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

2008 ◽  
Vol 63 (5) ◽  
pp. 557-564 ◽  
Author(s):  
J.A. Alvarez Tamargo ◽  
E.S. Martin-Ambrosio ◽  
E.R. Tarin ◽  
M.M. Fernandez ◽  
C.M. De La Tassa
Keyword(s):  
High Risk ◽  
Unstable Angina ◽  
Exercise Testing ◽  
High Risk Patients ◽  
Risk Criteria ◽  
Duke Treadmill Score ◽  
Risk Patients

Exercise Testing in Evaluating High-risk Patients for Resection

CHEST Journal ◽  
1994 ◽  
Vol 105 (5) ◽  
pp. 1617 ◽  
Author(s):  
James W. Adams ◽  
Patrick B. Hazard
Keyword(s):  
High Risk ◽  
Exercise Testing ◽  
High Risk Patients ◽  
Risk Patients

Angiographic Correlates of the Treadmill Scores in Non-High-Risk Patients with Unstable Angina

Cardiology ◽  
2007 ◽  
Vol 109 (1) ◽  
pp. 1-9 ◽  
Author(s):  
José A. Alvarez Tamargo ◽  
Eugenio Simarro Martín-Ambrosio ◽  
Enrique Romero Tarín ◽  
María Martín Fernández ◽  
Sergio Hevia Nava ◽  
...  
Keyword(s):  
High Risk ◽  
Unstable Angina ◽  
High Risk Patients ◽  
Risk Patients

Usefulness of Positive Troponin-T and Negative Creatine Kinase Levels in Identifying High-Risk Patients With Unstable Angina Pectoris

1997 ◽  
Vol 80 (4) ◽  
pp. 510-511 ◽  
Author(s):  
Trent L Pettijohn ◽  
Thomas Doyle ◽  
A. Michael Spiekerman ◽  
Linley E Watson ◽  
Mark W Riggs ◽  
...  
Keyword(s):  
Creatine Kinase ◽  
High Risk ◽  
Angina Pectoris ◽  
Unstable Angina ◽  
Troponin T ◽  
Unstable Angina Pectoris ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Identification of high-risk patients with unstable angina

1996 ◽  
Vol 27 (2) ◽  
pp. 332
Author(s):  
Giorgio Ghigliotti ◽  
Claudio Brunelli ◽  
Luca Corsiglia ◽  
Paolo Spallorossa ◽  
Alessandro Iannone ◽  
...  
Keyword(s):  
High Risk ◽  
Unstable Angina ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Prognostic Significance of the Number of Leads with ST Depression during an Anginal Attack in High Risk Patients with Unstable Angina.

2002 ◽  
Vol 41 (4) ◽  
pp. 270-276 ◽  
Author(s):  
Makoto SAITOH ◽  
Teruo KONDOH ◽  
Kyoko WAKAO ◽  
Kazuhisa KITAMURA ◽  
Shigeru NOMOTO ◽  
...  
Keyword(s):  
High Risk ◽  
Unstable Angina ◽  
Prognostic Significance ◽  
Anginal Attack ◽  
High Risk Patients ◽  
St Depression ◽  
Risk Patients

The Benefits of Pre-Assessment with Cardio-Pulmonary Exercise Testing

2010 ◽  
Vol 20 (5) ◽  
pp. 173-176 ◽  
Author(s):  
Shirley Collier
Keyword(s):  
High Risk ◽  
Case Studies ◽  
Exercise Testing ◽  
Major Surgery ◽  
Patient Case ◽  
Local Practice ◽  
High Risk Patients ◽  
Co Morbidity ◽  
Risk Patients

This article reviews the benefits of pre-assessment with cardio-pulmonary exercise testing (CPX) and the effectiveness of preoperative interventions in high-risk patients undergoing major surgery. Three patient case studies will be presented from local practice, to give examples of how patients' co-morbidity has been improved prior to surgery or how decisions for surgery can be modified as a result of the CPX test.

Exercise Testing in Evaluating High-risk Patients for Resection

CHEST Journal ◽  
1994 ◽  
Vol 105 (5) ◽  
pp. 1617-1618
Author(s):  
David P. Meeker ◽  
Thomas W. Rice
Keyword(s):  
High Risk ◽  
Exercise Testing ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals 133 HIGH RISK PATIENTS AND EXERCISE TESTING: A STEP TOWARDS NICE GUIDANCE:

Heart ◽  
2013 ◽  
Vol 99 (suppl 2) ◽  
pp. A79.1-A79
Author(s):  
B Wrigley ◽  
H Gaunt ◽  
A Gershlick
Keyword(s):  
High Risk ◽  
Exercise Testing ◽  
High Risk Patients ◽  
Nice Guidance ◽  
Risk Patients

scholarly journals Cardiopulmonary exercise testing in repaired tetralogy of Fallot: a valuable tool for pulmonary regurgitation severity assessment

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
P Garcia Bras ◽  
L Sousa ◽  
T Mano ◽  
A Monteiro ◽  
T Rito ◽  
...  
Keyword(s):  
High Risk ◽  
Tetralogy Of Fallot ◽  
Exercise Testing ◽  
Cardiopulmonary Exercise Testing ◽  
Pulmonary Regurgitation ◽  
High Risk Patients ◽  
Cardiopulmonary Exercise ◽  
Peak Vo2 ◽  
Repaired Tetralogy Of Fallot ◽  
Risk Patients

Abstract Funding Acknowledgements Type of funding sources: None. Introduction and purpose The optimal timing for pulmonary valve replacement (PVR) in asymptomatic patients with repaired tetralogy of Fallot (TOF) and pulmonary regurgitation (PR) remains uncertain but is often guided by imaging characterization of the right ventricle. As cardiopulmonary exercise testing (CPET) performance is an accessible prognostic indicator, we assessed which CPET parameters best correlate with pulmonary regurgitation severity to potentially improve identification of high-risk patients. Methods A retrospective chart review was done from 2009 to 2018 on adult patients with repaired TOF who underwent maximal effort cardiopulmonary exercise testing with cycle ergometry and with concurrent pulmonary function testing. Demographics, standard measures of CPET interpretation, and major cardiovascular outcomes were collected. Results Cardiopulmonary exercise testing was performed in 54 adult repaired TOF patients (59% male), with a mean follow-up of 60 ± 33 months. The mean age was 34 ± 9 years. 30 patients (56%) had severe pulmonary regurgitation and 26 patients (48%) were submitted to PVR, with a 0% mortality rate. PVR was performed a mean 28 ± 7 years after TOF repair surgery. There was moderate to severe right ventricular dysfunction in 11 patients (20%). 12 patients (22%) had a hospitalization for heart failure. Arrhythmic events occurred in 9 patients (17%), mainly atrial fibrillation or atrial flutter (67%). 2 patients (4%) received an implantable cardioverter-defibrillator for secondary prevention of sudden cardiac death. Peak VO2 consumption (pVO2) showed no statistically significant correlation with severity of pulmonary regurgitation (HR 0.26, 95% CI 0.879-1.036, p= 0.262) or PVR (HR 0.92, 95% CI 0.829-1.028, p = 0.914), while percent of predicted pVO2 significantly correlated with severity of pulmonary regurgitation (HR 0.95, 95% CI 0.918-0.993, p = 0.020) and PVR (HR 0.94, 95% CI 0.886-0.992, p = 0.025). VE/VCO2 slope was not a significant predictor of severity of pulmonary regurgitation (HR 1.03, 95% CI 0.929-1.130, p = 0.622) or PVR (HR 1.04, 95% CI 0.952-1.128, p = 0.414) or) and neither cardiorespiratory optimal point (HR 0.94, 95% CI 0.786-1.120, p = 0.480) nor maximum end-tidal carbon dioxide pressure (PETCO2) (HR 0.93, 95% CI 0.846-1.037, p = 0.213) correlated with severity of pulmonary regurgitation or PVR. Conclusion Percent of predicted peak VO2 had the highest predictive power of all CPET parameters analysed in adult repaired TOF patients. Preoperative CPET could be an accessible way to identify high-risk patients earlier for PVR and should therefore be included in the routine assessment of these patients.

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