Transient ST-Segment Depression During Paroxysms of Atrial Fibrillation in Otherwise Normal Individuals: Relation With Underlying Coronary Artery Disease

[...]it seems reasonable for patients with the aforementioned specific clinical presentation to be risk stratified by a noninvasive stress test, preferably MCDSE, rather than proceeding directly to coronary angiography. [...]in a population of patients without a history of cardiovascular disease, we...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2007-11, Vol.50 (19), p.1909-1911
Main Authors: Androulakis, Aristides, Aznaouridis, Konstantinos A., Aggeli, Constantina J., Roussakis, Georgios N., Michaelides, Andreas P., Kartalis, Athanasios N., Stougiannos, Pavlos N., Dilaveris, Polychronis E., Misovoulos, Platon I., Stefanadis, Christodoulos I., Kallikazaros, Ioannis E.
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Adult
Aged
Atrial Fibrillation - diagnosis
Atrial Fibrillation - physiopathology
Binomial distribution
Cardiac arrhythmia
Cardiology
Cardiovascular disease
Confidence intervals
Coronary Angiography
Coronary Artery Disease - diagnosis
Coronary Artery Disease - physiopathology
Coronary Circulation - physiology
Coronary Stenosis - diagnosis
Coronary Stenosis - physiopathology
Coronary vessels
Echocardiography, Stress
Electrocardiography
Exercise Test
Fitness equipment
Heart
Heart attacks
Humans
Ischemia
Middle Aged
Myocardial Ischemia - diagnosis
Myocardial Ischemia - physiopathology
Occult sciences
Older people
Population
Predictive Value of Tests
Prospective Studies
Radionuclide Imaging
Statistics as Topic
Thallium Radioisotopes
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Description
Summary:[...]it seems reasonable for patients with the aforementioned specific clinical presentation to be risk stratified by a noninvasive stress test, preferably MCDSE, rather than proceeding directly to coronary angiography. [...]in a population of patients without a history of cardiovascular disease, we found that there is no strong association between transient ischemic type ST-segment depression during paroxysms of AF and underlying occult CAD.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2007.08.005