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Biomedical subjects

M Bourrassa

Publications and source records attributed to M Bourrassa.

2 recordsLinked to original sources

[Effort electrocardiogram in woman].

On the basis of 150 results on patients who underwent an ECG at submaximal exercise, selective coronary arteriography and cine-arteriography, this study has established that: -- certain elecerographic criteria of coronary insufficiency which have a high predictive value in males (a "near ischeamic" appearance, an J depression at or above 4 mm) are not applicable to the female; -- where an ECG tracing which is abnormal at rest becomes normal on exercise, then in both males and females there is a healthy coronary tree; -- the incidence of false-positives is 22.9%, which is 4 times that found in males; -- propranolol (60 mg orally) returns these pseudo-ischaemic changes in the resting and exercise ECG to normal and affords a simple method of identifying the false positives.

Adult↗

[Correlations between the sub-maximal exercise electrocardiogram and selective coronarography: a critical study of positive criteria].

A critical study of the electrical criteria for coronary insufficiency was undertaken on the basis of a group of 150 patients who underwent a selective coronary arteriography and a submaximal effort electrocardiogram and free of any functional coronary insufficiency. The three following notions became apparent: -- a downward displacement of the J point is greater than or equal to 4 mm has a very high predicitive value (90%) for coronary insufficiency, whatever the slope of the following ST segment; -- anslowly ascending, rigid ST segment with a slope included between 0.1 and 1 mV/sec. has a value equivalent to that of the classical criterion: horizontal or descending slope of the ST segment greater or equal than 1 mm; -- the ischaemic index put formard by McHenry (J is less than or equal 1 - J + ST is greater than or equal 0) is not specific enough to be of practical value.

Coronary Angiography↗