Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Two-step electrocardiogram for chest pain reported on multiphasic screening.

A Skoulas, D Conlon

    Journal of Electrocardiology
    |January 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    The myth of dentist-patient confidentiality.

    Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)·2002
    Same author

    Chromophore-modified bis-naphthalimides: synthesis and antitumor activity of bis-dibenz[de,h]isoquinoline-1,3-diones.

    Journal of medicinal chemistry·1997
    Same author

    Bis-naphthalimides 3: synthesis and antitumor activity of N,N'-bis[2-(1,8-naphthalimido)-ethyl] alkanediamines.

    Anti-cancer drug design·1996
    Same author

    Effect of ageing and propranolol administration on myocardial beta-adrenoceptor receptor function in mature rats.

    European journal of pharmacology·1995
    Same author

    Preclinical evaluation of LU 79553: a novel bis-naphthalimide with potent antitumor activity.

    Cancer research·1995
    Same author

    Differential effects of warfarin on mRNA levels of developmentally regulated vitamin K dependent proteins, osteocalcin, and matrix GLA protein in vitro.

    Journal of cellular physiology·1994

    The two-step exercise electrocardiogram (ECG) is not effective for detecting ischemic heart disease in individuals experiencing chest pain during multiphasic screening. This diagnostic tool showed no significant difference in positive results between patients with chest pain and controls without pain.

    Area of Science:

    • Cardiology
    • Preventive Medicine
    • Diagnostic Testing

    Background:

    • Multiphasic screening examinations aim to detect potential health issues early.
    • Chest pain is a common symptom that warrants investigation for underlying cardiac conditions.
    • The utility of exercise electrocardiograms (ECGs) in asymptomatic or atypically symptomatic populations requires evaluation.

    Purpose of the Study:

    • To assess the diagnostic value of the two-step exercise ECG in identifying ischemic heart disease.
    • To compare the prevalence of positive exercise ECG findings in individuals with chest pain versus those without.
    • To determine if routine exercise ECG is a helpful tool for patients presenting with chest pain during screening.

    Main Methods:

    • A cohort of 264 individuals (≥35 years) undergoing multiphasic screening were analyzed.

    Related Experiment Videos

  • 85 participants reported chest pain, with most describing non-typical coronary artery disease symptoms.
  • A two-step exercise ECG was administered to patients with chest pain and 66 controls without chest pain.

    • Main Results:

    • The exercise ECG was positive in 21% of patients with chest pain and 19.5% of controls, a non-significant difference.
    • Females showed a higher proportion of positive ECGs compared to males in both groups.
    • The study found no significant diagnostic utility of the two-step exercise ECG for detecting ischemic heart disease in this cohort.

    Conclusions:

    • Routine two-step exercise ECG is not a reliable method for detecting ischemic heart disease in individuals reporting chest pain during screening.
    • The prevalence of positive ECG findings did not differ significantly between chest pain reporters and controls.
    • Further research may be needed to identify more effective screening tools for cardiac ischemia in individuals with chest pain.