ArticleBritish heart journal1993
First myocardial infarction in patients under 60 years old: the role of exercise tests and symptoms in deciding whom to catheterise.
Article in British heart journal, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Cardiac rehabilitation in the United Kingdom: guidelines and audit standards. National Institute for Nursing, the British Cardiac Society and the Royal College of Physicians of London.Heart (British Cardiac Society) · 1996Guideline
- The management of acute myocardial infarction: guidelines and audit standards. Report of a workshop of the Joint Audit Committee of the British Cardiac Society and the Royal College of Physicians.Journal of the Royal College of Physicians of LondonGuideline
- Management of patients after their first myocardial infarction.BMJ (Clinical research ed.) · 1994Review
- Which patients should have exercise testing after myocardial infarction treated by thrombolysis?British heart journal · 1993Article
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5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the role of exercise tests and assessment of angina in the detection of potentially threatening disease in young patients with infarcts.
designElective readmission of patients at a mean (SD) of 60 (30) days after acute myocardial infarction for assessment of angina, treadmill exercise tests, and cardiac catheterisation.
settingCardiology department of a teaching hospital. PATIENTS: 186 consecutive survivors, aged under 60 years and discharged from the coronary care unit after a first myocardial infarction.
main outcome measuresCoronary arteriography, presence of angina, result of exercise tests, and referral for revascularisation.
results31% of patients had either two vessel disease (with proximal left anterior descending involvement), three vessel disease, or left main stem disease. 49% of all patients had angina. Of the 173 patients who had an exercise test 34% had 1 mm and 24% had 2 mm of exercise induced ST depression. Thirty percent had no angina and a negative exercise test: after a mean (SD) follow up of 16 (4) months none of this symptom free sub-group had died, had experienced a further myocardial infarction, or had been referred for revascularisation. 79% of patients with either two vessel disease (with proximal left anterior descending involvement), three vessel disease, or left main stem disease had either angina or a 1 mm ST depression during the exercise test.
conclusionPatients without cardiac pain after myocardial infarction and without ST changes during an exercise do not need arteriography.
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