Matches in SemOpenAlex for { <https://semopenalex.org/work/W2055711512> ?p ?o ?g. }
Showing items 1 to 87 of
87
with 100 items per page.
- W2055711512 endingPage "190" @default.
- W2055711512 startingPage "182" @default.
- W2055711512 abstract "Aims: Although peak exercise echocardiography has been reported for both bicycle and treadmill exercise and has shown higher sensitivity than post-exercise imaging, little is known about its utility for identifying multivessel involvement. We sought to compare feasibility and accuracy of peak treadmill exercise echocardiography vs post-exercise echocardiography for identification of multivessel coronary artery disease and to assess its incremental value when combined with clinical and exercise test variables. Methods and Results: The study group included 335 patients (228 men; mean (±SD) age 60 ± 11 years). Two hundred and seventy-nine patients were included on the basis of having had an exercise echocardiography and a coronary angiography within 4 months of the exercise test. To avoid bias to coronary angiography, a subgroup of 56 consecutive non-diabetic patients referred for exercise echocardiography with pretest probability of coronary artery disease <10% and had atypical chest pain or were asymptomatics were also included and considered as having no coronary artery disease. Multivessel coronary artery disease (≥50% diameter stenosis in <1 vessel) was confirmed in 170 patients, whereas 165 patients were considered to have one-vessel coronary artery disease or no coronary lesions. Positive exercise echocardiography was defined as ischaemia or necrosis in at least two coronary territories. Post-exercise images were acquired within 125 s after exercise (49±15). Mean heart rate (bpm) was 139±19 at peak vs 117±22 at post-exercise imaging ( P <0.001). Interpretable peak and post-exercise images were obtained for all patients. Sensitivity for predicting multivessel disease was higher with peak than with post-exercise imaging (79 vs 55%, P <0.001), with lower specificity (79 vs 88%, P <0.05). Predictive positive value was similar (80 vs 83%). Negative predictive value was again higher with peak imaging (78 vs 66%, P <0.01). Total accuracy was not different (79 vs 72%). A stepwise logistic regression analysis identified peak exercise echocardiography positivity for multivessel coronary artery disease as the strongest independent predictor of multivessel disease (odds ratio (OR): 7.36); also significant were male gender (OR: 4.22), diabetes mellitus (OR: 4.28), previous myocardial infarction (OR: 3.12) and increment of product heart rate × blood pressure (OR: 1.00). Conclusions: Peak treadmill exercise echocardiography is technically feasible and has higher sensitivity and negative predictive value for predicting multivessel disease than post-treadmill exercise echocardiography. This method adds independent and incremental values to clinical and exercise variables for the diagnosis of multivessel coronary artery disease. Therefore, in the clinical setting, peak exercise echocardiography should be performed to diagnose multivessel coronary artery disease." @default.
- W2055711512 created "2016-06-24" @default.
- W2055711512 creator A5010464223 @default.
- W2055711512 creator A5028712024 @default.
- W2055711512 creator A5032950651 @default.
- W2055711512 creator A5033963050 @default.
- W2055711512 creator A5073831554 @default.
- W2055711512 creator A5074288969 @default.
- W2055711512 date "2003-09-01" @default.
- W2055711512 modified "2023-09-30" @default.
- W2055711512 title "Accuracy of peak treadmill exercise echocardiography to detect multivessel coronary artery disease: comparison with post-exercise echocardiography" @default.
- W2055711512 cites W1880752594 @default.
- W2055711512 cites W1976065232 @default.
- W2055711512 cites W1977032050 @default.
- W2055711512 cites W1986807100 @default.
- W2055711512 cites W1998201975 @default.
- W2055711512 cites W2007232023 @default.
- W2055711512 cites W2010506099 @default.
- W2055711512 cites W2015485738 @default.
- W2055711512 cites W2024152399 @default.
- W2055711512 cites W2025957790 @default.
- W2055711512 cites W2027459645 @default.
- W2055711512 cites W2049373023 @default.
- W2055711512 cites W2049626142 @default.
- W2055711512 cites W2052465660 @default.
- W2055711512 cites W2056894549 @default.
- W2055711512 cites W2057163274 @default.
- W2055711512 cites W2059609206 @default.
- W2055711512 cites W2071552296 @default.
- W2055711512 cites W2082544267 @default.
- W2055711512 cites W2088724740 @default.
- W2055711512 cites W2990123797 @default.
- W2055711512 doi "https://doi.org/10.1016/s1525-2167(02)00168-3" @default.
- W2055711512 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/17045544" @default.
- W2055711512 hasPublicationYear "2003" @default.
- W2055711512 type Work @default.
- W2055711512 sameAs 2055711512 @default.
- W2055711512 citedByCount "35" @default.
- W2055711512 countsByYear W20557115122012 @default.
- W2055711512 countsByYear W20557115122016 @default.
- W2055711512 countsByYear W20557115122020 @default.
- W2055711512 countsByYear W20557115122021 @default.
- W2055711512 countsByYear W20557115122022 @default.
- W2055711512 crossrefType "journal-article" @default.
- W2055711512 hasAuthorship W2055711512A5010464223 @default.
- W2055711512 hasAuthorship W2055711512A5028712024 @default.
- W2055711512 hasAuthorship W2055711512A5032950651 @default.
- W2055711512 hasAuthorship W2055711512A5033963050 @default.
- W2055711512 hasAuthorship W2055711512A5073831554 @default.
- W2055711512 hasAuthorship W2055711512A5074288969 @default.
- W2055711512 hasBestOaLocation W20557115121 @default.
- W2055711512 hasConcept C126322002 @default.
- W2055711512 hasConcept C126838900 @default.
- W2055711512 hasConcept C164705383 @default.
- W2055711512 hasConcept C2778213512 @default.
- W2055711512 hasConcept C2778704086 @default.
- W2055711512 hasConcept C2781464450 @default.
- W2055711512 hasConcept C71924100 @default.
- W2055711512 hasConceptScore W2055711512C126322002 @default.
- W2055711512 hasConceptScore W2055711512C126838900 @default.
- W2055711512 hasConceptScore W2055711512C164705383 @default.
- W2055711512 hasConceptScore W2055711512C2778213512 @default.
- W2055711512 hasConceptScore W2055711512C2778704086 @default.
- W2055711512 hasConceptScore W2055711512C2781464450 @default.
- W2055711512 hasConceptScore W2055711512C71924100 @default.
- W2055711512 hasIssue "3" @default.
- W2055711512 hasLocation W20557115121 @default.
- W2055711512 hasLocation W20557115122 @default.
- W2055711512 hasOpenAccess W2055711512 @default.
- W2055711512 hasPrimaryLocation W20557115121 @default.
- W2055711512 hasRelatedWork W2042629756 @default.
- W2055711512 hasRelatedWork W2089356873 @default.
- W2055711512 hasRelatedWork W2149773088 @default.
- W2055711512 hasRelatedWork W2360476795 @default.
- W2055711512 hasRelatedWork W2424719165 @default.
- W2055711512 hasRelatedWork W2471376028 @default.
- W2055711512 hasRelatedWork W2889407610 @default.
- W2055711512 hasRelatedWork W4237125075 @default.
- W2055711512 hasRelatedWork W4289535533 @default.
- W2055711512 hasRelatedWork W4290129178 @default.
- W2055711512 hasVolume "4" @default.
- W2055711512 isParatext "false" @default.
- W2055711512 isRetracted "false" @default.
- W2055711512 magId "2055711512" @default.
- W2055711512 workType "article" @default.