Depressive Symptoms Predict Heart Rate Recovery After Exercise Treadmill Testing in Patients With Coronary Artery Disease: Results From the Psychophysiological Investigations of Myocardial Ischemia Study

2008 ◽  
Vol 70 (4) ◽  
pp. 456-460 ◽  
Author(s):  
Joel W. Hughes ◽  
Kaki M. York ◽  
Qin Li ◽  
Kenneth E. Freedland ◽  
Robert M. Carney ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Heart Rate ◽  
Depressive Symptoms ◽  
Coronary Artery ◽  
Myocardial Ischemia ◽  
Heart Rate Recovery ◽  
Treadmill Testing ◽  
Exercise Treadmill ◽  
Exercise Treadmill Testing ◽  
Artery Disease

scholarly journals Exercise treadmill tests in patients with low cardiovascular risk: are we wasting our time?

2016 ◽  
Vol 8 (3) ◽  
pp. 250
Author(s):  
Sarah Dixon ◽  
Judy Searle ◽  
Rachel Forrest ◽  
Bob Marshall
Keyword(s):  
Coronary Artery Disease ◽  
Cardiovascular Risk ◽  
Coronary Artery ◽  
Risk Group ◽  
Pain Clinic ◽  
Treadmill Testing ◽  
Exercise Treadmill ◽  
Exercise Treadmill Testing ◽  
Artery Disease ◽  
Low Cardiovascular Risk

ABSTRACT INTRODUCTION The efficacy and cost-effectiveness of exercise treadmill testing for patients with low cardiovascular risk is unclear. This is due to the low incidence of coronary artery disease in this population and the potential for false-positive results leading to additional invasive and expensive investigation. AIM To investigate the value of exercise treadmill testing (ETT) as a predictor of coronary artery disease in patients with different levels of cardiovascular risk. METHODS An observational study was completed on an outpatient population from a chest pain clinic (n = 529). Cross-tabulations and binary logistic regressions were used to examine relationships between variables. RESULTS A negative ETT result was recorded for 72.5% of patients with low cardiovascular risk compared to 54.3% of those with moderate or high risk. Within the low cardiovascular risk group, patients with symptoms atypical for cardiac ischaemia were 11.1-fold more likely to have a negative ETT result. Of the patients with positive or equivocal ETT results, coronary artery disease was subsequently confirmed in only 23.1% of the low cardiovascular risk group compared to 77.2% of those with moderate or high cardiovascular risk. DISCUSSION Results show low cardiovascular risk patients are significantly more likely to return negative ETT results, particularly when associated with atypical symptoms. Similarly, positive or equivocal ETTs in this group are significantly more likely to be false positives. This suggests the ETT is not efficacious in predicting coronary artery disease in patients with low cardiovascular risk. Is it therefore appropriate to offer exercise testing to this cohort or should alternative management strategies be considered?

Clinical Yield and Cost of Exercise Treadmill Testing to Screen for Coronary Artery Disease in Asymptomatic Adults

1998 ◽  
Vol 81 (2) ◽  
pp. 219-224 ◽  
Author(s):  
Louise Pilote ◽  
Fredric Pashkow ◽  
James D Thomas ◽  
Claire E Snader ◽  
Sharon A Harvey ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Treadmill Testing ◽  
Exercise Treadmill ◽  
Exercise Treadmill Testing ◽  
Artery Disease

scholarly journals Is Heart Rate Recovery Really Associated with Severity of Coronary Artery Disease in Patients with Normal Exercise Treadmill Test?

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Moghadam RN ◽  
Mehrizi MK ◽  
Naghedi A ◽  
Namiranian N ◽  
Shahbaz APA ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Heart Rate ◽  
Coronary Artery ◽  
Heart Rate Recovery ◽  
Treadmill Test ◽  
Exercise Treadmill Test ◽  
Non Invasive ◽  
Coronary Ct ◽  
Exercise Treadmill ◽  
Artery Disease

Background and Objectives: Rapid diagnosis and treatment of cardiovascular diseases is really helpful in reducing further complications. There are different modalities for this goal but each has benefits and limitations. Exercise Treadmill Test (ETT) is a non-invasive, cheap and accessible test. Coronary CT Angiography (CTA) is recently considered as an applied modality for assessing severity of Coronary Artery Disease (CAD). In this study we aimed to investigate possible association between Heart Rate Recovery (HRR) in ETT and severity of CAD in CTA.

Sex and diagnostic evaluation of possible coronary artery disease after exercise treadmill testing at one academic teaching center

1997 ◽  
Vol 134 (5) ◽  
pp. 807-813 ◽  
Author(s):  
Michael S. Lauer ◽  
Fredric J. Pashkow ◽  
Claire E. Snader ◽  
Sharon A. Harvey ◽  
James D. Thomas ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Diagnostic Evaluation ◽  
Academic Teaching ◽  
Treadmill Testing ◽  
Exercise Treadmill ◽  
Exercise Treadmill Testing ◽  
Teaching Center ◽  
Artery Disease
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