Significance of indeterminate and abnormal stress electrocardiography despite normal imaging in patients with suspected coronary artery disease – An analysis of the PROMISE trial

Mansour, Munthir; Alqaisi, Omar; Malkawi, Abdallah; Alaiwah, Malek; Radaideh, Qais; Al’Aref, Subhi J.; Fudim, Marat; Douglas, Pamela S.; Vallurupalli, Srikanth

doi:10.1016/j.jelectrocard.2022.05.011

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…72,73 Although further data are needed to fully clarify these findings, and the fact that factors such as functional capacity and BP should also be equated, these, however, show that there are still unmet issues relating to this technique. [72][73][74][75] As shown above, ExECG may still be of use in the diagnostic process of selected patients with suspected CAD. 4,16,57 Albeit this, in this setting, its role has progressively focused on providing a comprehensive assessment able to detail relevant ancillary data regarding several facets of the cardiovascular response to physical effort.…”

Section: Ihdmentioning

confidence: 97%

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Sixty years of the Bruce protocol: reappraising the contemporary role of exercise stress testing with electrocardiographic monitoring

Vilela,

Oliveira,

Oliveira

et al. 2023

Porto Biomedical Journal

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The cardiovascular response to exercise has long been a focus of interest. Over a century ago, the first descriptions of electrocardiographic changes occurring during exercise highlighted the possible relevance of this dynamic assessment. In this background, the inception of the Bruce protocol circa 60 years ago allowed for a major leap in this field by providing a standardized framework with which to address this issue, by means of an integrated and structured methodology. Since then, exercise stress testing with electrocardiographic monitoring (ExECG) has become one of the most widely appraised tests in cardiovascular medicine. Notably, past few decades have been profoundly marked by substantial advances in the approach to cardiovascular disease, challenging prior notions concerning both its physiopathology and overall management. Among these, the ever-evolving presentations of cardiovascular disease coupled with the development and implementation of several novel diagnostic modalities (both invasive and noninvasive) has led to a shifting paradigm in the application of ExECG. This technique, however, has continuously shown to be of added value across various momentums of the cardiovascular continuum, as depicted in several contemporary guidelines. This review provides a pragmatical reflexion on the development of ExECG, presenting a comprehensive overview concerning the current role of this modality, its challenges, and its future perspectives.

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Section: Ihdmentioning

confidence: 97%

Section: Exercise Stress Testing With Electrocardiographic Monitoring...mentioning

confidence: 99%

Sixty years of the Bruce protocol: reappraising the contemporary role of exercise stress testing with electrocardiographic monitoring

Vilela,

Oliveira,

Oliveira

et al. 2023

Porto Biomedical Journal

View full text Add to dashboard Cite

show abstract

Significance of abnormal stress electrocardiography with normal cardiac imaging during stress testing–a meta-analysis

Mansour,

Alqaisi,

Gautam

et al. 2024

Journal of Electrocardiology

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Significance of indeterminate and abnormal stress electrocardiography despite normal imaging in patients with suspected coronary artery disease – An analysis of the PROMISE trial

Cited by 2 publications

References 21 publications

Sixty years of the Bruce protocol: reappraising the contemporary role of exercise stress testing with electrocardiographic monitoring

Sixty years of the Bruce protocol: reappraising the contemporary role of exercise stress testing with electrocardiographic monitoring

Significance of abnormal stress electrocardiography with normal cardiac imaging during stress testing–a meta-analysis

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