Long-term prognosis of myocardial ischemia detected by Holter monitoring in peripheral vascular disease.
Long-term prognosis of myocardial ischemia detected by Holter monitoring in peripheral vascular disease.
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通过动态心电图监测检测外周血管疾病心肌缺血的长期预后。
DOI：
10.1016/0002-9149(90)91159-4
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Selwyn,AP
中科院分区：
文献类型：
--
作者：
Raby,KE;Goldman,L;Cook,EF;Rumerman,J;Barry,J;Creager,MA;Selwyn,AP
To assess the long-term prognostic significance of myocardial ischemia, as measured by ambulatory electrocardiographic monitoring, in patients with occlusive peripheral arterial disease, 176 eligible patients scheduled for elective peripheral arterial surgery at Brigham and Women's Hospital were prospectively studied. All patients were monitored preoperatively without alterations to baseline medications. Prospective follow-up was obtained during routine medical care as provided by blinded, independent physicians and by subsequent telephone contact with the patients. Thirty-two patients (18%) had a total of 75 episodes of myocardial ischemia, 73 (97%) of which were asymptomatic. During a mean follow-up period of 615 days, there were 9 cardiac deaths, 1 occurring in-hospital after peripheral vascular surgery, and 13 nonfatal myocardial infarctions, 4 occurring in-hospital after peripheral vascular surgery. Cardiac events occurred in 12 of 32 patients with ischemia (38%), including 6 cardiac deaths, and in 10 of 144 patients without ischemia (7%), including 3 cardiac deaths (risk ratio 5.4, 95% confidence interval 2.6 to 11.4). The sensitivity of ischemia was 55%, the specificity was 87%, the positive predictive value was 38%, and the negative predictive value was 93%. In a multivariate Cox proportional-hazards model controlling for age, gender, coronary risk factors, history of angina, myocardial infarction, coronary artery disease and antianginal medications, the presence of ischemia was the only independent predictor of outcome. In patients with peripheral arterial disease, who often are unable to perform adequate exercise testing, ambulatory monitoring for myocardial ischemia is a significant independent predictor of 1- to 2-year prognosis.
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既往心肌梗塞患者缺血发作的预后意义。
DOI：
10.1016/0002-9149(88)91198-8
发表时间：
1988
期刊：
The American journal of cardiology
影响因子：
--
作者：
D. Tzivoni;D. Tzivoni;A. Gavish;A. Gavish;D. Zin;D. Zin;S. Gottlieb;S. Gottlieb;M. Moriel;M. Moriel;A. Keren;A. Keren;S. Banai;S. Banai;S. Stern;S. Stern
通讯作者：
S. Stern
频繁发生心绞痛的患者出现心肌缺血。
影响因子：
--
作者：
A. Selwyn;K. Fox;M. Eves;D. Oakley;H. Dargie;J. Shillingford
通讯作者：
J. Shillingford
非调节性原发性高血压患者是一个独特的亚组吗？
影响因子：
5.9
作者：
G. Williams;N. Hollenberg
通讯作者：
N. Hollenberg
瑞典马尔默的前瞻性人口研究“1914 年出生的男性”在 24 小时动态长期心电图记录期间，ST 段压低男性的死亡率增加。
影响因子：
39.3
作者：
B. Hedbald;S. Juul‐Möller;K. Svemsson;B. Hanson;S;L. Janson;S. Lindell;B. Steen;B. W. Johansson
通讯作者：
B. W. Johansson
无症状心肌缺血：分类、患病率和预后。
影响因子：
5.9
作者：
Peter F. Cohn
通讯作者：
Peter F. Cohn