Chronic stable angina ambulatory ST segment monitoring
Chronic stable angina Microchapters | ||
Classification | ||
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Differentiating Chronic Stable Angina from Acute Coronary Syndromes | ||
Diagnosis | ||
Alternative Therapies for Refractory Angina | ||
Discharge Care | ||
Guidelines for Asymptomatic Patients | ||
Case Studies | ||
Chronic stable angina ambulatory ST segment monitoring On the Web | ||
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Risk calculators and risk factors for Chronic stable angina ambulatory ST segment monitoring | ||
Editors-In-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753; Cafer Zorkun, M.D., Ph.D. [2]; Associate Editor-in-Chief: Smita Kohli, M.D.
Ambulatory ST Segment Monitoring
Many patients with CAD experience episodes of asymptomatic myocardial ischemia detectable by ST segment monitoring whether or not they have angina pectoris. Patients with symptomatic angina also often have multiple additional episodes of asymptomatic ischemia, and the frequency and severity of these episodes correlate with prognosis.
- Exercise electrocardiography, perfusion scintigraphy with pharmacologic stress or with thallium and echocardiography is generally preferable to ambulatory ST segment monitoring in patients with effort angina.
- In patients who cannot exercise, ambulatory ST segment monitoring is an alternative.
- In patients with suspected vasospastic angina that may not be provoked by effort or by pharmacologic agents such as dipyridamole, adenosine or dobutamine, ambulatory ST segment monitoring is the preferred test