no medication for at least 24 h prior, 4 procedures were performed from 09.00 h to 11.00 h: (i) a hyperventilation test for 5 min (HV(5)); (ii) HV(5) combined with a cold stress test for the last 2 min (KV(5)+CS(2)); (iii) a treadmill exercise test based on Bruce's protocol (TM(3)); and (iv) a treadmill exercise test accelerated at 1 min intervals according to Bruce's protocol immediately after HV(5) (HV(5)+TM(1)). The rate of appearance of chest pain and ischemia-induced ECG changes due to HV(5)+TM(1) were significantlyhigher than the other 3 tests. HV(5)+CS(2) was not superior to HV(5) alone. The incidence of provoked ST segment elevation due to HV(5)+TM(1) was higher than with the other 3 procedures. Thus, in patients with coronary spastic angina, no spontaneous ST segment elevation and near normal coronary arteries, HV(5)+CS(2) was no more useful than HV(5) alone. It is recommended that the newly designed HV(5)+TM(1) combination test be used for documentingevidence of ischemia in patients with coronary spastic angina, low diseaseactivity and near normal coronary arteries.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 10:30:05