Research article summary (published 21 Sep 2009):

[Diagnosis of coronary artery disease - part 2: Exercise electrocardiogram and myocardial perfusion scintigraphy]

(Diagnostik der koronaren Herzkrankheit - Teil 2: Belastungs-EKG und Myokardperfusionsszintigraphie.)

Full Abstract

The principle of exercise stress test and myocardial perfusions scintigraphy (MPS) is based on the detection of exercise-induced myocardial ischaemia by ECG and non-invasive assessment of myocardial perfusion respectively, MPS being the more sensitive method. The exercise stress test is the method of choice in patients with a normal resting ECG and good exercise tolerance, whereas MPS is a suitable test for patients with abnormal resting ECG and/or exercise intolerance. Stressors for MPS included exercise, pharmacological stress, or a combination. Both exercise stress test and MPS are suitable for the evaluation of patients with chest pain and intermediate pre-test probability of significant coronary artery disease. For patients with high pre-test probability, both tests are helpful for risk stratification. Neither test makes sense for the evaluation of patients with chest pain and low pre-test probability of significant coronary artery disease or unselected asymptomatic patients.

Author information

Author/s: Maeder, M T (MT); Zellweger, M J (MJ);

Affiliation: Baker IDI Heart and Diabetes Institute, Heart Center, Alfred Hospital, Melbourne, Victoria, Australien. micha.maeder(-atsign-)bluewin.ch

Journal and publication information

Publication Type: English Abstract; Journal Article

Journal: Praxis (Praxis (Bern 1994)), published in Switzerland. (Language: ger)

Reference: 2009-Sep; vol 98 (issue 19) : pp 1067-74

Dates: Created 2009/09/23; Completed 2009/10/27;

PMID: 19774514, status: MEDLINE (last retrieval date: 10/27/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult Aged Aged, 80 and over Chest Pain - etiology Coronary Disease - diagnosis Diagnosis, Differential Electrocardiography Exercise Test

Female Humans Male Middle Aged Myocardial Ischemia - diagnosis Predictive Value of Tests Radionuclide Imaging Risk Factors

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