What does ST depression mean on a stress test?

What does ST depression mean on a stress test?

In a cardiac stress test, an ST depression of at least 1 mm after adenosine administration indicates a reversible ischaemia, while an exercise stress test requires an ST depression of at least 2 mm to significantly indicate reversible ischaemia.

Which ECG leads show ST depression?

The ECG shows ST depression in leads V1 to V4 and only minor ST elevation, not fulfilling ST elevation myocardial infarction criteria, in leads I, aVL, and V6.

What is ST depression indicative of?

ST depression occurs when the J point is displaced below baseline. Just like ST elevation, not all ST depression represents myocardial ischemia or an emergent condition. There are multiple conditions associated with ST depression. Some of these include hypokalemia, cardiac ischemia, and medications such as digitalis.

What can cause an ST depression?

Noncoronary causes of ST-segment depression include the following:

  • Severe hypertension.
  • Severe aortic stenosis.
  • Cardiomyopathy.
  • Anemia.
  • Hypokalemia.
  • Severe hypoxia.
  • Digitalis.
  • Sudden excessive exercise.

What can cause ST depression?

Is ST segment depression normal?

ST segment depression of 1 mm or more, lasting 0.08 second or more, is generally considered a positive (abnormal) response. False-negative (normal) results can occur, however, in patients with ischemic heart disease and false-positive results can occur in normal people.

Why does ST depression occur?

ST segment depression occurs because when the ventricle is at rest and therefore repolarized, the depolarized ischemic subendocardium generates electrical currents that are recorded by an overlying electrode.

When is ST depression normal?

ST segment depression less than 0.5 mm is accepted in all leads. ST segment depression 0.5 mm or more is considered pathological. Some expert consensus documents also note that any ST segment depression in V2–V3 should be considered abnormal (because healthy individuals rarely display depressions in those leads).

How do you know if you have ST depression?

ST segment deviation (elevation, depression) is measured as the height difference (in millimeters) between the J point and the baseline (the PR segment).

What can cause ST depression on EKG?

Damaged or dead muscle tissue can generate a significant ST depression on an EKG reading. Abnormal electrical activity can cause the heart to beat abnormally, leaving blood to pool in areas rather than flow through normally. When this happens, the damaged areas secrete troponin and creatine-kinase-MB (CK-MB)…

What causes a depressed ST segment?

ST segment depression. ST segment depression can be caused by ischemia, digitalis, rapid heart rate, and temperature or electrolyte abnormality. It can also be a “reflected” or reciprocal ST elevation (showing an inverted view of what’s happening at another place in the heart).

What does an elevated ST segment on an EKG mean?

St Elevation (Definition) St elevations refers to a finding on an electrocardiogram, wherein the trace in the st segment is abnormally high above the isoelectric line. Ekg st segment elevation is usually attributed to impending infarction, but can also be due to pericarditis or vasospastic (variant) angina and early repolarization.

What is up sloping ST depression?

Up-sloping ST depression is less specific. In exercise stress tests, horizontal or down-sloping depression of 1 mm or more (A, B, & C) or up-sloping depression of the same magnitude 80 ms beyond the J point (D) is considered positive signs of ischemia.