Description

Udall and Ellestad studied the significance of ventricular premature contractions (VPCs) in patients undergoing treadmill stress testing. The authors are from Long Beach Memorial Hospital Medical Center and the University of California at Irvine.


Patient selection: treadmill stress testing

 

Outcome: future coronary events (myocardial infarction, angina, cardiac death)

 

Parameters during the stress testing:

(1) ventricular premature contractions

(2) ischemic ST changes (1 mm elevation or depression of the ST segment lasting >=80 milliseconds from the J point)

 

Ventricular Premature Contractions

Ischemic ST Changes

5-Year Coronary Event

absent

absent

1.7%

present

absent

6.4%

absent

present

9.5%

present

present

11.4%

 


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