Campo DC | Valor | Idioma |
dc.contributor.author | Oliveira, Joselina Luzia Menezes | - |
dc.contributor.author | Góes, Thiago Jônatas Santos | - |
dc.contributor.author | Santana, Thaiana Aragão | - |
dc.contributor.author | Silva, Isabela Souza | - |
dc.contributor.author | Travassos, Thiago Figueiredo | - |
dc.contributor.author | Teles, Lívia Dantas | - |
dc.contributor.author | Barreto, Martha Azevedo | - |
dc.contributor.author | Barreto Filho, José Augusto Soares | - |
dc.contributor.author | D'Oliveira Junior, Argemiro | - |
dc.contributor.author | Sousa, Antonio Carlos Sobral | - |
dc.creator | Oliveira, Joselina Luzia Menezes | - |
dc.creator | Góes, Thiago Jônatas Santos | - |
dc.creator | Santana, Thaiana Aragão | - |
dc.creator | Silva, Isabela Souza | - |
dc.creator | Travassos, Thiago Figueiredo | - |
dc.creator | Teles, Lívia Dantas | - |
dc.creator | Barreto, Martha Azevedo | - |
dc.creator | Barreto Filho, José Augusto Soares | - |
dc.creator | D'Oliveira Junior, Argemiro | - |
dc.creator | Sousa, Antonio Carlos Sobral | - |
dc.date.accessioned | 2012-06-26T13:33:13Z | - |
dc.date.available | 2012-06-26T13:33:13Z | - |
dc.date.issued | 2007 | - |
dc.identifier.issn | 0066-782X | - |
dc.identifier.uri | http://www.repositorio.ufba.br/ri/handle/ri/6229 | - |
dc.description | p.100-106 | pt_BR |
dc.description.abstract | BACKGROUND: Chronotropic incompetence (CTI) is frequent in elderly patients and may limit the role of the exercise test in the identification of coronary artery disease (CAD) in this population. OBJECTIVE: To assess the value of CTI in an elderly population in the diagnosis of CAD. METHODS: A total of 3,308 patients were studied, 804 were elderly individuals (age > 65 years) who underwent exercise stress echocardiography (ESE). Based on the heart rate (HR) reached during the exercise test, were divided into two groups: G1 150 patients who did not reach 85% of the age-predicted HR, and G2 654 patients who did. The groups were compared to clinical characteristics, segmental left ventricular contractility rate (WMSI) and coronary angiography (CAG). RESULTS: Clinical characteristics were similar between the groups. WMSI was higher in G1 than in G2, both at rest (1.09 ± 0.21 versus 1.04 ± 0.15) and after exercise (1.15 ± 0.29 versus 1.08 ± 0.2) (p < 0.001). Abnormalities in wall contractility were more frequent in G1 than in G2 (55% versus 37%; p < 0.05), thus suggesting that elderly with CTI have a higher frequency of CAD. CAG was performed in 69% ESE positive for myocardial ischemia. In the G1 group, 91% of the ESE were true positive versus 84.5% in G2, that is, presence of obstructive coronary artery disease (> 50%). CONCLUSION: CTI is associated with a higher frequency of contractile alterations in the elderly population and adds a positive predictive value to ESE in the identification of patients with obstructive CAD. | pt_BR |
dc.language.iso | en | pt_BR |
dc.publisher | Arquivos Brasileiros de Cardiologia | pt_BR |
dc.source | http://dx.doi.org/10.1590/S0066-782X2007001400007 | pt_BR |
dc.subject | Echocardiography | pt_BR |
dc.subject | Aged | pt_BR |
dc.subject | Coronary disease | pt_BR |
dc.subject | stress | - |
dc.title | Exercise stress echocardiography in the identification of coronary artery disease in the elderly with chronotropic incompetence | pt_BR |
dc.title.alternative | Arq. Bras. Cardiol. | pt_BR |
dc.type | Artigo de Periódico | pt_BR |
dc.description.localpub | Rio de Janeiro | pt_BR |
dc.identifier.number | v. 89, v. 2 | pt_BR |
Aparece nas coleções: | Artigo Publicado em Periódico (Faculdade de Medicina)
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