Diagnostic and prognostic significance of exercise-induced premature ventricular complexes in men and women: A four year follow-up

Chandra K. Nair, Wilbert S. Aronow, Michael H. Sketch, Tom Pagano, Joseph D. Lynch, Aryan N. Mooss, Dennis Esterbrooks, Vincent Runco, Kay Ryschon

Research output: Contribution to journalArticle

36 Scopus citations

Abstract

Two hundred eighty patients (197 men and 83 women) with normal rest electrocardiograms and no history of prior myocardial infarction were referred for evaluation of chest pain. It was found that exercise-induced premature ventricular complexes had a lower sensitivity, specificity, positive predictive value and negative predictive value in predicting significant coronary artery disease than exercise-induced ST segment depression greater than or equal to 1 mm. The incidence of exercise-induced premature ventricular complexes was not significantly different in patients with no significant coronary artery disease, single vessel disease or multivessel disease. The site of origin of exercise-induced premature ventricular complexes was not helpful in predicting the presence or severity of coronary artery disease. At a mean follow-up period of 47.1 months, exercise-induced premature ventricular complexes did not predict coronary events (cardiac death or nonfatal myocardial infarction) in men or women.

Original languageEnglish (US)
Pages (from-to)1201-1206
Number of pages6
JournalJournal of the American College of Cardiology
Volume1
Issue number5
DOIs
StatePublished - Jan 1 1983

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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