The precordial electrocardiogram during and after strenuous exercise
Identifieur interne : 002B57 ( Istex/Corpus ); précédent : 002B56; suivant : 002B58The precordial electrocardiogram during and after strenuous exercise
Auteurs : David M. Berkson ; Jeremiah Stamler ; Walter JacksonSource :
- The American Journal of Cardiology [ 0002-9149 ] ; 1966.
Abstract
Forty-nine apparently healthy, physically active middle-aged men were selected for progressive exercise on a treadmill in an attempt to achieve a near-maximal or maximal effort. Electrocardiographic recordings during and after exercise were made utilizing the earensiform-precordial (EEP) electrode lead system. In 20 per cent of the men a sagging, downwardsloping S-T segment depression of 0.5 mm. or greater developed; in most of these men it was recorded both during and after exercise. In an additional 24 per cent, electrocardiograms showed horizontal flattening of the S-T segment, observed in most of these men only during the exercise. These responses of the S-T segment were more frequent in men with one or more coronary risk factors (e.g., hypercholesterolemia, heavy cigarette smoking, overweight) than in men with none of these. Short runs of premature ventricular beats in 2 men antedated a sagging, downward-sloping S-T segment response.Further long term studies of large populations are needed to determine whether or not the usual standards of normal and abnormal electrocardiographic response after moderate exercise can be applied to the electrocardiogram during and after near-maximal and maximal exercise.
Url:
DOI: 10.1016/0002-9149(66)90194-9
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Electrocardiographic recordings during and after exercise were made utilizing the earensiform-precordial (EEP) electrode lead system. In 20 per cent of the men a sagging, downwardsloping S-T segment depression of 0.5 mm. or greater developed; in most of these men it was recorded both during and after exercise. In an additional 24 per cent, electrocardiograms showed horizontal flattening of the S-T segment, observed in most of these men only during the exercise. These responses of the S-T segment were more frequent in men with one or more coronary risk factors (e.g., hypercholesterolemia, heavy cigarette smoking, overweight) than in men with none of these. Short runs of premature ventricular beats in 2 men antedated a sagging, downward-sloping S-T segment response.Further long term studies of large populations are needed to determine whether or not the usual standards of normal and abnormal electrocardiographic response after moderate exercise can be applied to the electrocardiogram during and after near-maximal and maximal exercise.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>David M. Berkson M.D.</name><affiliations><json:string>From the Heart Disease Control Program, Division of Adult Health and Aging, Chicago Board of Health Chicago, Ill. USA</json:string><json:string>From the Department of Medicine, Northwestern University Medical School, Chicago, Ill. USA</json:string></affiliations></json:item><json:item><name>Jeremiah Stamler M.D.</name><affiliations><json:string>From the Heart Disease Control Program, Division of Adult Health and Aging, Chicago Board of Health Chicago, Ill. 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In 20 per cent of the men a sagging, downwardsloping S-T segment depression of 0.5 mm. or greater developed; in most of these men it was recorded both during and after exercise. In an additional 24 per cent, electrocardiograms showed horizontal flattening of the S-T segment, observed in most of these men only during the exercise. These responses of the S-T segment were more frequent in men with one or more coronary risk factors (e.g., hypercholesterolemia, heavy cigarette smoking, overweight) than in men with none of these. Short runs of premature ventricular beats in 2 men antedated a sagging, downward-sloping S-T segment response.Further long term studies of large populations are needed to determine whether or not the usual standards of normal and abnormal electrocardiographic response after moderate exercise can be applied to the electrocardiogram during and after near-maximal and maximal exercise.</abstract><qualityIndicators><score>5.835</score><pdfVersion>1.2</pdfVersion><pdfPageSize>540 x 720 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>1226</abstractCharCount><pdfWordCount>3663</pdfWordCount><pdfCharCount>28029</pdfCharCount><pdfPageCount>9</pdfPageCount><abstractWordCount>181</abstractWordCount></qualityIndicators><title>The precordial electrocardiogram during and after strenuous exercise</title><pii><json:string>0002-9149(66)90194-9</json:string></pii><genre><json:string>research-article</json:string></genre><serie><pages><first>25</first></pages><genre></genre><language><json:string>unknown</json:string></language><title>Symposium: Measuring the risk of coronary heart disease in adult population groups</title></serie><host><volume>18</volume><pii><json:string>S0002-9149(00)X0449-3</json:string></pii><pages><last>51</last><first>43</first></pages><issn><json:string>0002-9149</json:string></issn><issue>1</issue><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><title>The American Journal of Cardiology</title><publicationDate>1966</publicationDate></host><publicationDate>1966</publicationDate><copyrightDate>1966</copyrightDate><doi><json:string>10.1016/0002-9149(66)90194-9</json:string></doi><id>71E2D609818742286D078860CA3B0FB809A0DEFA</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/71E2D609818742286D078860CA3B0FB809A0DEFA/fulltext/pdf</uri></json:item><json:item><original>true</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/71E2D609818742286D078860CA3B0FB809A0DEFA/fulltext/txt</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/71E2D609818742286D078860CA3B0FB809A0DEFA/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/71E2D609818742286D078860CA3B0FB809A0DEFA/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">The precordial electrocardiogram during and after strenuous exercise</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>ELSEVIER</p></availability><date>1966</date></publicationStmt><notesStmt><note>The research was made possible by grants from the Chicago Heart Association and the National Heart Institute (H4197), Bethesda, Md.</note><note type="content">Section title: Clinical study</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">The precordial electrocardiogram during and after strenuous exercise</title><author><persName><forename type="first">David M.</forename><surname>Berkson</surname></persName><roleName type="degree">M.D.</roleName><affiliation>From the Heart Disease Control Program, Division of Adult Health and Aging, Chicago Board of Health Chicago, Ill. USA</affiliation><affiliation>From the Department of Medicine, Northwestern University Medical School, Chicago, Ill. USA</affiliation></author><author><persName><forename type="first">Jeremiah</forename><surname>Stamler</surname></persName><roleName type="degree">M.D.</roleName><affiliation>From the Heart Disease Control Program, Division of Adult Health and Aging, Chicago Board of Health Chicago, Ill. USA</affiliation><affiliation>From the Department of Medicine, Northwestern University Medical School, Chicago, Ill. USA</affiliation></author><author><persName><forename type="first">Walter</forename><surname>Jackson</surname></persName><roleName type="degree">M.A.</roleName><affiliation>From the Heart Disease Control Program, Division of Adult Health and Aging, Chicago Board of Health Chicago, Ill. USA</affiliation><affiliation>From the Department of Medicine, Northwestern University Medical School, Chicago, Ill. USA</affiliation></author></analytic><monogr><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="pISSN">0002-9149</idno><idno type="PII">S0002-9149(00)X0449-3</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1966"></date><biblScope unit="volume">18</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="43">43</biblScope><biblScope unit="page" to="51">51</biblScope></imprint></monogr><idno type="istex">71E2D609818742286D078860CA3B0FB809A0DEFA</idno><idno type="DOI">10.1016/0002-9149(66)90194-9</idno><idno type="PII">0002-9149(66)90194-9</idno><idno type="ArticleID">66901949</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1966</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Forty-nine apparently healthy, physically active middle-aged men were selected for progressive exercise on a treadmill in an attempt to achieve a near-maximal or maximal effort. Electrocardiographic recordings during and after exercise were made utilizing the earensiform-precordial (EEP) electrode lead system. In 20 per cent of the men a sagging, downwardsloping S-T segment depression of 0.5 mm. or greater developed; in most of these men it was recorded both during and after exercise. In an additional 24 per cent, electrocardiograms showed horizontal flattening of the S-T segment, observed in most of these men only during the exercise. These responses of the S-T segment were more frequent in men with one or more coronary risk factors (e.g., hypercholesterolemia, heavy cigarette smoking, overweight) than in men with none of these. Short runs of premature ventricular beats in 2 men antedated a sagging, downward-sloping S-T segment response.Further long term studies of large populations are needed to determine whether or not the usual standards of normal and abnormal electrocardiographic response after moderate exercise can be applied to the electrocardiogram during and after near-maximal and maximal exercise.</p></abstract></profileDesc><revisionDesc><change when="1966">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla" xml:lang="en"><item-info><jid>AJC</jid><aid>66901949</aid><ce:pii>0002-9149(66)90194-9</ce:pii><ce:doi>10.1016/0002-9149(66)90194-9</ce:doi><ce:copyright type="unknown" year="1966"></ce:copyright></item-info><head><ce:article-footnote><ce:label>☆</ce:label><ce:note-para>The research was made possible by grants from the Chicago Heart Association and the National Heart Institute (H4197), Bethesda, Md.</ce:note-para></ce:article-footnote><ce:dochead><ce:textfn>Clinical study</ce:textfn></ce:dochead><ce:title>The precordial electrocardiogram during and after strenuous exercise</ce:title><ce:author-group><ce:author><ce:given-name>David M.</ce:given-name><ce:surname>Berkson</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">∗1</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup loc="post">∗2</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Jeremiah</ce:given-name><ce:surname>Stamler</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">∗1</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup loc="post">∗2</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Walter</ce:given-name><ce:surname>Jackson</ce:surname><ce:degrees>M.A.</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">∗1</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup loc="post">∗2</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>∗1</ce:label><ce:textfn>From the Heart Disease Control Program, Division of Adult Health and Aging, Chicago Board of Health Chicago, Ill. USA</ce:textfn></ce:affiliation><ce:affiliation id="AFF2"><ce:label>∗2</ce:label><ce:textfn>From the Department of Medicine, Northwestern University Medical School, Chicago, Ill. USA</ce:textfn></ce:affiliation></ce:author-group><ce:abstract class="author"><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para view="all" id="simple-para.0010">Forty-nine apparently healthy, physically active middle-aged men were selected for progressive exercise on a treadmill in an attempt to achieve a near-maximal or maximal effort. Electrocardiographic recordings during and after exercise were made utilizing the earensiform-precordial (EEP) electrode lead system. In 20 per cent of the men a sagging, downwardsloping S-T segment depression of 0.5 mm. or greater developed; in most of these men it was recorded both during and after exercise. In an additional 24 per cent, electrocardiograms showed horizontal flattening of the S-T segment, observed in most of these men only during the exercise. These responses of the S-T segment were more frequent in men with one or more coronary risk factors (e.g., hypercholesterolemia, heavy cigarette smoking, overweight) than in men with none of these. Short runs of premature ventricular beats in 2 men antedated a sagging, downward-sloping S-T segment response.</ce:simple-para><ce:simple-para view="all" id="simple-para.0015">Further long term studies of large populations are needed to determine whether or not the usual standards of normal and abnormal electrocardiographic response after moderate exercise can be applied to the electrocardiogram during and after near-maximal and maximal exercise.</ce:simple-para></ce:abstract-sec></ce:abstract></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The precordial electrocardiogram during and after strenuous exercise</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>The precordial electrocardiogram during and after strenuous exercise</title></titleInfo><name type="personal"><namePart type="given">David M.</namePart><namePart type="family">Berkson</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>From the Heart Disease Control Program, Division of Adult Health and Aging, Chicago Board of Health Chicago, Ill. 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Electrocardiographic recordings during and after exercise were made utilizing the earensiform-precordial (EEP) electrode lead system. In 20 per cent of the men a sagging, downwardsloping S-T segment depression of 0.5 mm. or greater developed; in most of these men it was recorded both during and after exercise. In an additional 24 per cent, electrocardiograms showed horizontal flattening of the S-T segment, observed in most of these men only during the exercise. These responses of the S-T segment were more frequent in men with one or more coronary risk factors (e.g., hypercholesterolemia, heavy cigarette smoking, overweight) than in men with none of these. Short runs of premature ventricular beats in 2 men antedated a sagging, downward-sloping S-T segment response.Further long term studies of large populations are needed to determine whether or not the usual standards of normal and abnormal electrocardiographic response after moderate exercise can be applied to the electrocardiogram during and after near-maximal and maximal exercise.</abstract><note>The research was made possible by grants from the Chicago Heart Association and the National Heart Institute (H4197), Bethesda, Md.</note><note type="content">Section title: Clinical study</note><relatedItem type="host"><titleInfo><title>The American Journal of Cardiology</title></titleInfo><titleInfo type="abbreviated"><title>AJC</title></titleInfo><genre type="Journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">196607</dateIssued></originInfo><identifier type="ISSN">0002-9149</identifier><identifier type="PII">S0002-9149(00)X0449-3</identifier><part><date>196607</date><detail type="issue"><title>Symposium on Left Ventricular Volume, Part I</title></detail><detail type="volume"><number>18</number><caption>vol.</caption></detail><detail type="issue"><number>1</number><caption>no.</caption></detail><extent unit="issue pages"><start>A16</start><end>A18</end></extent><extent unit="issue pages"><start>A25</start><end>A26</end></extent><extent unit="issue pages"><start>A3</start><end>A13</end></extent><extent unit="issue pages"><start>A30</start><end>A31</end></extent><extent unit="issue pages"><start>A34</start><end>A35</end></extent><extent unit="issue pages"><start>A38</start></extent><extent unit="issue pages"><start>A44</start><end>A46</end></extent><extent unit="issue pages"><start>A52</start><end>A55</end></extent><extent unit="issue pages"><start>A58</start><end>A60</end></extent><extent unit="issue pages"><start>A64</start><end>A65</end></extent><extent unit="issue pages"><start>A69</start><end>A78</end></extent><extent unit="issue pages"><start>1</start><end>148</end></extent><extent unit="pages"><start>43</start><end>51</end></extent></part></relatedItem><identifier type="istex">71E2D609818742286D078860CA3B0FB809A0DEFA</identifier><identifier type="DOI">10.1016/0002-9149(66)90194-9</identifier><identifier type="PII">0002-9149(66)90194-9</identifier><identifier type="ArticleID">66901949</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata><enrichments><istex:refBibTEI uri="https://api.istex.fr/document/71E2D609818742286D078860CA3B0FB809A0DEFA/enrichments/refBib"><teiHeader></teiHeader><text><front></front><body></body><back><listBibl><biblStruct><monogr></monogr></biblStruct><biblStruct><analytic><title level="a" type="main">Coronary heart disease and physical activity of work. 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