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Sex Differences in Submaximal Exercise Tests Correlation with Coronary Cineangiography in 133 Patients
https://doi.org/10.18999/nagjms.47.1-2.67
https://doi.org/10.18999/nagjms.47.1-2.6701737b74-8386-483a-a5e2-d1dac522889b
名前 / ファイル | ライセンス | アクション |
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v47n12p67_75.pdf (694.2 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2013-02-12 | |||||
タイトル | ||||||
タイトル | Sex Differences in Submaximal Exercise Tests Correlation with Coronary Cineangiography in 133 Patients | |||||
言語 | en | |||||
著者 |
YAMAUCHI, KAZUNOBU
× YAMAUCHI, KAZUNOBU× SIMONSON, ERNST× DAHL, JAMES C.× CROW, RICHARD S. |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Sex difference | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Submaximal treadmill exercise testing | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Mid-ST amplitude | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Ischemic heart disease | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Submaximal treadmill exercise testing up to 80 percent of the maximal heart rate predicted for age was performed on 138 normal men and 142 normal women. Sex difference was analyzed in terms of 3 ST-T items: J, midpoint between J and the peak of T (mid-ST), and the peak of T in leads II, V4 and V6 at rest and after exercise. A greater mid-ST point depression at rest, during and after exercise was found in normal women than in men (p< 0.001). Sex-adjusted 95% confidence limits were estimated. Using these norms, similar evaluations were carried out on 133 patients who were being evaluated for possible coronary insufficiency, eighty-four (64 men and 20 women) of whom had significant angiographic disease (≥ 75% narrowing) and forty-nine (26 men and 23 women) of whom had not. The most sensitive and specific correlate with anatomic coronary disease was the absolute change in mid-ST point. Using criteria developed in the normal group, sensitivity for angiographic positives was 70.3% (45 of 64) in men and 70.0% (14 of 20) in women (P =not statistically significant); specificity was 92.3% (24 of 26) in men and 87.0% (20 of 23) in women (P = not statistically significant). When these male standards were used in female patients, there was a decrease in specificity from 87.0% to 43.5% (P< 0.001). Sex-adjusted standards render the ECG exercise test as effective a diagnostic tool in women as in men. | |||||
言語 | en | |||||
出版者 | ||||||
出版者 | Nagoya University School of Medicine | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
ID登録 | ||||||
ID登録 | 10.18999/nagjms.47.1-2.67 | |||||
ID登録タイプ | JaLC | |||||
関連情報 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | URI | |||||
関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/4712/4712.html | |||||
ISSN(print) | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0027-7622 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | EISSN | |||||
収録物識別子 | 2186-3326 | |||||
書誌情報 |
en : Nagoya Journal of Medical Science 巻 47, 号 1-2, p. 67-75, 発行日 1985-01 |
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著者版フラグ | ||||||
値 | publisher | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2237/17479 | |||||
識別子タイプ | HDL |