0074: The stress test as a diagnostic toolfor coronary artery disease in hypertensive patients - 07/02/15
Résumé |
Introduction |
In hypertensive patients, there are multiplecauses of error in the diagnosis of coronary artery disease: The objective of this study was to evaluate the sensitivity of the positive electrical criteria in the stress test in diagnosing coronary artery disease within the hypertensive patients.
Materials/Methods |
120 hypertensive patients with positive stress test underwent coronary angiography.
Results |
33 % of patients had significant coronary lesions and 67% had normal coronary angiography. Two groups of patients were identified: group A (77 patients) withST segment depression in DII, DIII, aVF and V6 with maximal effort and group B (43 patients) with a ST segment depression in DII, DIII, aVF and/or V4, V5, V6 with maximal effort. In group A, 65 patients (84.4%) had normal coronary angiography. In group B, 31 patients (72%) had significant coronary lesions. In a subgroup of 46 patients in group A with persistent ST segment depression in V4 to V6 and recovering for 4 to 6 minutes, 93% of coronary angiograms were normal. In another subgroup of 19 patients in group B with persistent ST segment depressionin V4 to V6 and recovering for 4 to 8 minutes, 16 patients (86%) had significant lesions on coronary angiograms.
Conclusion |
hypertensive patients with stress test showing ST segment depression in DII, DIII, aVF and/or V4, V5, V6 on maximum effort and persisting for 4-8 minutes recovering have a high probability of significant coronary artery disease.
Le texte complet de cet article est disponible en PDF.Vol 7 - N° 1
P. 76 - janvier 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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