Exercise electrocardiography in the management of obstructive coronary artery disease and other cardiac disorders

Abstract Exercise electrocardiography (exercise ECG) is the least expensive and most readily available functional test for obstructive coronary artery disease (CAD). Its major weakness is limited accuracy, with a false negative rate of around 50% (sensitivity 50%), and a false positive rate of aroun...

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Bibliographic Details
Published inMedicine (Abingdon. 1995, UK ed.) Vol. 42; no. 8; pp. 436 - 441
Main Authors Sprigings, David, Graham, Adam
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.08.2014
Subjects
Aortic stenosis
chest pain diagnosis
coronary artery disease
exercise ECG
exercise electrocardiography
exercise stress test
Internal Medicine
chest pain diagnosis
coronary artery disease
Aortic stenosis
exercise ECG
exercise stress test
exercise electrocardiography
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Summary:Abstract Exercise electrocardiography (exercise ECG) is the least expensive and most readily available functional test for obstructive coronary artery disease (CAD). Its major weakness is limited accuracy, with a false negative rate of around 50% (sensitivity 50%), and a false positive rate of around 10% (specificity 90%). We discuss the information yielded by exercise ECG and its use in decision-making for patients with suspected or known CAD. The role of exercise ECG in the management of other cardiac disorders is also reviewed. We summarize the practical aspects of performing exercise ECG.
ISSN:1357-3039
1878-9390
DOI:10.1016/j.mpmed.2014.05.006