Myocardial Ischemia and Ambulatory Monitoring

Letters and Corrections1 December 1983Myocardial Ischemia and Ambulatory MonitoringFORD BALLANTYNE, M.D.FORD BALLANTYNE, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-99-6-880_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: In their editorial (1) in the February 1983 issue, Armstrong and Morris cite several studies to support their conclusion that ambulatory electrocardiographic monitoring cannot confidently be used to diagnose coronary ischemia (1). Although this conclusion may be correct, the evidence cited is limited and inadequate.The authors acknowledge early studies that showed a high frequency of ischemic ST segment depression in patients with proven coronary artery disease. They cite the study by Stern and colleagues (2) of 50 patients referred for severe chest pain. Twenty-two of these patients had abnormal resting electrocardiograms, and 16 developed abnormal ST...References1. ARMSTRONGMORRIS WS. The ST segment during ambulatory electrocardiographic monitoring [Editorial]. Ann Intern Med. 1983;98:249-51. LinkGoogle Scholar2. STERNTZIVONISTERN SDZ. Diagnostic accuracy of ambulatory ECG monitoring in ischemic heart disease. Circulation. 1975;52:1045-9. CrossrefMedlineGoogle Scholar3. ARMSTRONGJORDANMORRISMCHENRY WJSP. Prevalence and magnitude of S-T segment and T wave abnormalities in normal men during continuous ambulatory electrocardiography. Am J Cardiol. 1982;49:1638-42. CrossrefMedlineGoogle Scholar4. LEVYABINADER NE. Continuous electrocardiographic monitoring with Holter electrocardiocorder throughout all stages of gastroscopy. Am J Dig Dis. 1977;22:1091-6. CrossrefMedlineGoogle Scholar5. TAGGARTPARKINSONCARRUTHERS PPM. Cardiac responses to thermal, physical and emotional stress. Br Med J. 1972;3:71-6. CrossrefMedlineGoogle Scholar1. ARMSTRONGMORRIS WS. The ST segment during ambulatory electrocardiographic monitoring. Ann Intern Med. 1983;98:249-51. LinkGoogle Scholar2. ARMSTRONGJORDANMORRISMCHENRY WJSP. Prevalence and magnitude of S-T segment and T wave abnormalities in normal men during continuous ambulatory electrocardiography. Am J Cardiol. 1982;49:1638-42. CrossrefMedlineGoogle Scholar3. CRAWFORDMENDOZAO'ROURKEWHITEBOUCHERGORWIT MCRDCJ. Limitations of continuous ambulatory electrocardiogram monitoring for detecting coronary artery disease. Ann Intern Med. 1978;89:1-5. LinkGoogle Scholar4. KUNKESPICHARDSMITHGORLINHERMANKUPERSMITH SAHRMJ. Silent ST segment deviations and extent of coronary artery disease. Am Heart J. 1980;100:813-20. CrossrefMedlineGoogle Scholar5. TAGGARTPARKINSONCARRUTHERS PPM. Cardiac responses to thermal, physical and emotional stress. Br Med J. 1972;3:71-6. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Department of Medicine University of Wisconsin Madison, WI 53792 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited BySelective delivery of interleukine-1 receptor antagonist to inflamed joint by albumin fusion 1 December 1983Volume 99, Issue 6Page: 880-881KeywordsElectrocardiographyIschemiaStable coronary artery disease Issue Published: 1 December 1983 PDF DownloadLoading ...