Exercise stress echocardiography in the identification of coronary artery disease in the elderly with chronotropic incompetence
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2007 |
| Outros Autores: | , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UFBA |
| Texto Completo: | http://www.repositorio.ufba.br/ri/handle/ri/6229 |
Resumo: | p.100-106 |
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Oliveira, Joselina Luzia MenezesGóes, Thiago Jônatas SantosSantana, Thaiana AragãoSilva, Isabela SouzaTravassos, Thiago FigueiredoTeles, Lívia DantasBarreto, Martha AzevedoBarreto Filho, José Augusto SoaresD'Oliveira Junior, ArgemiroSousa, Antonio Carlos SobralOliveira, Joselina Luzia MenezesGóes, Thiago Jônatas SantosSantana, Thaiana AragãoSilva, Isabela SouzaTravassos, Thiago FigueiredoTeles, Lívia DantasBarreto, Martha AzevedoBarreto Filho, José Augusto SoaresD'Oliveira Junior, ArgemiroSousa, Antonio Carlos Sobral2012-06-26T13:33:13Z2012-06-26T13:33:13Z20070066-782Xhttp://www.repositorio.ufba.br/ri/handle/ri/6229v. 89, v. 2p.100-106BACKGROUND: Chronotropic incompetence (CTI) is frequent in elderly patients and may limit the role of the exercise test in the identification of coronary artery disease (CAD) in this population. OBJECTIVE: To assess the value of CTI in an elderly population in the diagnosis of CAD. METHODS: A total of 3,308 patients were studied, 804 were elderly individuals (age > 65 years) who underwent exercise stress echocardiography (ESE). Based on the heart rate (HR) reached during the exercise test, were divided into two groups: G1 150 patients who did not reach 85% of the age-predicted HR, and G2 654 patients who did. The groups were compared to clinical characteristics, segmental left ventricular contractility rate (WMSI) and coronary angiography (CAG). RESULTS: Clinical characteristics were similar between the groups. WMSI was higher in G1 than in G2, both at rest (1.09 ± 0.21 versus 1.04 ± 0.15) and after exercise (1.15 ± 0.29 versus 1.08 ± 0.2) (p < 0.001). Abnormalities in wall contractility were more frequent in G1 than in G2 (55% versus 37%; p < 0.05), thus suggesting that elderly with CTI have a higher frequency of CAD. CAG was performed in 69% ESE positive for myocardial ischemia. In the G1 group, 91% of the ESE were true positive versus 84.5% in G2, that is, presence of obstructive coronary artery disease (> 50%). CONCLUSION: CTI is associated with a higher frequency of contractile alterations in the elderly population and adds a positive predictive value to ESE in the identification of patients with obstructive CAD.Submitted by Texeira Ana (atanateixeira@gmail.com) on 2012-06-26T13:33:13Z No. of bitstreams: 1 Oliveira, Joselina Luzia Menezes.pdf: 239590 bytes, checksum: 0819f93d52c65c60aab05ab53586b1e7 (MD5)Made available in DSpace on 2012-06-26T13:33:13Z (GMT). No. of bitstreams: 1 Oliveira, Joselina Luzia Menezes.pdf: 239590 bytes, checksum: 0819f93d52c65c60aab05ab53586b1e7 (MD5) Previous issue date: 2007Rio de JaneiroArquivos Brasileiros de Cardiologiahttp://dx.doi.org/10.1590/S0066-782X2007001400007reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAEchocardiographyAgedCoronary diseasestressExercise stress echocardiography in the identification of coronary artery disease in the elderly with chronotropic incompetenceArq. Bras. Cardiol.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleenginfo:eu-repo/semantics/openAccessORIGINALOliveira, Joselina Luzia Menezes.pdfOliveira, Joselina Luzia Menezes.pdfapplication/pdf239590https://repositorio.ufba.br/bitstream/ri/6229/1/Oliveira%2c%20Joselina%20Luzia%20Menezes.pdf0819f93d52c65c60aab05ab53586b1e7MD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/6229/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXTOliveira, Joselina Luzia Menezes.pdf.txtOliveira, Joselina Luzia Menezes.pdf.txtExtracted texttext/plain32036https://repositorio.ufba.br/bitstream/ri/6229/3/Oliveira%2c%20Joselina%20Luzia%20Menezes.pdf.txtbb253d3aab298b2625b1c81b267955ccMD53ri/62292022-07-05 14:03:12.659oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:12Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false |
| dc.title.pt_BR.fl_str_mv |
Exercise stress echocardiography in the identification of coronary artery disease in the elderly with chronotropic incompetence |
| dc.title.alternative.pt_BR.fl_str_mv |
Arq. Bras. Cardiol. |
| title |
Exercise stress echocardiography in the identification of coronary artery disease in the elderly with chronotropic incompetence |
| spellingShingle |
Exercise stress echocardiography in the identification of coronary artery disease in the elderly with chronotropic incompetence Oliveira, Joselina Luzia Menezes Echocardiography Aged Coronary disease stress |
| title_short |
Exercise stress echocardiography in the identification of coronary artery disease in the elderly with chronotropic incompetence |
| title_full |
Exercise stress echocardiography in the identification of coronary artery disease in the elderly with chronotropic incompetence |
| title_fullStr |
Exercise stress echocardiography in the identification of coronary artery disease in the elderly with chronotropic incompetence |
| title_full_unstemmed |
Exercise stress echocardiography in the identification of coronary artery disease in the elderly with chronotropic incompetence |
| title_sort |
Exercise stress echocardiography in the identification of coronary artery disease in the elderly with chronotropic incompetence |
| author |
Oliveira, Joselina Luzia Menezes |
| author_facet |
Oliveira, Joselina Luzia Menezes Góes, Thiago Jônatas Santos Santana, Thaiana Aragão Silva, Isabela Souza Travassos, Thiago Figueiredo Teles, Lívia Dantas Barreto, Martha Azevedo Barreto Filho, José Augusto Soares D'Oliveira Junior, Argemiro Sousa, Antonio Carlos Sobral |
| author_role |
author |
| author2 |
Góes, Thiago Jônatas Santos Santana, Thaiana Aragão Silva, Isabela Souza Travassos, Thiago Figueiredo Teles, Lívia Dantas Barreto, Martha Azevedo Barreto Filho, José Augusto Soares D'Oliveira Junior, Argemiro Sousa, Antonio Carlos Sobral |
| author2_role |
author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Oliveira, Joselina Luzia Menezes Góes, Thiago Jônatas Santos Santana, Thaiana Aragão Silva, Isabela Souza Travassos, Thiago Figueiredo Teles, Lívia Dantas Barreto, Martha Azevedo Barreto Filho, José Augusto Soares D'Oliveira Junior, Argemiro Sousa, Antonio Carlos Sobral Oliveira, Joselina Luzia Menezes Góes, Thiago Jônatas Santos Santana, Thaiana Aragão Silva, Isabela Souza Travassos, Thiago Figueiredo Teles, Lívia Dantas Barreto, Martha Azevedo Barreto Filho, José Augusto Soares D'Oliveira Junior, Argemiro Sousa, Antonio Carlos Sobral |
| dc.subject.por.fl_str_mv |
Echocardiography Aged Coronary disease stress |
| topic |
Echocardiography Aged Coronary disease stress |
| description |
p.100-106 |
| publishDate |
2007 |
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2007 |
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2012-06-26T13:33:13Z |
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2012-06-26T13:33:13Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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http://www.repositorio.ufba.br/ri/handle/ri/6229 |
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0066-782X |
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v. 89, v. 2 |
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0066-782X v. 89, v. 2 |
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http://www.repositorio.ufba.br/ri/handle/ri/6229 |
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openAccess |
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Arquivos Brasileiros de Cardiologia |
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Arquivos Brasileiros de Cardiologia |
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http://dx.doi.org/10.1590/S0066-782X2007001400007 |
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reponame:Repositório Institucional da UFBA instname:Universidade Federal da Bahia (UFBA) instacron:UFBA |
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