Optimising diagnostic accuracy with the exercise ECG: opportunities for women and men with stable ischaemic heart disease

被引：7

作者：

Shaw, Leslee J. ^{[1
]}

Xie, Joe X. ^{[1
]}

Phillips, Lawrence M. ^{[2
]}

Goyal, Abhinav ^{[1
]}

Reynolds, Harmony R. ^{[2
]}

Berman, Daniel S. ^{[3
]}

Picard, Michael H. ^{[4
]}

Bhargava, Balram ^{[5
,6
]}

Devlin, Gerard ^{[7
]}

Chaitman, Bernard R. ^{[8
]}

机构：

[1] Emory Univ, Sch Med, Div Cardiol, Dept Med, Atlanta, GA 30322 USA

[2] NYU, Sch Med, Cardiovasc Clin Res Ctr, Leon H Charney Div Cardiol,Dept Med, New York, NY USA

[3] Cedars Sinai Med Ctr, Cedars Sinai Heart Inst, Dept Imaging, Los Angeles, CA 90048 USA

[4] Massachusetts Gen Hosp, Div Cardiol, Dept Med, Boston, MA 02114 USA

[5] All India Inst Med Sci, SIB, Cardiol, Cardiothorac Sci Ctr, New Delhi, India

[6] All India Inst Med Sci, SIB, Stanford India Biodesign Ctr, New Delhi, India

[7] Waikato Hosp, New Zealand Heart Fdn, Dept Med, Div Cardiol, Hamilton, New Zealand

[8] St Louis Univ, Sch Med, Dept Med, Div Cardiol, St Louis, MO 63104 USA

来源：

HEART ASIA | 2016年 / 8卷 / 02期

关键词：

D O I：

10.1136/heartasia-2016-010736

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The exercise ECG is an integral part within the evaluation algorithm for diagnosis and risk stratification of patients with stable ischaemic heart disease (SIHD). There is evidence, both older and new, that the exercise ECG can be an effective and cost-efficient option for patients capable of performing at maximal levels of exercise with suitable resting ECG findings. In this review, we will highlight the major dilemmas in interpreting suspected coronary artery disease symptoms in women and identify optimal strategies for employing exercise ECG as a first-line diagnostic test in the SIHD evaluation algorithm. We will highlight current evidence as well as recent guideline statements on this subject.

引用

页码：1 / 7

页数：7

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