Diagnostic value of combining heart rate recovery and P-wave changes with exercise-induced changes in the ST segments for prediction of myocardial ischaemia

Koyuncu I., Tuluce K., Tuluce S. Y., Koyuncu B., Eyupoglu M., Gursul E., ...More

ACTA CARDIOLOGICA, vol.70, no.4, pp.422-429, 2015 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 70 Issue: 4
  • Publication Date: 2015
  • Doi Number: 10.1080/ac.70.4.3094651
  • Journal Name: ACTA CARDIOLOGICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.422-429
  • Keywords: Treadmill ECG test, P-wave duration, heart rate recovery, myocardial perfusion scintigraphy, coronary artery disease
  • Dokuz Eylül University Affiliated: Yes

Abstract

Background In patients admitted to outpatient clinics with chest pain, changes in the ST-segments of electrocardiogram (ECG) readings are the most widely used criteria during treadmill ECG tests to determine myocardial ischaemia, despite its poor accuracy. In this study, we evaluated the benefit of combining elongation of P-wave duration (Pdur) and abnormal heart rate recovery (HRR) parameters in addition to changes in the ST-segments for the detection of myocardial ischaemia with treadmill ECG testing.