Complementary role of ambulatory electrocardiographic monitoring and exercise testing in evaluation of myocardial ischemia.
For detection of myocardial ischemia, exercise testing is a better tool than AEM and therefore should be preferred procedure for this purpose. In patients who exhibit ischemic changes on exercise testing, the presence of ischemic changes on AEM carries significant prognostic information beyond the results of exercise testing; therefore, it is recommended that this test be performed in those who have ischemic changes on exercise at a moderate or low workload. AEM together with exercise testing can be used to assess efficacy of anti-ischemic drugs, can help to define the underlying mechanism of ischemia during daily life, and in certain groups of patients, like those with unstable angina, peripheral vascular disease, or after cerebrovascular events, it can replace exercise testing as a method for detecting ischemic changes.
Tzivoni
D
D
Department of Cardiology, Shaare Zedek Medical Center, Jerusalem, Israel.
Stern
S
S
D003327:Coronary Disease / Q000175:diagnosis* / Q000628:therapy; D015716:Electrocardiography, Ambulatory; D005080:Exercise Test; D006801:Humans; D016896:Treatment Outcome