PMID- 8535347 OWN - NLM STAT- MEDLINE DCOM- 19960205 LR - 20151119 IS - 1220-4749 (Print) IS - 1220-4749 (Linking) VI - 33 IP - 1-2 DP - 1995 Jan-Jun TI - Comparative value of effort and adenosine-testing in the evaluation of patients with old myocardial infarction. PG - 13-8 AB - Exercise testing (ET) and adenosine testing (AT) coupled with ECG were applied in 25 patients with old myocardial infarction. ET was positive in 8 (32%) and AT in 10 (40%) patients, the sensitivity of the latter being slightly superior to the former but inferior to the sensitivity reported in the literature for AT-echocardiography. One should also notice the positivity of AT-ECG in 6 (24%) patients, with negative or inconclusive ET, and the double product (DP) at ischemic threshold which was twice as low for AT-ECG as for ET-ECG, proving that AT induced ischemia by decreasing O2 myocardial input. It is concluded that AT-ECG is useful in myocardial ischemia detection in association with ET or in patients who cannot perform ET for different reasons. FAU - Zdrenghea, D AU - Zdrenghea D AD - Department of Cardiology and Rehabilitation, Cluj-Napoca, Romania. FAU - Vultur, A AU - Vultur A FAU - Icusca, G AU - Icusca G FAU - Timis, D AU - Timis D LA - eng PT - Comparative Study PT - Journal Article PL - Germany TA - Rom J Intern Med JT - Romanian journal of internal medicine = Revue roumaine de medecine interne JID - 9304507 RN - K72T3FS567 (Adenosine) SB - IM MH - *Adenosine/administration & dosage MH - Adult MH - Electrocardiography/drug effects/statistics & numerical data MH - *Exercise Test/methods/statistics & numerical data MH - Female MH - Humans MH - Infusions, Intravenous MH - Male MH - Middle Aged MH - Myocardial Infarction/*diagnosis MH - Sensitivity and Specificity MH - Time Factors EDAT- 1995/01/01 00:00 MHDA- 1995/01/01 00:01 CRDT- 1995/01/01 00:00 PHST- 1995/01/01 00:00 [pubmed] PHST- 1995/01/01 00:01 [medline] PHST- 1995/01/01 00:00 [entrez] PST - ppublish SO - Rom J Intern Med. 1995 Jan-Jun;33(1-2):13-8.