Exercise testing and dipyridamole echocardiography test before and 48 h after successful coronary angioplasty: Prognostic implications

D. Massa, S. Pirelli, E. Gara, F. Faletra, A. Alberti, G. Piccalo, E. Corrada, A. Mafrici, A. Formentini, L. Campolo

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Abstract

The purpose of the present study was to determine the value of exercise testing (ET) and dipyridamole echocardiography test (DET) in the early functional evaluation after a successful coronary angioplasty (PTCA) and in the prediction of angina recurrence. 52 patients underwent ET and DET before and 48 h after a successful PTCA. During a 6-12 month follow-up period they all underwent clinical evaluation. Before PTCA, ET was positive in 49 of 52 patients (94%) and new asynergies were detected by DET in 47 of 52 patients (90%). 48 h after PTCA 23 patients (44%) had a positive ET results and 10 had positive DET response. During the follow-up, 17 patients experienced recurrence of angina. Positive predictive value (PPV) for angina recurrence of ET and DET performed early after the PTCA were, respectively, 57 and 80%. The PPV of ET increased to 88% when electrocardiographic (ECG) positivity was accompanied by angina. Negative predictive values of ET and DET were, respectively, 86% and 79%. Early after PTCA, exercise ECG positivity was not predictive of symptom recurrence while ECG positivity associated with angina revealed a high PPV, similar to that of DET.

Original languageEnglish
Pages (from-to)13-17
Number of pages5
JournalEuropean Heart Journal
Volume10
Issue numberSUPPL. G
Publication statusPublished - 1989

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Dipyridamole
Angioplasty
Echocardiography
Exercise
Recurrence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Massa, D., Pirelli, S., Gara, E., Faletra, F., Alberti, A., Piccalo, G., ... Campolo, L. (1989). Exercise testing and dipyridamole echocardiography test before and 48 h after successful coronary angioplasty: Prognostic implications. European Heart Journal, 10(SUPPL. G), 13-17.

Exercise testing and dipyridamole echocardiography test before and 48 h after successful coronary angioplasty : Prognostic implications. / Massa, D.; Pirelli, S.; Gara, E.; Faletra, F.; Alberti, A.; Piccalo, G.; Corrada, E.; Mafrici, A.; Formentini, A.; Campolo, L.

In: European Heart Journal, Vol. 10, No. SUPPL. G, 1989, p. 13-17.

Research output: Contribution to journalArticle

Massa, D, Pirelli, S, Gara, E, Faletra, F, Alberti, A, Piccalo, G, Corrada, E, Mafrici, A, Formentini, A & Campolo, L 1989, 'Exercise testing and dipyridamole echocardiography test before and 48 h after successful coronary angioplasty: Prognostic implications', European Heart Journal, vol. 10, no. SUPPL. G, pp. 13-17.
Massa, D. ; Pirelli, S. ; Gara, E. ; Faletra, F. ; Alberti, A. ; Piccalo, G. ; Corrada, E. ; Mafrici, A. ; Formentini, A. ; Campolo, L. / Exercise testing and dipyridamole echocardiography test before and 48 h after successful coronary angioplasty : Prognostic implications. In: European Heart Journal. 1989 ; Vol. 10, No. SUPPL. G. pp. 13-17.
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