Detection of Ischemic Myocardium with Exercise
The detection of ischemic myocardium is one of the major problems in modern cardiology. Exercise has long been used to detect latent myocardial ischemia by enhancing oxygen de mand, but different cardiologists perform exercise tests in dif ferent ways.
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F. Loogen and L. Seipel
With 115 Figures
Springer-Verlag Berlin Heidelberg New York 1982
Professor Dr. med. Franz Loogen Medizinische Klinik B Universitiit Moorenstr. 5 D-4000 Dusseldorf, FRG Professor Dr. med. Ludger Seipel Medizinische Klinik III Medizinische Universitiitsklinik D-7400 Tubingen, FRG
Proceedings of an International Symposium held in Dusseldorf, February 28 - March 1, 1980
ISBN -13: 978-3-642-68389-3 e- ISBN -13: 978-3-642-68387-9 DOl: 10.1007/978-3-642-68387-9 Library of Congress Cataloging in Publication Data Main entry under title: Detection of ischemic myocardium with exercise. "Proceedings of an international symposium held in DUsseldorf. February 28-March 1, 1980"--Verso t.p. Includes bibliographies. I. Coronary heart disease--Diagnosis--Congresses. 2. Exercise tests-Congresses. 1. Loogen, F. (Franz), 1919- . II. Seipel, L. [DNLM: I. Coronary disease --Diagnosis. 2. Exercise test. WG 300 0479] RC685.C6D456 616.1'237075 81-23221 ISBN-13:978-3-642-68389-3 (U.S.) AACRl This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 of the German Copyright Law where copies are made for other than private use a fee is payable to "Verwertungsgesellschaft Wort", Munich. © Springer-Verlag Berlin Heidelberg 1982 Softcover reprint of the hardcover 1st edition 1982 The use of general descriptive names, trade marks, etc. in this publication, even if the former are not especially identified, is not to be taken as a sign that such names, as understood by the Trade Marks and Merchandise Marks Act, may accordingly by used freely by anyone.
2119/3140-543210
Preface
The detection of ischemic myocardium is one of the major problems in modern cardiology. Exercise has long been used to detect latent myocardial ischemia by enhancing oxygen demand, but different cardiologists perform exercise tests in different ways. In addition, many new techniques for detection of ischemia have been developed in the past decade. For these reasons, a symposium on this topic was organized in Dusseldorf under the auspices of the European Society of Cardiology. The papers from this symposium contained herein provide an up-to-date review of the different forms of exercise tests, including their advantages and disadvantages. Indications for study, recording techniques and evaluation of exercise ECG, including computer techniques, are extensively discussed. The results of exercise ECG are compared with those of other methods, especially coronary angiography. Finally, the prognostic value of exercise ECG is assessed. Additional chapters deal with complementary methods for detection of myocardial ischemia, presenting techniques and results of angiographic, isotopic and metabolic studies under exercise. The symposium demonstrates that exercise testing has a primary role in the detection of the disease,
