Vnitr Lek 2000, 46(8):447-451

[Can we determine which coronary artery is affected by the localization of ST depression? Comparison of ergometric and coronarographic results].

R Panovský, J Meluzín, E Petrikovits, L Groch

I. interní kardioangiologická klinika FN U sv. Anny, Brno.

The authors evaluated retrospectively 206 patients with ischaemic heart disease. These patients were subjected to an ergometric loading test on a bicycle ergometer followed by angiography of the coronary arteries. With regard to the site of the ST depressions during the loading test the patients were divided into 7 groups which were further subdivided according to the coronographic finding. The authors investigated the hypothesis that patients with depressions of the ST segment above the anterior wall suffer from an affection of the ramus interventricularis anterior, patients with depressions of ST above the lateral wall from affection of the ramus circumflexus and patients with depressions above the lower wall have an affection of the right coronary artery. From the work ensues that no site of the ST depression correlates significantly with the coronary finding. The correlation is not statistically significant even when we compare the site of ST depressions with the affection of one artery regardless of the affection of the other coronaries.

Keywords: Coronary Angiography; Coronary Disease, diagnosis, ; Coronary Vessels, pathology, ; Electrocardiography; Exercise Test; Female; Humans; Male; Middle Aged; Retrospective Studies

Published: August 1, 2000  Show citation