Significance of the treadmill scores and high-risk criteria for exercise testing in non-high-risk patients with unstable angina and an intermediate Duke treadmill score

Acta Cardiologica

Volumn 63, Issue 5, 2008, Pages 557-564

  Alvarez Tamargo, José A ^a   Martin Ambrosio, Eugenio Simarro ^b   Tarin, Enrique Romero ^c   Fernandez, María Martín ^c   De La Tassa, Cesar Morís ^c  

^a HOSPITAL SEVERO OCHOA   (Spain)

^b HOSPITAL DE LEÓN   (Spain)

^c HOSPITAL UNIVERSITARIO CENTRAL DE ASTURIAS   (Spain)

Author keywords

Angiography; Exercise testing; Unstable angina

Indexed keywords

ADULT; ANGIOCARDIOGRAPHY; ARTICLE; CONTROLLED STUDY; CORONARY ARTERY DISEASE; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DISEASE SEVERITY; ELECTROCARDIOGRAPHY; EXERCISE TEST; FEMALE; HEART LEFT VENTRICLE EJECTION FRACTION; HIGH RISK PATIENT; HOSPITAL ADMISSION; HUMAN; MAJOR CLINICAL STUDY; MALE; PREDICTION; PROGNOSIS; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; ST SEGMENT DEPRESSION; TREADMILL EXERCISE; UNSTABLE ANGINA PECTORIS;

ANGINA, UNSTABLE; CORONARY ANGIOGRAPHY; EXERCISE TEST; FEMALE; HEALTH STATUS INDICATORS; HEART RATE; HUMANS; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; PROGNOSIS; RISK ASSESSMENT; RISK FACTORS; SENSITIVITY AND SPECIFICITY; SEVERITY OF ILLNESS INDEX; STROKE VOLUME;

EID: 56049112803     PISSN: 00015385     EISSN: None     Source Type: Journal    
DOI: 10.2143/AC.63.5.2033221     Document Type: Article

References (23)

1. Mark DB, Hlatky MA, Harwell FE Jr, Lee KL, Calif RM, Pryor DB. Exercise treadmill score for predicting prognosis on coronary artery disease. Ann Intern Med 1987; 106: 793-800.
2. Mark DB, Shaw L, Harrell FE, Hlatky MA, Lee KL, Bengtson JR, McCants CB, Califf RM, Pryor DB. Prognostic value of a treadmill score in outpatients with suspected coronary artery disease. N Engl J Med 1991; 325: 849-53.
3. Alexander KP, Shaw LJ, Shaw LK, Delong ER, Mark DB, Peterson DE. Value of exercise treadmill testing in women. J Am Coll Cardiol 1998; 32: 1657-64.
4. Kwok JM, Miller TD, Hodge DO, Gibbons RJ. Prognostic value of the Duke treadmill Score in the Elderly J Am Coll Cardiol 2002; 39: 1475-81.
5. Lakkireddy DR, Bhakkad J, Korlakunta HL, Ryschon K, Shen X, Mooss AN, Mohiuddin SM. Prognostic value of the Duke Treadmill Score in diabetic patients. Am Heart J 2005; 150: 516-21.
6. Kwok JM, Miller TD, Christian TF, Hodge DO, Gibbons RJ. Prognostic value of a treadmill exercise score in symptomatic patients with no specific ST-T abnormalities on restin ECG. JAMA 1999; 282: 1047-53.
7. Shaw LJ, Peterson DE, Shaw LK, Kesler KL, DeLong ER, Harrell FE Jr, Muhlbaier LH, Mark DB. Use of a prognostic treadmill score in identifying diagnostic coronary disease subgroups. Circulation 1998; 98: 1622-30.
8. Gibbons RJ, Balady GJ, Bricker JT, Chaitman BR, Fletcher GF, Froelicher VF, Mark DB, McCallister BD, Mooss AN, O'Reilly MG, Winters WL, Gibbons RJ, Antman EM, Alberts JS, Faxon DP, Fuster V, Gregoratos G, Hiratzka LF, Jacobs AK Russell RO, Smith SC. ACC/AHA 2002 guideline update for exercise testing: summary article. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines). J Am Coll Cardiol 2002; 40: 1531-40.
9. Braunwald E, Jones RH, Mark DB, Brown J, Brown L, Cheitlin MD, Concannon CA, Cowan M, Edwards C, Fuster V. Diagnosing and managing unstable angina. Circulation 1994; 90: 613-22.
10. Iskandrian AS, Ghods M, Helfeld H, Iskandrian B, Cave V, Hes H. The treadmill exercise revisited: coronary arteriographic and thallium perfusion correlates. Am Heart J 1992; 124: 1581-6.
11. Gibbons RJ, Hodge DO, Berman DS, Akinboboye OO, Heo J, Hachamovitch R, Bailey KR, Iskandrian AE. Long-term outcome of patients with intermediate-risk exercise electrocardiograms who do not have myocardial perfusion defects on radionuclide imaging. Circulation 1999; 1000: 2140-5.
12. Froelicher V, Morrow K, Brown M, Atwood E, Morris C. Prediction of atherosclerotic cardiovascular death in men using a prognostic score. Am J Cardiol 1994; 73: 133-88.
13. Morise AP, Farrukh J. Evaluation of pretest and exercise test scores to assess all-cause mortality in unselected patients presenting for exercise testing with symptoms of suspected coronary artery disease. J Am Coll Cardiol 2003; 42: 842-50.
14. Kligfield P, Ameisen O, Okin PM. Heart rate adjustment of ST segment depression for improved detection of coronary artery disease. Circulation 1989; 79: 249-55.
15. Okin PM, Kligfield P, Ameisen O, Goldberg HL, Borer JS. Identification of anatomically extensive coronary artery disease by the exercise ECG ST segment/heart rate slope. Am Heart J 1988; 115:1002-13.
16. Schlant RC, Blomqvist CG, Brandenburg RO, Debusk R, Ellestad MH, Fletcher GF, Froelicher VF Jr, Hall RJ, McCallister BD, McHenry PL et al. Guidelines for exercise testing. A report of the Joint American College of Cardiology/American Heart Association task Force on Assessment of cardiovascular Procedures (Subcommittee on Exercise Testing). Circulation 1986; 74: 653A-667A.
17. Ross J Jr, Brandenburg RO, Dinsmore RE. ACC/AHA Guidelines for coronary angiography. A Report of The American College of Cardiology/American Heart Association Task Force on assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Subcommittee on Coronary Angiography). J Am Coll Cardiol 1987; 10: 935-50.
18. Braunwald E. Unstable angina: a classification. Circulation 1989; 80: 410-4.
19. Fletcher GF, Balady G, Froelicher VF, Hartley LH, Haskell WL, Pollock ML. Exercise standards: a statement for healthcare professionals from the American Heart Association Writing Group. Special Report. Circulation 1995; 91: 580-615.
20. Villella M, Villella A, Santoro L, Santoro E, Franzosi MG, Magnioni AP. Ergometric score systems after myocardial infarction: prognostic performance of the Duke Treadmill Score, Veterans Administration Medical Center Score, and of a novel score system, GISSI-2 Index, in a cohort of survivors of acute myocardial infarction. Am Heart J 2003; 145: 475-83.
21. Geleijnse ML, Elhendy A. Can stress echocardiography compete with perfusion scintigraphy in the detection of coronary artery disease and cardiac risk assessment? Eur J Echocardiogr 2000; 1: 12-21.
22. Gauri AJ, Raxwal VK, Roux L, Fearon WE, Froelicher VF. Effects of chronotropic incompetence and beta-blocker use on the exercise treadmill test in men. Am Heart J 2001; 142: 136-41.
23. Khan MN, Pothier CE, Lauer MS. Chronotropic incompetence as a predictor of death among patients with normal electrograms taking beta blockers (metoprolol or atenolol). Am J Cardiol 2005; 96: 1328-33.