Brief reportUsefulness of ST-segment depression as a sign of coronary artery disease when confined to the postexercise recovery period
References (6)
- et al.
Quantitation of QRS and ST segment responses to exercise
Am Heart J
(1966) - et al.
Value of exercise testing for screening asymptomatic men for latent coronary artery disease
Prog Cardiovasc Dis
(1976) Exercise Electrocardiography
(1983)
Cited by (25)
Significance of ‘recovery ST-segment depression’ in exercise stress test
2021, Indian Heart JournalCitation Excerpt :However, 12–16% of patient with suspected CAD have ST-segment depression only during recovery phase of exercise test.2,3 Although the diagnostic and prognostic power of exercise induced ST-segment depression has been well characterized, the significance of ST-segment depression limited to recovery phase of stress test is poorly understood.4–6 Previous studies have given conflicting results with some reporting similar diagnostic value for both ' exercise’ and ‘recovery only’ ST segment depression,7,8 whereas some reporting limited diagnostic value for recovery only ST depression.9
Stress Test
2008, Chou's Electrocardiography in Clinical Practice: Adult and PediatricIncidence and significance of ischemic ST-segment depression occurring solely during recovery after exercise testing
2001, American Journal of CardiologyExercise-induced silent myocardial ischemia and coronary morbidity and mortality in middle-aged men
2001, Journal of the American College of CardiologyCitation Excerpt :Electrocardiographic recordings not only during exercise but also after exercise may improve the sensitivity of exercise testing to detect myocardial ischemia. However, very few studies have provided evidence that ischemic ST depression after exercise would have an adverse prognostic value with regard to coronary events in apparently healthy men (28–31). We found that silent ischemic ECG findings that prolonged or developed during recovery were associated with increased risk of both acute coronary events and CHD death.
Stress testing in cardiac evaluation: Current concepts with emphasis on the ECG
2001, ChestCitation Excerpt :ST-segment depression occasionally begins only after cessation of exercise. The diagnostic and prognostic significance of such adelayed response is generally similar to those occurring duringexercise121122123; however, when the onset of such a changeis delayed by > 2 to 3 min into recovery, this suggests afalse-positive response.124 When ST changes duringexercise are equivocal, the finding of progressively greaterdownsloping ST depression during recovery is a fairly specific sign of severe ischemia and also signals a greater incidence of cardiac eventsin follow-up.125
Reproducibility and relation to the degree of myocardial ischemia of postexercise electrocardiographic changes in stable angina pectoris
1991, The American Journal of Cardiology