Diagnostic and prognostic value of ST segment depression limited to the recovery phase of exercise stress test

Gaetana A. Lanza, M. Mustilli, A. Sestito, F. Infusino, G. A. Sgueglia, F. Crea

Research output: Contribution to journalArticle

Abstract

Objectives: To investigate the diagnostic and prognostic value of ST segment depression limited to the recovery phase of an exercise stress test, as compared with that of ST segment depression appearing during exercise. Setting: Exercise stress test laboratory of a university hospital. Patients and design: Clinical and angiographic data were compared for 574 consecutive patients who developed ST segment depression during the active phase of an exercise test (group 1) and for 79 patients who developed ST segment depression only during the recovery phase of the exercise test (group 2). Results: There were no differences between the two groups in major clinical features. Significant coronary artery stenoses were found in 488 group 1 patients (85%) and in 62 group 2 patients (78%, p = 0.14). Three vessel or left main disease was found in 166 (29%) group 1 and in 14 (18%) group 2 patients (p = 0.045). At a median follow up of 55.3 months of 321 group 1 and 54 group 2 patients, there were no significant differences in major cardiac events between the groups (univariate relative risk 0.81, 95% confidence interval 0.25 to 2.68, p = 0.72). Conclusion: The diagnostic and prognostic power of ST segment depression limited to the recovery phase of an exercise test is largely similar to that of ST segment depression induced during effort; thus, assessing ST segment depression during recovery can significantly improve the clinical information derived from exercise stress tests.

Original languageEnglish
Pages (from-to)1417-1421
Number of pages5
JournalHeart
Volume90
Issue number12
DOIs
Publication statusPublished - Dec 2004

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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