scholarly journals Does exercise stress testing carry an incremental prognostic value beyond resting office blood pressure?

2022 ◽  
Vol 40 (1) ◽  
pp. 24-26
Author(s):  
Justina Motiejunaite ◽  
Emmanuelle Vidal-Petiot
Keyword(s):  
Blood Pressure ◽  
Prognostic Value ◽  
Stress Testing ◽  
Office Blood Pressure ◽  
Exercise Stress ◽  
Exercise Stress Testing ◽  
Incremental Prognostic Value

Incremental Prognostic Value of Exercise Stress Testing in Primary Prevention

2019 ◽  
Vol 124 (2) ◽  
pp. 216-223
Author(s):  
Alaa Alashi ◽  
Haris Riaz ◽  
Richard Lang ◽  
Raul Seballos ◽  
Steven Feinleib ◽  
...  
Keyword(s):  
Primary Prevention ◽  
Prognostic Value ◽  
Stress Testing ◽  
Exercise Stress ◽  
Exercise Stress Testing ◽  
Incremental Prognostic Value

scholarly journals Estimation of the Blood Pressure Response With Exercise Stress Testing

2019 ◽  
Vol 28 (5) ◽  
pp. 742-751 ◽  
Author(s):  
Benjamin T. Fitzgerald ◽  
Emma L. Ballard ◽  
Gregory M. Scalia
Keyword(s):  
Blood Pressure ◽  
Stress Testing ◽  
Blood Pressure Response ◽  
Pressure Response ◽  
Exercise Stress ◽  
Exercise Stress Testing

The Clinical Use of Nonimaging Exercise Stress Testing

2019 ◽  
Author(s):  
Aswini Kumar ◽  
Brinda Muthuswamy ◽  
W Lane Duvall ◽  
Paul D Thompson
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Stress Testing ◽  
Blood Pressure Response ◽  
Heart Rate Recovery ◽  
Exercise Stress ◽  
Exercise Stress Testing ◽  
Duke Treadmill Score ◽  
Test Exercise ◽  
Artery Disease

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

Usefulness of Exercise Stress Testing for Prediction of Blood Pressure Trends

PEDIATRICS ◽  
1985 ◽  
Vol 75 (6) ◽  
pp. 1071-1075
Author(s):  
David E. Fixler ◽  
W. Pennock Laird ◽  
Kent Dana
Keyword(s):  
Blood Pressure ◽  
Stress Testing ◽  
Isometric Exercise ◽  
Systolic Pressure ◽  
Exercise Stress ◽  
Female Adolescents ◽  
Exercise Stress Testing ◽  
Stress Tests ◽  
Blood Pressures

The purpose of this study was to determine whether values of blood pressure during exercise help predict which adolescents are prone to maintain high blood pressure. Dynamic and isometric exercise stress tests were performed on 131 adolescents who had had systolic or diastolic pressures greater than the 95th percentile on three examinations the previous year. Follow-up blood pressures were measured 1 year after the stress testing, and outcomes were classified on the basis of the blood pressure status that year. Stepwise regression analysis was used to examine the association between earlier blood pressures and exercise pressures with outcome pressures. In both male and female adolescents, the average resting systolic pressure on the earlier survey was the best predictor of systolic pressure 2 years later. Blood pressures and heart rates during dynamic and isometric exercise did not significantly contribute to the models' prediction of future systolic or diastolic pressures. The data suggest that exercise stress testing is not a valid method for predicting youths whose blood pressures will remain elevated over the next 1 to 2 years.

Prognostic Significance of Systolic Blood Pressure Increases in Men During Exercise Stress Testing

2007 ◽  
Vol 100 (11) ◽  
pp. 1609-1613 ◽  
Author(s):  
Manish Prakash Gupta ◽  
Sotir Polena ◽  
Neil Coplan ◽  
Georgia Panagopoulos ◽  
Charu Dhingra ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Stress Testing ◽  
Prognostic Significance ◽  
Exercise Stress ◽  
Exercise Stress Testing

Long-term prognostic value of myocardial perfusion imaging in octogenarians able to undergo treadmill exercise stress testing

2014 ◽  
Vol 21 (6) ◽  
pp. 1213-1222 ◽  
Author(s):  
Athanasios Katsikis ◽  
Athanasios Theodorakos ◽  
Spyridon Papaioannou ◽  
Virginia Tsapaki ◽  
Genovefa Kolovou ◽  
...  
Keyword(s):  
Myocardial Perfusion Imaging ◽  
Myocardial Perfusion ◽  
Perfusion Imaging ◽  
Prognostic Value ◽  
Stress Testing ◽  
Treadmill Exercise ◽  
Exercise Stress ◽  
Exercise Stress Testing

Gender differences in exercise stress testing protocol selection, exercise capacity, and prognostic value of METs

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
S Harb ◽  
T.W Wang ◽  
Y.W Wu ◽  
M.V Menon ◽  
L.C Cho ◽  
...  
Keyword(s):  
Gender Differences ◽  
Exercise Capacity ◽  
Prognostic Value ◽  
Stress Testing ◽  
Exercise Stress ◽  
Exercise Stress Testing ◽  
Metabolic Equivalents ◽  
Testing Protocols ◽  
Gender Specific

Abstract Background Exercise capacity, as measured by metabolic equivalents of task [METs], varies with gender and is an independent predictor of mortality. We sought to investigate gender differences in the protocol selected, the estimated exercise capacity, and the prognostic value of METs. Purpose Investigate the gender differences in the protocol chosen (adjusting for age and comorbidities), the METs achieved (also adjusting for the protocol selected), and the predictive value of exercise capacity adjusted to METs achieved. Methods In a 25-year stress testing registry spanning from 1991 to 2015, we identified 120,705 patients who underwent exercise stress testing. Protocols were split into Bruce vs. non-Bruce. METs were estimated based on established gender-specific formulas (the St James Take Heart Project formula for women, and the Veterans Affairs cohort formula for men).The primary outcome was all-cause mortality. Results The mean age was 53.3±12.5 years, and 59% were male. Table 1 presents the baseline characteristics and exercise parameters. A total of 8426 death occurred over 8.7 years of mean follow-up duration. Females were more commonly referred for non-Bruce protocols [adjusted OR 2.6; 95% CI (2.5–2.7)] even after adjusting for age and comorbidities. Within the same protocol chosen, females achieved lower estimated METs [Beta −1.4; 95% CI (−1.43 to −1.37)]. Exercise capacity was inversely related to mortality in both genders and across protocols (figure 1), however, after adjusting for age, comorbidities, protocol chosen, and the number of METs achieved, the HR for death was significantly lower for women [adjusted HR=0.44; 95% CI (0.41–0.46)]. Conclusion After adjusting for age and comorbidities, women tend to be more commonly referred for non-Bruce protocols, achieve less estimated METs (after adjusting for the protocol chosen), and have half the mortality for the same METs achieved. Death vs. Exercise capacity by gender Funding Acknowledgement Type of funding source: None

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