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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 46, 2000, No. 8, p. 447 - 451 |
Can we Determine from the Site of
the ST Depression which Coronary Artery is Affected? Comparison of Ergometric and Coronaro-
graphic Results Panovský R., Meluzín J., Petrikovits E., Groch L. I. interní kardioangiologická klinika FN U sv. Anny, Brno, přednosta prof. MUDr. J. Toman, CSc. |
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Summary: The authors evaluated retrospectively 206 patients with ischaemic heart disease. These patients
were subjected to an ergometric loading test on a bicycle ergometer followed by angiography of
the coronary arteries. With regard to the site of the ST depressions during the loading test the
patients were divided into 7 groups which were further subdivided according to the coronogra-
phic finding. The authors investigated the hypothesis that patients with depressions of the ST
segment above the anterior wall suffer from an affection of the ramus interventricularis anterior,
patients with depressions of ST above the lateral wall from affection of the ramus circumflexus
and patients with depressions above the lower wall have an affection of the right coronary artery.
From the work ensues that no site of the ST depression correlates significantly with the coronary
finding. The correlation is not statistically significant even when we compare the site of ST
depressions with the affection of one artery regardless of the affection of the other coronaries.
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