Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1980 Apr;43(4):376–381. doi: 10.1136/hrt.43.4.376

Praecordial surface mapping after exercise in evaluation of propranolol for angina pectoris.

K Fox, A Selwyn, D Oakley, A Jonathan, J Shillingford
PMCID: PMC482295  PMID: 7397038

Abstract

The effect of propranolol on ST depression in the praecordial 16 lead electrocardiogram was observed in 52 patients before and after treatment, both at rest and after exercise. In a further 20 patients exercise tests repeated on separate days two months apart showed that the technique gave reproducible results. A variable relation between symptomatic relief and praecordial exercise-induced ST segment depression was noted. Use of a single fixed-position chest lead (V5) was shown to be less accurate. The relief of symptoms alone is probably an inadequate guide to the success of medical treatment, which should control not only angina but also the manifestations of ischaemia on the praecordial electrocardiogram.

Full text

PDF
378

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BONJER F. H., LANOOY C. A hyperbolic ergometer for cycling and cranking. J Appl Physiol. 1956 Nov;9(3):499–500. doi: 10.1152/jappl.1956.9.3.499. [DOI] [PubMed] [Google Scholar]
  2. Fox K. M., Selwyn A. P., Shillingford J. P. A method for praecordial surface mapping of the exercise electrocardiogram. Br Heart J. 1978 Dec;40(12):1339–1343. doi: 10.1136/hrt.40.12.1339. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Fox K., Selwyn A., Shillingford J. Precordial exercise mapping: improved diagnosis of coronary artery disease. Br Med J. 1978 Dec 9;2(6152):1596–1598. doi: 10.1136/bmj.2.6152.1596. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Frishman W., Smithen C., Befler B., Kligfield P., Killip T. Noninvasive assessment of clinical response to oral propranolol therapy. Am J Cardiol. 1975 May;35(5):635–644. doi: 10.1016/0002-9149(75)90049-1. [DOI] [PubMed] [Google Scholar]
  5. Gianelly R. E., Goldman R. H., Treister B., Harrison D. C. Propranolol in patients with angina pectoris. Ann Intern Med. 1967 Dec;67(6):1216–1225. doi: 10.7326/0003-4819-67-6-1216. [DOI] [PubMed] [Google Scholar]
  6. Gianelly R. E., Treister B. L., Harrison D. C. The effect of propranolol on exercise-induced ischemic S-T segment depression. Am J Cardiol. 1969 Aug;24(2):161–165. doi: 10.1016/0002-9149(69)90398-1. [DOI] [PubMed] [Google Scholar]
  7. Gillam P. M., Prichard B. N. Propranolol in the therapy of angina pectoris. Am J Cardiol. 1966 Sep;18(3):366–369. doi: 10.1016/0002-9149(66)90055-5. [DOI] [PubMed] [Google Scholar]
  8. Hamer J., Grandjean T., Melendez L., Sowton G. E. Effect of propranolol (inderal) on exercise tolerance in angina pectoris. Br Heart J. 1966 May;28(3):414–418. doi: 10.1136/hrt.28.3.414. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Holland R. P., Brooks H. TQ-ST segment mapping: critical review and analysis of current concepts. Am J Cardiol. 1977 Jul;40(1):110–129. doi: 10.1016/0002-9149(77)90109-6. [DOI] [PubMed] [Google Scholar]
  10. PRINZMETAL M., TOYOSHIMA H., EKMEKCI A., MIZUNO Y., NAGAYA T. Myocardial ischemia. Nature of ischemic electrocardiographic patterns in the mammalian ventricles as determined by intracellular electrographic and metabolic changes. Am J Cardiol. 1961 Oct;8:493–503. doi: 10.1016/0002-9149(61)90123-0. [DOI] [PubMed] [Google Scholar]
  11. Reid D. S., Pelides L. J., Shillingford J. P. Surface mapping of RS-T segment in acute myocardial infarction. Br Heart J. 1971 May;33(3):370–374. doi: 10.1136/hrt.33.3.370. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Whitsitt L. S., Lucchesi B. R. Effects of propranolol and its stereoisomers upon coronary vascular resistance. Circ Res. 1967 Sep;21(3):305–317. doi: 10.1161/01.res.21.3.305. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES