Association of exercise capacity and the heart rate profile during exercise stress testing with subclinical coronary atherosclerosis: data from the Heinz Nixdorf Recall study

2009 ◽  
Vol 98 (10) ◽  
pp. 665-676 ◽  
Author(s):  
Stefan Möhlenkamp ◽  
◽  
Nils Lehmann ◽  
Axel Schmermund ◽  
Ulla Roggenbuck ◽  
...  

2014 ◽  
Vol 28 (S1) ◽  
Author(s):  
Alain Duvallet ◽  
Emilie Duvallet ◽  
François Lhuissier ◽  
Pascal Constantin ◽  
Michele Beaudry


2019 ◽  
Author(s):  
Aswini Kumar ◽  
Brinda Muthuswamy ◽  
W Lane Duvall ◽  
Paul D Thompson

Exercise stress testing is an exceptionally useful cardiovascular test providing a wealth of information that can be used in patient management. It can be used in the diagnosis and/or management of chest pain, hypertension, arrhythmia, and heart failure.  Non-imaging exercise stress testing not only helps evaluate the etiology of clinical symptoms but also provides an opportunity to evaluate ECG changes with exercise, total exercise capacity, heart rate response or chronotropic index, blood pressure response, heart rate recovery, and to make estimates of the risk of coronary artery disease using tools such as the Duke Treadmill Score.  These parameters, individually and collectively, provide valuable information on the likelihood of disease and an individual’s prognosis. In addition, exercise testing is inexpensive, quick and widely available compared to imaging studies.  This review contains 6 figures, 5 tables, and 68 references.  Keywords: blood pressure response, chronotropic incompetence, coronary artery disease, Duke Treadmill Score, exercise physiology metabolic equivalents (METs), exercise stress test, exercise treadmill test, exercise-induced hypertension, heart rate recovery, maximal exercise capacity, ST-segment deviation



2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
S Harb ◽  
V M Menon ◽  
W U Wu ◽  
P C Cremer ◽  
L C Cho ◽  
...  

Abstract Background While the Bruce protocol has been extensively validated, other modified exercise protocols with less workload burden are commonly used, though their prognostic value is not well established. Purpose We sought to assess whether exercise capacity (or workload achieved in metabolic equivalents of task [METs]) remains predictive of mortality across various exercise stress testing protocols. Methods In a 25-year stress testing registry spanning from 1991 to 2015, we identified 120,705 patients who underwent 7 different standardized symptom-limited exercise stress testing protocols: Bruce, Modified Bruce, Cornell 0%, Cornell 5%, Cornell 10%, Naughton, and modified Naughton. The choice of the protocol was dependent on the supervising exercise physiologist according to purpose of the test and the individual patient. The primary outcome was all-cause mortality. Results Mean age was 53.3±12.5 years and 59% were male. There were 74953 Bruce, 8368 modified Bruce, 2648 Cornell 0%, 9972 Cornell 5%, 20425 Cornell 10% 1226 Naughton, and 3113 modified Naughton individual protocols. A total of 8426 death occurred over 8.7 years of mean follow-up duration. Figure 1 shows that there was an inverse relationship between peak METs achieved and mortality across all 7 protocols. On multivariable analysis, increasing METs remained protective against death [adjusted HR of 0.46; 95% CI (0.44 - 0.48); p<0.001] even after adjusting for the protocol chosen, age, gender, hypertension, diabetes, coronary disease, end-stage renal disease, smoking, and statin use. METS vs. mortality by protocol Conclusion Across 7 different exercise protocols with various workloads, the predicted exercise capacity remained predictive of mortality irrespective of the protocol chosen, patients' demographics and comorbidities. Different testing choices likely represent different estimated functional capacity.





2006 ◽  
Vol 38 (Supplement) ◽  
pp. S477
Author(s):  
David N. Erceg ◽  
Alberto F. Vallejo ◽  
Karen Hwang ◽  
Fred R. Sattler ◽  
E. Todd Schroeder ◽  
...  


2007 ◽  
Vol 153 (2) ◽  
pp. 281-288 ◽  
Author(s):  
Frederick E. Dewey ◽  
James V. Freeman ◽  
Gregory Engel ◽  
Raul Oviedo ◽  
Nayana Abrol ◽  
...  


2005 ◽  
Vol 59 ◽  
pp. S158-S162 ◽  
Author(s):  
B. Takase ◽  
Y. Abe ◽  
M. Nagata ◽  
T. Matsui ◽  
H. Hattori ◽  
...  


2013 ◽  
Vol 27 (4) ◽  
pp. 514-521 ◽  
Author(s):  
E. Aneni ◽  
L. L. Roberson ◽  
S. Shaharyar ◽  
M. J. Blaha ◽  
A. A. Agatston ◽  
...  


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