The prognostic value of treadmill exercise testing in very elderly patients: Heart rate recovery as a predictor of mortality in octogenarians

Europace

Volumn 13, Issue 1, 2011, Pages 114-120

  Yanagisawa, Satoshi ^a   Miki, Ken ^a   Yasuda, Nobuyuki ^a   Hirai, Toshihisa ^a   Suzuki, Noriyuki ^a   Tanaka, Toshikazu ^a  

^a Okazaki City Hospital   (Japan)

Author keywords

Elderly; Exercise; Heart rate recovery; Mortality; Octogenarians

Indexed keywords

AGED; ARTICLE; DEATH; DIAGNOSTIC TEST ACCURACY STUDY; EXERCISE TEST; FEMALE; FOLLOW UP; GERIATRIC PATIENT; HEART RATE; HEART RATE RECOVERY; HUMAN; MAJOR CLINICAL STUDY; MALE; MORTALITY; OCTOGENARIAN; PREDICTION; PRIORITY JOURNAL; PROGNOSIS; PROPORTIONAL HAZARDS MODEL; RETROSPECTIVE STUDY; TREADMILL EXERCISE; VERY ELDERLY PATIENT;

AGED, 80 AND OVER; EXERCISE TEST; EXERCISE TOLERANCE; FEMALE; FOLLOW-UP STUDIES; HEART DISEASES; HEART RATE; HUMANS; MALE; PREDICTIVE VALUE OF TESTS; PROGNOSIS; PROPORTIONAL HAZARDS MODELS; RECOVERY OF FUNCTION; RETROSPECTIVE STUDIES; RISK FACTORS;

EID: 78650442251     PISSN: 10995129     EISSN: 15322092     Source Type: Journal    
DOI: 10.1093/europace/euq422     Document Type: Article

References (21)

1. Gianrossi R, Detrano R, Mulvihill D, Lehmann K, Dubach P, Colombo A et al. Exercise-induced ST depression in the diagnosis of coronary artery disease. A meta-analysis. Circulation 1989;80:87-98.
2. Lauer MS, Okin PM, Larson MG, Evans JC, Levy D. Impaired heart rate response to graded exercise: Prognostic implications of chronotropic incompetence in the Framingham Heart Study. Circulation 1996;93:1520-6.
3. Lauer MS, Francis GS, Okin PM, Pashkow FJ, Snader CE, Marwick TH. Impaired chronotropic response to exercise stress testing as a predictor of mortality. J Am Med Assoc 1999;281:524-9.
4. Cole CR, Blackstone EH, Pashkow FJ, Snader CE, Lauer MS. Heart-rate recovery immediately after exercise as a predictor of mortality. N Engl J Med 1999;341: 1351-7.
5. McHam SA, Marwick TH, Pashkow FJ, Lauer MS. Delayed systolic blood pressure recovery after graded exercise: An independent correlate of angiographic coronary disease. J Am Coll Cardiol 1999;34:754-9.
6. Goraya TY, Jacobsen SJ, Pellikka PA, Miller TD, Khan A, Weston SA et al. Prognostic value of treadmill exercise testing in elderly persons. Ann Intern Med 2000;132:862-70.
7. Messinger-Rapport B, Pothier Snader CE, Blackstone EH, Yu D, Lauer MS. Value of exercise capacity and heart rate recovery in older people. J Am Geriatr Soc 2003;51:63-8.
8. Gibbons RJ, Balady GJ, Bricker JT, Chaitman BR, Fletcher GF, Froelicher VF et al. 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). Circulation 2002;106:1883-92.
9. Shefield LT, Roitman D. Stress testing methodology. In Sonnenblick EH, Lesch M (eds). Exercise and Heart Disease. New York: Grune & Stratton; 1977. p145-61.
10. Fletcher GF, Balady GJ, Amsterdam EA, Chaitman B, Eckel R, Fleg J et al. Exercise standards for testing and training: A statement for healthcare professionals from the American Heart Association. Circulation 2001;104:1694-740.
11. Watanabe J, Thamilarasan M, Blackstone EH, Thomas JD, Lauer MS. Heart rate recovery immediately after treadmill exercise and left ventricular systolic dysfunction as a predictors of mortality: The case of stress echocardiography. Circulation 2001;104:1911-6.
12. Bilsel T, Terzi S, Akbulut T, Sayar N, Hobikoglu G, Yesilcimen K. Abnormal heart rate recovery immediately after cardiopulmonary exercise testing in heart failure patients. Int Heart J 2006;47:431-40.
13. Palatini P, Thijs L, Staessen JA, Fagard RH, Bulpitt CJ, Clement DL et al. Systolic Hypertension in Europe (Syst-Eur) Trial Investigators. Predictive value of clinic and ambulatory heart rate for mortality in elderly subjects with systolic hypertension. Arch Intern Med 2002;162:2313-21.
14. Imai K, Sato H, Hori M, Kusuoka H, Ozaki H, Yokoyama H et al. Vagally mediated heart rate recovery after exercise is accelerated in athletes but blunted in patients with chronic heart failure. J Am Coll Cardiol 1994;24:1529-35.
15. Jouven X, Empana JP, Schwartz PJ, Desnos M, Courbon D, Ducimetière P. Heartrate profile during exercise as a predictor of sudden death. N Engl J Med 2005; 352:1951-8.
16. Palatini P, Julius S. Elevated heart rate: A major risk factor for cardiovascular disease. Clin Exp Hypertens 2004;26:637-44.
17. Kokkinos P, Myers J, Faselis C, Panagiotakos DB, Doumas M, Pittaras A et al. Exercise capacity and mortality in older men: A 20-year follow-up study. Circulation 2010;122:790-7.
18. Yusuf S, Peto R, Lewis J, Collins R, Sleight P. Beta blockade during and after myocardial infarction: An overview of the randomized trials. Prog Cardiovasc Dis 1985; 27:335-71.
19. Chen J, Radford MJ, Wang Y, Marciniak TA, Krumholz HM. Are beta-blockers effective in elderly patients who undergo coronary revascularization after acute myocardial infarctioň Arch Intern Med 2000;160:947-52.
20. Antman EM, Hand M, Armstrong PW, Bates ER, Green LA, Halasyamani LK et al. 2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: Developed in collaboration With the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians. Circulation 2008;117:296-329.
21. Giallauria F, Lucci R, Pietrosante M, Gargiulo G, De Lorenzo A, D'Agostino M et al. Exercise-based cardiac rehabilitation improves heart rate recovery in elderly patients after acute myocardial infarction. J Gerontol A Biol Sci Med Sci 2006;61:713-7.