Risposta ipotensiva alla prova da sforzo dopo infarto miocardico recente: implicazioni prognostiche.

Translated title of the contribution: Hypotensive response to the exercise test after recent myocardial infarct: prognostic implications

C. Opasich, J. Assandri, R. Tramarin, M. Pozzoli, E. Traversi, O. Febo, F. Cobelli, G. Specchia

Research output: Contribution to journalArticle

Abstract

The incidence and the prognostic value of exertional hypotension was studied in 488 consecutive patients admitted to the Montescano Rehabilitation Center after acute myocardial infarction. During a symptom-limited bicycle ergometric test performed 28 to 60 days after acute myocardial infarction 33 patients (6.8%) showed exertional hypotension. These patients were grouped according to effort S-T segment modifications: Group A (n = 13) with S-T segment depression in ECG-leads without Q waves; Group B (n = 11) with S-T segment elevation in leads where Q waves were present; Group C (n = 9) with no exercise S-T changes. Group B patients had a larger infarct size by ECG criteria and a lower maximal work capacity at the functional stress test. The follow-up of the patients after discharge was 28.3 +/- 13.2 months. During rehabilitation and follow-up, 2 patients of Group B died and 5 suffered an acute pulmonary oedema; 3 patients of Group A and 1 of Group B had angina at rest. Group C patients had no complications. Thus, exertional hypotension and S-T elevation appear to be predictive of future cardiac event.

Original languageItalian
Pages (from-to)183-187
Number of pages5
JournalGiornale Italiano di Cardiologia
Volume13
Issue number9
Publication statusPublished - Sep 1983

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Exercise Test
Myocardial Infarction
Hypotension
Electrocardiography
Rehabilitation Centers
Patient Discharge
Unstable Angina
Pulmonary Edema
Rehabilitation
Exercise
Incidence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Risposta ipotensiva alla prova da sforzo dopo infarto miocardico recente : implicazioni prognostiche. / Opasich, C.; Assandri, J.; Tramarin, R.; Pozzoli, M.; Traversi, E.; Febo, O.; Cobelli, F.; Specchia, G.

In: Giornale Italiano di Cardiologia, Vol. 13, No. 9, 09.1983, p. 183-187.

Research output: Contribution to journalArticle

Opasich, C, Assandri, J, Tramarin, R, Pozzoli, M, Traversi, E, Febo, O, Cobelli, F & Specchia, G 1983, 'Risposta ipotensiva alla prova da sforzo dopo infarto miocardico recente: implicazioni prognostiche.', Giornale Italiano di Cardiologia, vol. 13, no. 9, pp. 183-187.
Opasich, C. ; Assandri, J. ; Tramarin, R. ; Pozzoli, M. ; Traversi, E. ; Febo, O. ; Cobelli, F. ; Specchia, G. / Risposta ipotensiva alla prova da sforzo dopo infarto miocardico recente : implicazioni prognostiche. In: Giornale Italiano di Cardiologia. 1983 ; Vol. 13, No. 9. pp. 183-187.
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