The prognostic value of parameters noted on pre-discharge exercise testing was assessed in 300 survivors of acute myocardial infarction. Exercise testing was performed at a mean of 9 days post-infarction. Each patient's data were studied for the presence of ST-segment depression or elevation greater than or equal to 0.1 mV in any of the 12 leads recorded, angina pectoris, exertional hypotension and duration of exercise. The patients were followed for a mean of 12 months and the incidence of death, reinfarction, angina pectoris, heart failure and coronary revascularization procedures was noted. All variables studied, other than the presence of exercise-induced ST-segment elevation, were significantly associated with the occurrence of subsequent cardiac events (P less than 0.001). Exercise-induced ST-segment depression identified 80% of patients who developed complications and was significantly more sensitive than any of the other variables as a prognostic marker (P less than 0.05). The finding of angina pectoris, an abnormal blood pressure response or a limited exercise tolerance in association with exercise-induced ST-segment depression heightened the prognostic implications of this variable.

Conference Abstract| January 01 1985 Coronary Morphology and Ventricular Function in Patients with Positive Exercise Tests Following Myocardial Infarction D.P. Murray; D.P. Murray 1Department of Cardiovascular Medicine, East Birmingham Hospital, Birmingham Search for other works by this author on: This Site PubMed Google Scholar L.B. Tan; L.B. Tan 1Department of Cardiovascular Medicine, East Birmingham Hospital, Birmingham Search for other works by this author on: This Site PubMed Google Scholar M. Salih; M. Salih 1Department of Cardiovascular Medicine, East Birmingham Hospital, Birmingham Search for other works by this author on: This Site PubMed Google Scholar S. Derry; S. Derry 1Department of Cardiovascular Medicine, East Birmingham Hospital, Birmingham Search for other works by this author on: This Site PubMed Google Scholar R.G. Murray; R.G. Murray 1Department of Cardiovascular Medicine, East Birmingham Hospital, Birmingham Search for other works by this author on: This Site PubMed Google Scholar W.A. Littler W.A. Littler 1Department of Cardiovascular Medicine, East Birmingham Hospital, Birmingham Search for other works by this author on: This Site PubMed Google Scholar Clin Sci (Lond) (1985) 68 (s11): 1P. https://doi.org/10.1042/cs068001P Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Twitter LinkedIn Cite Icon Cite Get Permissions Citation D.P. Murray, L.B. Tan, M. Salih, S. Derry, R.G. Murray, W.A. Littler; Coronary Morphology and Ventricular Function in Patients with Positive Exercise Tests Following Myocardial Infarction. Clin Sci (Lond) 1 January 1985; 68 (s11): 1P. doi: https://doi.org/10.1042/cs068001P Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search nav search search input Search input auto suggest search filter All ContentAll JournalsClinical Science Search Advanced Search This content is only available as a PDF. © 1985 The Biochemical Society and the Medical Research Society1985 Article PDF first page preview Close Modal You do not currently have access to this content.