Description
Springer Detection of Ischemic Myocardium with Exercise 1st Editon 2011 Softbound by Franz Loogen, L. Seipel
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. 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 me thods, 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, but there is still no unanimity on how to carry it out. The results of some new approaches are promising, even if their clinical relevance has not yet been fully established. We hope that this book will be of interest to all our colleagues taking care of cardiac patients. We wish especially to thank Mr. M. Giicker and Mrs. B. I Exercise Testing.- Forms of Exercise Testing.- Exercise Protocol.- The Optimal Lead System for Detection of Ischemic Myocardium.- Variations in Data of Exercise Tests due to External and Environmental Conditions.- Evaluation of ECG Changes.- The Clinical Value of Computer Assistance in the Exercise Laboratory.- The Value of Holter Monitoring for Detection of Ischemic Heart Disease.- Telemetry.- Value of Additional Measurements During Exercise Testing: Oxygen Consumption, Blood Pressure, and Cardiac Output.- Indications for Electrocardiographic Exercise Testing in the Detection of Ischemic Myocardium.- Prognostic Value of Stress Testing.- II Coronary Angiography and Ventriculography.- Methodology of Coronary Angiography and Ventriculography with Special Reference to Exercise.- Relationship Between Coronary Obstructions and Regional Myocardial Blood Flow in Man During Stress Provoked by Rapid Atrial Pacing.- III ECG and Coronarography.- Comparison of Exercise ECG and Coronary Angiography.- Studies in Patients with Abnormal Electrocardiogram of Unknown Etiology.- Ventricular Arrhythmias and Angiographic Findings.- IV Complementary Methods.- Analysis of Drug Effects on Left Ventricular Isovolumic Contraction During Atrial Pacing.- Interest of Gamma-Angiocardiography at Rest, After Leg Raising, and After Nitroglycerin in Coronary Artery Disease and Myocardial Infarction.- Thallium Scintigraphy.- Myocardial Scintigraphy with Free Fatty Acids and Glucose.- Exercise and Myocardial Ischemia in Patients with Angina Pectoris.- Detection of Ischemic Myocardium with Exercise: Coronary Blood Flow Measurements.