The value of routine non-invasive tests to predict clinical outcome in stable angina

Abstract

Prior MI or prior CABG were the clinical parameters associated with adverse outcome in patients with stable angina and a positive exercise test. On the ECG, left ventricular hypertrophy was predictive, and on echocardiogram, increased left ventricular dimensions were predictive of adverse events. When combined with time to ischaemia on exercise testing in a simple clinically applicable table these factors could be used to predict of 2 year probability of events for an individual patient.

Evaluation of ST‐segment changes during and after maximal exercise tests in one‐, two‐ and three‐vessel coronary artery disease

“…However, published data showed considerable variations of the ST-amplitudes measured at half-minute intervals during exercise that may be caused by variations in electrode function and ECG sampling technique. Daly et al (15) confirmed earlier findings that a short time to >1 mm ST-depression is 4. Multivariate analysis.…”

The Prognostic Value of Normal Exercise Myocardial Perfusion Imaging and Exercise Echocardiography

“…Among these, 148 full-text articles evaluating the prognostic utility of exercise MPI or exercise echocardiography were reviewed, and 20 studies were found to be eligible for the systematic review. Of the 148 full-text articles reviewed, 17 did not address the research question (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31), 18 were excluded because they used pharmacologic rather than exercise stress (32-49), 27 did not include primary data on event rates that could be combined in a meta-analysis (47,50 -75), 16 did not address a population with known or suspected CAD (76 -91), 5 evaluated only hospitalized patients or patients evaluated for chest pain syndromes in the emergency department (92)(93)(94)(95)(96), 16 included only patients with angiographically proven CAD or positive tests (97)(98)(99)(100)(101)(102)(103)(104)(105)(106)(107)(108)(109)(110)(111)(112), 21 were potentially overlapping patient populations of other studies (53,(113)(114)(115)…”

2013 Esc Guidelines on the Management of Stable Coronary Artery Disease

“…Наконец, можно измерить глобальную функцию желудочка, один из важных прогностических показа-телей у пациентов с СИБС [29,79]. ЭхоКГ особенно полезна у пациентов с шумами в сердце [80], перене-сенным ИМ или симптомами/признаками сердечной недостаточности.…”