What does this research mean for the field?

Ambulatory ST segment monitoring provides no prognostic advantage for predicting cardiac events over a two-year period in patients with chronic stable angina receiving standard medical treatment. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 1992HeartOpen Access

Value of ambulatory ST segment monitoring in patients with chronic stable angina: does measurement of the "total ischaemic burden" assist with management?

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Why the study?

Does ambulatory ST segment monitoring predict adverse clinical events in patients with chronic stable angina?

Population

172 patients with a clinical diagnosis of stable coronary artery disease attending cardiac outpatient…

Design

Cohort

Follow-up

mean 24.5 months (up to 39 months)

Authors

HMHugh MulcahyUniversity College Dublin JPJayan ParameshwarHeart Failure & Transplant DHD R HoldrightRoyal London Hospital

Discussion

Member takes

Implication

Ambulatory ST monitoring should not inform prognosis in stable angina; leaves open its role pending larger prospective validation.

Structured PICO

Does ambulatory ST segment monitoring predict adverse clinical events in patients with chronic stable angina?

Population

172 patients with a clinical diagnosis of stable coronary artery disease (stable angina) attending cardiac outpatient departments, 94% receiving antianginal treatment.

Intervention

48 hours of ambulatory ST segment monitoring and exercise testing

Outcome

Patient events including death, non-fatal myocardial infarction, unstable angina, and the requirement for revascularisationcomposite

Ambulatory ST segment monitoring provides no prognostic advantage for predicting clinical events over a two-year follow-up in patients with chronic stable angina on standard medical therapy.

Cite This Study

Mulcahy et al. (1992) studied this question.

synapsesocial.com/papers/6a1cd9186552df3dce1dafb2 https://doi.org/10.1136/hrt.67.1.47

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Value of ambulatory ST segment monitoring in patients with chronic stable angina: does measurement of the "total ischaemic burden" assist with management?

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Value of ambulatory ST segment monitoring in patients with chronic stable angina: does measurement of the "total ischaemic burden" assist with management?

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider