Top Abstract Purchase Related
Home
>
Node
>
Subnode

Pseudoischemic ST-segment due to atrial repolarization during exercise test. Review of the literature, diagnostic criteria and personal experience

Slavich, G.; Tuniz, D.; Fregolent, R.; Slavich, M.

Giornale Italiano di Cardiologia 7(10): 670-674

2006

ISSN/ISBN: 1827-6806
PMID: 17171988
Document Number: 599693
Atrial repolarization wave has been known since many years: it is opposite in direction to P wave, may have a magnitude of 100 to 200 microV and may extent into the ST segment (usually it is hidden in the QRS complex). It was hypothesized that this wave could cause ST-segment depression mimicking myocardial ischemia. The false positive response is characterized by marked downsloping of the PR segment at peak exercise, longer exercise time (> 6 min), peak exercise heart rate > 125 bpm, absence of chest pain and ST-segment normalization in the first minute of recovery. In our experience a role of atrial repolarization in ST-segment depression was found in 5.5% of 144 consecutive and non-selected individuals evaluated with exercise testing.

Document emailed within 1 workday
Secure & encrypted payments

Fuochi, C.; Furlan, F.; Pellegrini, M.; Moser, E.; Dalla Palma, F. 1996: Criteria for utilization and indications for use of permanent and short- and medium term temporary endocaval filters. Personal experience and review of the literature La Radiologia Medica 92(4): 431-437
Herpin, D.; Ferrandis, J.; Gaudeau, B.; Ragot, S.; Le Henaff, J.; Raud, P.; Amiel, A.; Demange, J. 1995: Coronary artery disease in hypertensive patients: improvement of the diagnostic value of exercise test by heart rate adjusted ST segment depression Archives des Maladies du Coeur et des Vaisseaux 88(8): 1129-1133
Bruce, R.A. 1994: Clinical exercise testing. a review of personal and community practice experience Primary Care 21(3): 405-414
Postolov, P.M.; Naumov, B.A. 1973: Physiological mechanisms and criteria of evaluation of the insulin test (review of the literature) Khirurgiia 49(4): 119-125
Nifosì, G. 2001: Sweet syndrome: personal experience and review of the literature Minerva Medica 92(1): 49-55
Mörocz, I.; Molnár, P.; Tóth, Z.; Csécsei, K.; Papp, Z. 1985: Diagnostic criteria of iniencephaly based on the authors' own cases and the review of the literature Morphologiai Es Igazsagugyi Orvosi Szemle 25(1): 58-65
Cipollini, F.; Amadio, R.; Altilia, F. 1982: Therapy of hepatic encephalopathy. Personal experience and a review of the literature Giornale di Clinica Medica 63(10): 753-767
Scazzeri, F.; Prosetti, D.; Ferrito, G.; Padolecchia, R.; Nenci, R.; Puglioli, M.; Collavoli, P.; Sellari Franceschini, S.; Berrettini, S. 1991: Pure tympanicum chemodectoma. Personal experience and review of the literature La Radiologia Medica 81(6): 918-921
Somma, F.; Calzoni, C.; Arleo, S.; Chiummariello, S. 2012: Polythelia and supernumerary breast. Personal experience and review of the literature Annali Italiani di Chirurgia 83(2): 109-112
Pironi, D.; Panarese, A.; Candioli, S.; Manigrasso, A.; La Gioia, G.; Romani, A.M.; Arcieri, S.; Mele, R.; Filippini, A. 2008: Reoperative thyroid surgery: personal experience and review of the literature Il Giornale di Chirurgia 29(10): 407-412
Mettler, M. 1976: The TMS parapulpal dowel anchorage system review of the literature and personal experience Zwr 85(7): 324-330
Zanghì, G.; Di Stefano, G.; Furci, M.; Strazzanti, A.; Benfatto, G.; Basile, F. 2005: Stromal tumors of the small intestine: personal experience and review of the literature Annali Italiani di Chirurgia 76(6): 549
Murena, P.F.; Pasqualini, M. 1995: Should total prosthetization of the patella be used in knee surgery? A review of the literature and personal experience La Chirurgia Degli Organi di Movimento 80(3): 323-328
Morgante, F.; Marino, G.; Mazzi, U.; Morgante, G. 1984: Acute pancreatitis associated with a calculosis of the gallbladder in childhood. Review of the literature and personal experience La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics 6(6): 855-857
Papoff, P.; Mancuso, M.; Barbara, C.S.; Moretti, C. 2007: The role of terlipressin in pediatric septic shock: a review of the literature and personal experience International Journal of Immunopathology and Pharmacology 20(2): 213-221
Novakov, I.P.; Safev, G.P.; Peicheva, S.E. 2010: Descending necrotizing mediastinitis of odontogenic origin--personal experience and literature review Folia Medica 52(3): 13-20
Ustymowicz, A. 2008: Color Doppler ultrasound examinations of the eye and orbit--personal experience and literature review Klinika Oczna 110(1-3): 108-111
Massari, F.M.; Comerio, G.; Perlini, S.; Bocciolone, M.; Lotto, A. 1995: Acute myocardial infarction in young age and drug dependence. Review of the literature and personal experience Giornale Italiano di Cardiologia 25(10): 1273-1283
Jacobson, J.H.; Haimov, M. 1975: The modified bovine carotid artery as a vascular substitute in man. Personal experience and review of the literature Israel Journal of Medical Sciences 11(2-3): 287-293
Motton, G.; Veraldi, G.F.; Fracastoro, G.; Ricci, F.; Laterza, E.; Dorrucci, V.; Cordiano, C. 1996: Vater's papilla and periampullary area villous adenoma: personal experience about nine cases and review of the literature Hepato-Gastroenterology 43(8): 448-455