title: The sensitivity of 24 h Holter monitoring and exercise testing for the recognition of myocardial ischaemia: a comparative study.
abstract: Seventy-nine patients with angiographically documented coronary artery disease were studied with exercise ECG and Holter ECG for ischaemic ST segment changes. Fifty-four patients (68.3%) had ischaemia on exercise, 48 patients (62.0%) had ischaemic ST segment depression during Holter monitoring. Twenty-four (30%) of the patients with a positive exercise test and 30 (61%) with a positive Holter ECG were asymptomatic during the test, 83.7% of the total count of 456 episodes of spontaneous ischemia during Holter monitoring were silent. Forty-four patients (55.7%) had ischaemic ECG changes during exercise and Holter ECG, 20 patients (25.3%) were negative on both tests. Ten (12.7%) had only a positive exercise test and five (6.3%) only a positive Holter ECG. The sensitivity of Holter monitoring for the detection of ischaemia in patients with coronary artery disease is comparable to the sensitivity of the exercise ECG.
authors.affiliation: Medizinische Klinik III, Universität zu Köln, F.R.G.
authors.forename: H
authors.initials: H
authors.lastname: Günther
authors.forename: A
authors.initials: A
authors.lastname: Osterspey
authors.forename: I
authors.initials: I
authors.lastname: Treis-Müller
authors.forename: T
authors.initials: T
authors.lastname: Eggeling
authors.forename: H W
authors.initials: HW
authors.lastname: Höpp
authors.forename: H H
authors.initials: HH
authors.lastname: Hilger
mesh_terms: D003327:Coronary Disease / Q000175:diagnosis*; D004562:Electrocardiography; D005080:Exercise Test; D005260:Female; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods*