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British Heart Journal logoLink to British Heart Journal
. 1988 Dec;60(6):474–479. doi: 10.1136/hrt.60.6.474

Does beta adrenergic blockade influence the prognostic implications of post-myocardial infarction exercise testing?

D P Murray 1, L B Tan 1, M Salih 1, P Weissberg 1, R G Murray 1, W A Littler 1
PMCID: PMC1224886  PMID: 2906251

Abstract

The influence of beta blockade on the ability of ST depression, during pre-discharge exercise testing, to predict coronary anatomy and subsequent complications was studied in 300 consecutive post-infarct patients, 125 of whom underwent cardiac catheterisation. At the time of exercise 62 patients were taking a beta blocker. The exercise test had a higher sensitivity in predicting multivessel disease in patients who were not taking beta blockers than in patients who were (95% v 76%). beta Blockade did not, however, influence the ability of the test to identify patients at risk of subsequent cardiac events (sensitivity 84% and 85% respectively). These results suggest that it is not necessary to stop treatment with beta blockers before predischarge exercise testing of patients who have had an acute myocardial infarction.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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