Principles of simple heart rate adjustment of ST segment depression during exercise electrocardiography.

Compared with standard test criteria, simple heart rate (HR) adjustment of ST depression during exercise electrocardiography can improve the identification and assessment of underlying coronary artery disease. Since heart rate during exercise drives progressive ST segment depression in the presence of coronary obstruction that limits flow reserve, the ST/HR index controls for the increasing metabolic severity of ischemia that accompanies...