Features of diagnosis of the ischemic heart disease. False-positive and false-negative exercise tests

Main Article Content

V. V. Bugayenko
N. Yu. Chubko
O. V. Tsyzh
M. P. Slobodianyk

Abstract

This article reviews scores and methodology of the assessment of the exercise test. The results of dobutamine ECG stress-tests, multispiral computer tomography determination of coronary calcium for diagnosis of the ischemic heart disease are presented. Clinical cases of false-positive and false-negative exercise tests demonstrating difficulties of exercise test results interpretation and their causes are discussed.

Article Details

Keywords:

Schemic heart disease, exercise test, heart rate, echocardiography.

References

Vyktorov AP, Voronkov LH. Pharmacological tests in cardiology. K.: Moryon.1998.64р. (in Russ.)

Zharinov OY, Kuts VO, Tkhor NV.

Loading tests in cardiology. K.: Medytsyna svitu, 2006.89р. (in Ukr.)

Kovalenko VM, Lutai MI.

Cardiovascular disease. Recommendations for diagnosis, prevention and treatment. K.: Morion, 2011.408p.

Fletcher GF, Balady GJ, Amsterdam EA, Chaitman B, Eckel R, Fleg J, Froelicher VF, Leon AS, Piña IL, Rodney R, Simons-Morton DA, Williams MA, Bazzarre T. Exercise standards for testing and training. A statement for healthcare professionals from the American Heart Association. Circulation. 2001;104:1694–1740.

Gibbons RJ, Balady GJ, Bricker JT, Chaitman BR, Fletcher GF, Froelicher VF, Mark DB, McCallister BD, Mooss AN, O'Reilly MG, Winters WL, Gibbons RJ, Antman EM, Alpert JS, Faxon DP, Fuster V, Gregoratos G, Hiratzka LF, Jacobs AK, Russell RO, Smith SC; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Committee to Update the 1997 Exercise Testing Guidelines. ACC/AHA 2002 guideline update for exercise testing: a report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines / Committee on Exercise Testing. Amer. Coll. Cardiol. 2002;40:153–1540.

Rodgers GP, Ayanian JZ, Balady G, Beasley JW, Brown KA, Gervino EV, Paridon S, Quinones M, Schlant RC, Winters WL Jr, Achord JL, Boone AW, Hirshfeld JW Jr, Lorell BH, Rodgers GP, Tracy CM, Weitz HH. American College of Cardiology / American Heart Association clinical competence statement on exercise testing. J. Amer. Coll. Cardiol. 2000;36:1441–1453.