Key result
Propranolol treatment in 52 patients showed a variable relation between symptomatic relief and praecordial exercise-induced ST segment depression.
Why the study?
Does propranolol improve ST depression in the praecordial 16 lead electrocardiogram in patients with angina pectoris?
Observational (n=72)
Does propranolol improve ST depression in the praecordial 16 lead electrocardiogram in patients with angina pectoris?
Symptomatic relief alone is an inadequate guide to the success of medical treatment for angina, which should also aim to control ECG manifestations of ischemia using comprehensive praecordial mapping.
Symptomatic relief with propranolol may not indicate ischemia control; leaves open whether praecordial ECG mapping should guide angina therapy.
The effect of propranolol on ST depression in the praecordial 16 lead electrocardiogram was observed in 52 patients before and after treatment, both at rest and after exercise. In a further 20 patients exercise tests repeated on separate days two months apart showed that the technique gave reproducible results. A variable relation between symptomatic relief and praecordial exercise-induced ST segment depression was noted. Use of a single fixed-position chest lead (V5) was shown to be less accurate. The relief of symptoms alone is probably an inadequate guide to the success of medical treatment, which should control not only angina but also the manifestations of ischaemia on the praecordial electrocardiogram.
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Fox et al. (1980) conducted an observational in angina pectoris (n=72). Propranolol vs. Before treatment was evaluated on ST depression in the praecordial 16 lead electrocardiogram. Propranolol treatment in 52 patients showed a variable relation between symptomatic relief and praecordial exercise-induced ST segment depression.
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