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September 1, 1994European Heart Journal

Stress-Recovery Index predicts MVD after AMI with 81% specificity.

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Why the study?

Does the Stress-Recovery Index improve the identification of multivessel disease in patients after acute myocardial infarction compared to conventional parameters?

Population

70 patients evaluated 2-3 weeks after uncomplicated acute myocardial infarction, with cardioactive therapy…

Comparison

Stress-Recovery Index derived from ST depression… vs Conventional parameters of ST segment depression.

Design

Cohort

Key result

The Stress-Recovery Index < -5 mm x beats.min-1 predicted multivessel disease after acute myocardial infarction with 65% sensitivity and 81% specificity.

Authors

RBRiccardo BigiMMMichela MaffiGOGiuseppe Occhi

Discussion

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Overview

Should not yet guide multivessel disease detection post-MI; leaves open incremental value over conventional parameters.

Study Design

Type

Observational (n=70)

Structured PICO

Does the Stress-Recovery Index improve the identification of multivessel disease in patients after acute myocardial infarction compared to conventional parameters?

P
Population
70 patients (mean age 53.4 years) with uncomplicated AMI who underwent exercise stress testing and coronary angiography.
E
Exposure
Stress-Recovery Index (SRI) derived from ST depression in the heart rate domain during exercise and recovery.
C
Comparator
Conventional parameters of ST segment depression.
O
Outcome
Identification of multivessel disease (MVD) as determined by coronary angiography.surrogate

The Stress-Recovery Index during exercise testing improves the diagnostic sensitivity for identifying multivessel coronary artery disease in post-MI patients without compromising specificity.

Cite This Study

Bigi et al. (1994) conducted an observational in acute myocardial infarction (AMI) (n=70). Stress-Recovery Index (SRI) vs. other conventional parameters was evaluated on identification of multivessel disease (MVD). The Stress-Recovery Index < -5 mm x beats.min-1 predicted multivessel disease after acute myocardial infarction with 65% sensitivity and 81% specificity.

synapsesocial.com/papers/6aa59a90c616a76b5feecae9https://doi.org/10.1093/oxfordjournals.eurheartj.a060659
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