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J Am Coll Cardiol, 2000; 35:757-763
© 2000 by the American College of Cardiology Foundation
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Exercise-induced U-wave alterations as a marker of well-developed and well-functioning collateral vessels in patients with effort angina

Kunihisa Miwa, MDa, Keiko Nakagawa, MDa, Tadakazu Hirai, MDa and Hiroshi Inoue, MD, FACCa

a Second Department of Internal Medicine, Toyama Medical and Pharmaceutical University, 2630 Sugitani, Toyama 930-0194, Japan



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Figure 1 A typical ECG with exercise-induced negative U waves (arrows) during a chest pain attack in a 62-year-old male patient with exertional angina pectoris and previous anterior non-Q-wave myocardial infarction (group A). The longitudinal line shows the T-wave terminal determined by establishing a QT interval with simultaneously recorded lead V1. Control: before treadmill exercise stress testing; Exercise: soon after exercise.

 


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Figure 2 A typical ECG with exercise-induced prominent U waves (arrows) during a chest pain attack in a 47-year-old male patient with exertional angina pectoris (group A). The longitudinal line shows the T-wave terminal determined by establishing a QT interval with simultaneously recorded lead V1. Control: before treadmill exercise stress testing; Exercise: immediately after exercise.

 




 
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