Exercise stress testing in clinical practice

Authors

  • Francesco Giallauria Cardiac Rehabilitation Unit, University of Naples “Federico II”
  • Alessandra Grieco Cardiac Rehabilitation Unit, University of Naples “Federico II”
  • Angelo Russo Cardiac Rehabilitation Unit, University of Naples “Federico II”
  • Luigi Maresca Cardiac Rehabilitation Unit, University of Naples “Federico II”
  • Maria Mancini Cardiac Rehabilitation Unit, University of Naples “Federico II”
  • Alessandra Vitelli Cardiac Rehabilitation Unit, University of Naples “Federico II”
  • Sara Aurino Cardiac Rehabilitation Unit, University of Naples “Federico II”
  • Carlo Vigorito Cardiac Rehabilitation Unit, University of Naples “Federico II”

DOI:

https://doi.org/10.7175/rhc.v2i3.30

Keywords:

Exercise stress testing, Acute coronary event, Percutaneous coronary intervention, Coronary artery bypass graft, Dyspnea, Chronotropic incompentence, Heart rate recovery, Functional capacity, Women, Elderly

Abstract

Exercise stress testing is an important diagnostic tool for evaluating patient’s cardiovascular performance. The present review describes the accuracy and the value of exercise stress testing in different settings: after an acute coronary event, after percutaneous coronary intervention or coronary artery bypass graft; in patients risk assessment before non-cardiac surgery; in diabetic population; in patients with baseline electrocardiographic abnormalities. Moreover, this review provides insights relating to test accuracy in women and geriatric patients. Finally, this review explores new variables/parameters (dyspnea, chronotropic incompentence, heart rate recovery, functional capacity, integrated scores) that in the last few years added an incremental value to conventional analysis of exercise-induced angina or electrocardiographic changes.

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Published

2011-05-18

Issue

Vol. 2 No. 3 (2011)

Section

Narrative reviews

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