This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Udall, J. A. Articles by Ellestad, M. H. Search for Related Content PubMed PubMed Citation Articles by Udall, J. A. Articles by Ellestad, M. H.

Circulation, Vol 56, 985-989, Copyright © 1977 by American Heart Association

ARTICLES

Predictive implications of ventricular premature contractions associated with treadmill stress testing

JA Udall and MH Ellestad

Follow-up data on future coronary events was collected on 6,500 patients who had undergone stress testing; 1,327 of these exhibited ventricular premature contractions (VPCs) associated with one or more phases of treadmill stress testing (TSTs). Eighty-three percent of all patients tested had known or suspected cardiovascular disease. The annual incidence of new coronary events (myocardial infarction, angina, cardiac death) during a five year follow-up was 1.7% among 1,067 patients without VPCs or ischemic ST changes, 6.4% in 758 patients with VPCs alone, 9.5% among 609 patients with ischemic ST changes alone and 11.4% in 569 patients with VPCs plus ischemic ST changes. The significance of VPCs associated with the TSTs rests largely upon the clinical status of the persons tested. VPCs observed among patients referred for TSTs for the evaluation of known or suspected cardiovascular disease, with or without ischemic ST abnormalities, represent a definite risk factor for future coronary events.

This article has been cited by other articles:

				L. G. Futterman and L. Lemberg The clinical significance of exercise-induced ventricular arrhythmias. Am. J. Crit. Care., July 1, 2006; 15(4): 431 - 435. [Full Text] [PDF]

				D. G. Katritsis, I. Karabinos, A. Papadopoulos, P. Simeonidis, S. Korovesis, E. Giazitzoglou, E. Karvouni, and E. Voridis Sustained ventricular tachycardia induced by dobutamine stress echocardiography: A prospective study Europace, January 1, 2005; 7(5): 433 - 439. [Abstract] [Full Text] [PDF]

				D. G Katritsis and A.J. Camm Nonsustained ventricular tachycardia: where do we stand? Eur. Heart J., July 1, 2004; 25(13): 1093 - 1099. [Abstract] [Full Text] [PDF]

				A. Morshedi-Meibodi, J. C. Evans, D. Levy, M. G. Larson, and R. S. Vasan Clinical Correlates and Prognostic Significance of Exercise-Induced Ventricular Premature Beats in the Community: The Framingham Heart Study Circulation, May 25, 2004; 109(20): 2417 - 2422. [Abstract] [Full Text] [PDF]

				J. P. Frolkis, C. E. Pothier, E. H. Blackstone, and M. S. Lauer Frequent Ventricular Ectopy after Exercise as a Predictor of Death N. Engl. J. Med., February 27, 2003; 348(9): 781 - 790. [Abstract] [Full Text] [PDF]

				R J Edwards, S R Redwood, P D Lambiase, E Tomset, R D Rakhit, and M S Marber Antiarrhythmic and anti-ischaemic effects of angina in patients with and without coronary collaterals Heart, December 1, 2002; 88(6): 604 - 610. [Abstract] [Full Text] [PDF]

				X. Jouven and P. Ducimetiere Exercise testing: do frequent premature ventricular depolarizations represent a new criterion of positivity? Eur. Heart J., October 1, 2001; 22(19): 1759 - 1761. [PDF]

				M. E. Tavel Stress Testing in Cardiac Evaluation : Current Concepts With Emphasis on the ECG Chest, March 1, 2001; 119(3): 907 - 925. [Full Text] [PDF]

				M.H. Ellestad, X. Jouven, P. Ducimetiere, and H. Calkins Exercise-Induced Premature Ventricular Depolarizations N. Engl. J. Med., February 1, 2001; 344(5): 383 - 384. [Full Text] [PDF]

				X. Jouven, M. Zureik, M. Desnos, D. Courbon, and P. Ducimetiere Long-Term Outcome in Asymptomatic Men with Exercise-Induced Premature Ventricular Depolarizations N. Engl. J. Med., September 21, 2000; 343(12): 826 - 833. [Abstract] [Full Text] [PDF]