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January 1, 1974HeartOpen Access

Comparison of exercise tests and 24-hour ambulatory electrocardiographic monitoring in detection of ST-T changes.

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Why the study?

How do the multistage bicycle ergometric test, 24-hour ambulatory electrocardiographic monitoring, and single two-step exercise test compare in detecting ST-T changes in patients with atypical praecordial symptoms?

Population

47 subjects over the age of 40 years, with atypical praecordial symptoms and a normal resting…

Comparison

Multistage bicycle ergometric test and… vs Single two-step exercise test

Design

Cross-sectional

Authors

EWE. Wolf59th Medical WingDTDan TzivoniShaare Zedek Medical CenterSSS SternLMU Klinikum

Discussion

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Implication

May support preferring multistage ergometry or 24-hour monitoring over two-step testing; leaves open prospective validation in larger cohorts.

Structured PICO

How do the multistage bicycle ergometric test, 24-hour ambulatory electrocardiographic monitoring, and single two-step exercise test compare in detecting ST-T changes in patients with atypical praecordial symptoms?

P
Population
47 subjects over the age of 40 years, with atypical praecordial symptoms and a normal resting electrocardiogram
I
Intervention
Multistage bicycle ergometric test and continuous 24-hour ambulatory electrocardiographic monitoring
C
Comparator
Single two-step exercise test
O
Outcome
Detection of ST-T changessurrogate

Multistage bicycle ergometry and 24-hour ambulatory ECG monitoring have similar sensitivity for detecting ST-T changes and are both superior to the single two-step exercise test.

Cite This Study

Wolf et al. (1974) studied this question.

synapsesocial.com/papers/6a75c3ced17bc701ee161eechttps://doi.org/10.1136/hrt.36.1.90
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Exercise Graded by Heart Rate in Electrocardiographic Testing for Angina Pectoris1965 · 132 citations
  2. 2Angina Pectoris and Arrhythmias Documented by Cardiac Telemetry1964 · 42 citations
  3. 3Effect of Freeway Travel on Angina Pectoris1972 · 141 citations
  4. 4Tape Recordings of the ECG of Active Men1967 · 102 citations
  5. 5Detection of Phantom Arrhythmias and Evanescent Electrocardiographic Abnormalities1965 · 78 citations