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European Heart Journal 1985 6(9):769-772;
Copyright © 1985 by the European Society of Cardiology.
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© 1985 The European Society of Cardiology

The prognostic value of maximal exercise testing soon after first myocardial infarction

C. M. JESPERSEN, E. KASSIS, C. J. EDELING* and J. K. MADSEN{dagger}

{dagger}Department of Clinical Physiology, Frederiksborg Central County Hospital DK-3400 Hillered, Denmark
*Department of Clinical Physiology, Frederiksberg Hospital DK-2000 Copenhagen F, Denmark
Medical Department B Frederiksberg Hospital DK-2000 Copenhagen F, Denmark

Received 18 April 1983; revised 9 May 1985; .

Address for correspondence: C. M. Jespersen, Medical Department 2, Municipal Hospital, 0. Farimagsgade 5, DK-1399 Copenhagen K, Denmark.

Abstract

The prognostic value of ST-segment depression during maximal exercise test performed in the third to fourth week after acute myocardial infarction (AMI), was studied in 126 consecutive patients with no evidence of previous myocardial infarction, unstable angina pectoris or severe heart failure. All patients on average increased their pressure-rate product by 2.6 and no complications occurred. Within the first year of follow-up, major cardiac events occurred in 9 patients (20%), and were fatal in 6 (13%), of the 46 patients who developed ST-segment depression during exercise. Only 3 major cardiac events (4%) occurred in the 80 patients without exercise induced ST-segment depression. Depression of the ST-segment on maximal exercise was a significant predictor of subsequent cardiac events in these survivors of first AMI.

Key Words: Acute myocardial infarction • maximal exercise test • ST- segment depression • prognosis


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