title: [Angiographic correlation of ST segment depression in exercise test in precardial electrocardiography leads after inferior wall acute myocardial infarction].
abstract: OBJECTIVE
  This study was aimed to establish the angiographic correlation of the exercise-induced ST segment depression in precordial leads after an uncomplicated inferior wall myocardial infarction.
  
  
  METHODS
  We studied retrospectively 67 patients with a recent inferior wall acute myocardial infarction who took an exercise stress test following Bruce protocol and a coronary angiography within 3 months. Four groups were defined according to the ST segment response to exercise: group I, no ST segment changes; group II, ST depression in leads V1-V4; group III, ST depression in leads V5-V6; and group IV, ST depression in leads V1-V6.
  
  
  RESULTS
  There were no significant differences among the groups for clinical and exercise variables, except for age (groups I and II were significantly younger than groups III and IV). The prevalence of multivessel coronary artery disease (two- and three-vessel disease) was 21%, 18%, 52% and 72% for group I to IV respectively (p = 0.007). The prevalence for left anterior descending coronary artery disease was 5%, 9%, 35% and 50% for group I to IV respectively (p = 0.01). By multivariate logistic regression analysis, only age > 60 years (p = 0.002) and exercise group III and IV (p = 0.02) were independent predictors for the presence of multivessel coronary disease. Whereas an ST exercise response type I or II in a patient < or = 60 years virtually excluded the presence of multivessel disease (negative predictive value, 0.90), an ST exercise response type III or IV in a patient > 60 years strongly suggested the presence of multivessel disease (positive predictive value, 0.72).
  
  
  CONCLUSIONS
  Age and exercise-response of ST segment in precordial leads are useful variables for predicting the presence or absence of multivessel coronary artery disease after an uncomplicated inferior wall acute myocardial infarction.
authors.affiliation: Departamento de Medicina Interna, Hospital General Yagüe, Burgos.
authors.forename: F
authors.initials: F
authors.lastname: González Vilchez
authors.forename: J
authors.initials: J
authors.lastname: Téllez García
authors.forename: J
authors.initials: J
authors.lastname: Pérez Villoria
authors.forename: A
authors.initials: A
authors.lastname: Fernández Almeida
authors.forename: A
authors.initials: A
authors.lastname: Rodrigo Alonso
authors.forename: J
authors.initials: J
authors.lastname: Ayuela Azcárate
mesh_terms: D000208:Acute Disease; D000790:Angiocardiography; D004562:Electrocardiography; D005080:Exercise Test; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000503:physiopathology*; D012189:Retrospective Studies