FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 292:224-229 January 30, 1975 Number 5 Next

	Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Abstract

The exposure of ventricular ectopic activity (VEA) by maximal exercise testing and 24-hour ambulatory monitoring was compared in 100 unselected patients with coronary heart disease. The arrhythmia was noted with exercise in 56 patients and with monitoring in 88. Repetitive forms such as couplets and ventricular tachycardia were found to be twice as frequent (40 vs. 20) with monitoring than with exercise. Patients with prior myocardial infarction had more frequent ventricular ectopic activity of a more advanced grade with both exercise and monitoring than patients with angina pectoris. Exercise exposed the grades of ectopic activity that recurred during two or more hours of the monitoring session. Of seven patients with ventricular tachycardia on exercise only four exhibited this grade with monitoring. It may be that these two methods divulge different information regarding the electrophysiologic state of the myocardium.

This article has been cited by other articles:

• Fletcher, G. F., Balady, G. J., Amsterdam, E. A., Chaitman, B., Eckel, R., Fleg, J., Froelicher, V. F., Leon, A. S., Pina, I. L., Rodney, R., Simons-Morton, D. A., Williams, M. A., Bazzarre, T. (2001). Exercise Standards for Testing and Training: A Statement for Healthcare Professionals From the American Heart Association. Circulation 104: 1694-1740 [Full Text]  
• Fletcher, G. F., Balady, G., Froelicher, V. F., Hartley, L. H., Haskell, W. L., Pollock, M. L. (1995). Exercise Standards : A Statement for Healthcare Professionals From the American Heart Association. Circulation 91: 580-615 [Full Text]  
• Davis, B. R., Friedman, L. M., Lichstein, E. (1988). The Prognostic Value of the Duration of the Ambulatory Electrocardiogram after Myocardial Infarction. Med Decis Making 8: 9-18 [Abstract]  
• Bleifer, D. J. (1977). Establishing an Accurate Arrhythmia Diagnosis. ANGIOLOGY 28: 493-499