Errors during the exercise test for the diagnosis of Coronary heart disease: negative result in the presence of three-vessel coronary artery disease

Author:

Popova L. A.1,Karpina N. L.1,Chushkin M. I.1,Mandrykin S. Y.2,Janus V. M.2,Anokhin N. V.2,Struchkov P. V.3

Affiliation:

1. Federal State Budgetary Scientific Institution ‘Central Tuberculosis Research Institute’

2. Multidisciplinary Medical Center of the Central Bank of Russian Federation

3. Academy of Postgraduate Education of Federal Medical Biological Agency

Abstract

The exercise ECG test is traditionally the first choice in patients with suspected CHD, as the most accessible, despite the fact that its sensitivity and specificity are 68 % and 77 %, respectively. Description of a clinical case of multivessel coronary artery disease in a patient with a negative result of exercise ECG test is presented.

Publisher

Alfmed LLC

Subject

Materials Chemistry,Economics and Econometrics,Media Technology,Forestry

Reference16 articles.

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2. Rukovodstvo po funktsional'noi diagnostike boleznei serdtsa. Nauchnoprakticheskoe posobie po kardiologii / Syrkin A. L., Poltavskaya M. G., Novikova N. A., Sedov V.P i dr — M.: Zolotoi Standprt, 2009. — 368s.

3. Chung E. K. Exercise Electrocardiography: Practical Approach 2nd Edition, 1983.

4. Gianrossi R., Detrano R., Mulvihill D., at al. Exercise‑Induced ST Depression in the Diagnosis of Coronary Artery Disease: A Meta‑Analysis. Circulation. 1989;80:87–98.

5. Montalescot G., Sechtem U., Achenbach S., at al. 2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. Eur Heart J. 2013;34(38):2949–3003. doi: 10.1093/eurheartj/eht296.

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