Published in:
01-04-2010 | Nuclear Cardiology Bullet
Chronotropic incompetence as a manifestation of coronary artery disease and its reversal with revascularization
Authors:
Rajkumar K. Sugumaran, MD, Tammy Lollo, CNMT, Indu G. Poornima, MD
Published in:
Journal of Nuclear Cardiology
|
Issue 2/2010
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Excerpt
Chronotropic incompetence (CI) is defined as the inability to reach 85% maximum predicted heart rate (MPHR) at maximal exercise in the absence of negative chronotropic agents.
1 This finding has been reported as an adverse prognostic indicator in patients with and without known coronary artery disease.
2 We present two patients presenting with chest pain symptoms who had severe CI as a manifestation of ischemia during exercise that subsequently reversed with revascularization. …