Electrocardiographic criteria for identifying false positive exercise tests

Identification of false positive exercise tests with use of electrocardiographic criteria: a possible role for atrial repolarization waves.

Atrial repolarization waves are opposite in direction to P waves, may have a magnitude of 100 to 200 mu V and may extend into the ST segment and T wave. It was postulated that exaggerated atrial repolarization waves during exercise could produce ST segment depression mimicking myocardial ischemia. The P waves, PR segments and ST segments were studied in leads II, III, aVF and V4 to V6 in 69 pat...

Potassium-43 myocardial perfusion scanning for the noninvasive evaluation of patients with false-positive exercise tests.

Twelve patients with false-positive ECG exercise tests presented with ischemic ECG responses (greater than one mm ST segment depression) during graded maximal treadmill exercise testing in the absence of exercise-induced chest pain or clinical coronary heart disease. Coronary arteriography, left ventriculography and hemodynamic evaluation revealed no significant abnormality in these patients. T...

Biological false positive serological tests for syphilis among drug addicts.

The biological false positive reaction to serological tests for syphilis.

Acute and chronic biological false positive reactions to serological tests for syphilis are discussed. Three cases are presented, one showing an acute and one a chronic reaction, and one in which it was not possible to determine if the reaction was acute or chronic. Once a biological false positive reaction is found, serum from the patient should be tested at intervals for at least six months t...

Accounting for False Positive HIV Tests: Is Visceral Leishmaniasis Responsible?

BACKGROUND Co-infection with HIV and visceral leishmaniasis is an important consideration in treatment of either disease in endemic areas. Diagnosis of HIV in resource-limited settings relies on rapid diagnostic tests used together in an algorithm. A limitation of the HIV diagnostic algorithm is that it is vulnerable to falsely positive reactions due to cross reactivity. It has been postulated ...