Skip to main content
NCBI home page
Canadian Medical Association Journal logoLink to Canadian Medical Association Journal
. 1982 Jun 1;126(11):1300–1305.

Utilité de l'épreuve d'effort sur tapis roulant peu après un infarctus du myocarde.

The usefulness of an exercise test on a treadmill shortly after a myocardial infarction

P LeBlanc, B Tremblay, D D'Amours, G Tremblay
PMCID: PMC1863336  PMID: 7074458

Abstract

A program of reconditioning through walking was prescribed for 130 patients following an exercise test on a treadmill 3 weeks after a myocardial infarction. At 8 and at 12 weeks the patients again underwent an exercise test. The protocol is safe and permits the detection of angina, arrhythmias and dyspnea during the exercise, thus avoiding delays in treatment. The heart rate and the systolic blood pressure were measured at the end of each stage of the test and after 3 minutes of recuperation. About 75% of the patients attained the target energy output of the two submaximal tests (4 and 7 mets at 3 and 8 weeks respectively); an output of 7 mets permits a patient to resume his or her usual daily activities. The results of the tests at 3 and 12 weeks (the latter a maximal test) showed that the probability of an aerobic capacity of 7 mets or greater at 12 weeks is 86% if the 3-week test is completed. Clinical observations alone did not have the same prognostic value 3 weeks after the infarction.

Full text

PDF
1300

Selected References

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

  1. Bloch A., Maeder J. P., Haissly J. C., Felix J., Blackburn H. Early mobilization after myocardial infarction. A controlled study. Am J Cardiol. 1974 Aug;34(2):152–157. doi: 10.1016/0002-9149(74)90193-3. [DOI] [PubMed] [Google Scholar]
  2. Bruce R. A., Hornsten T. R. Exercise stress testing in evaluation of patients with ischemic heart disease. Prog Cardiovasc Dis. 1969 Mar;11(5):371–390. doi: 10.1016/0033-0620(69)90027-9. [DOI] [PubMed] [Google Scholar]
  3. Danchin N., David P., Bourassa M. G., Robert P., Chaitman B. R. Factors predicting working status after aortocoronary bypass surgery. Can Med Assoc J. 1982 Feb 1;126(3):255–260. [PMC free article] [PubMed] [Google Scholar]
  4. Davidson D. M., DeBusk R. F. Prognostic value of a single exercise test 3 weeks after uncomplicated myocardial infarction. Circulation. 1980 Feb;61(2):236–242. doi: 10.1161/01.cir.61.2.236. [DOI] [PubMed] [Google Scholar]
  5. DeBusk R. F., Haskell W. Symptom-limited vs heart-rate-limited exercise testing soon after myocardial infarction. Circulation. 1980 Apr;61(4):738–743. doi: 10.1161/01.cir.61.4.738. [DOI] [PubMed] [Google Scholar]
  6. DeBusk R. F., Houston N., Haskell W., Fry G., Parker M. Exercise training soon after myocardial infarction. Am J Cardiol. 1979 Dec;44(7):1223–1229. doi: 10.1016/0002-9149(79)90433-8. [DOI] [PubMed] [Google Scholar]
  7. Fletcher G. F. Exercise and the coronary patient. Curr Probl Cardiol. 1979 Jun;4(3):1–75. doi: 10.1016/0146-2806(79)90001-x. [DOI] [PubMed] [Google Scholar]
  8. Froelicher V. F., Jr, Allen M., Lancaster M. C. Maximal treadmill testing of normal USAF aircrewmen. Aerosp Med. 1974 Mar;45(3):310–315. [PubMed] [Google Scholar]
  9. Granath A., Södermark T., Winge T., Volpe U., Zetterquist S. Early work load tests for evaluation of long-term prognosis of acute myocardial infarction. Br Heart J. 1977 Jul;39(7):758–763. doi: 10.1136/hrt.39.7.758. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Koppes G. M., Kruyer W., Beckmann C. H., Jones F. G. Response to exercise early after uncomplicated acute myocardial infarction in patients receiving no medication: long-term follow-up. Am J Cardiol. 1980 Nov;46(5):764–769. doi: 10.1016/0002-9149(80)90426-9. [DOI] [PubMed] [Google Scholar]
  11. Markiewicz W., Houston N., DeBusk R. F. Exercise testing soon after myocardial infarction. Circulation. 1977 Jul;56(1):26–31. doi: 10.1161/01.cir.56.1.26. [DOI] [PubMed] [Google Scholar]
  12. Norris R. M., Caughey D. E., Deeming L. W., Mercer C. J., Scott P. J. Coronary prognostic index for predicting survival after recovery from acute myocardial infarction. Lancet. 1970 Sep 5;2(7671):485–487. doi: 10.1016/s0140-6736(70)90110-8. [DOI] [PubMed] [Google Scholar]
  13. Paine T. D., Dye L. E., Roitman D. I., Sheffield L. T., Rackley C. E., Russell R. O., Jr, Rogers W. J. Relation of graded exercise test findings after myocardial infarction to extent of coronary artery disease and left ventricular dysfunction. Am J Cardiol. 1978 Nov;42(5):716–723. doi: 10.1016/0002-9149(78)90089-9. [DOI] [PubMed] [Google Scholar]
  14. Rechnitzer P. A., Sangal S., Cunningham D. A., Andrew G., Buck C., Jones N. L., Kavanagh T., Parker J. O., Shephard R. J., Yuhasz M. S. A controlled prospective study of the effect of endurance training on the recurrence rate of myocardial infarction. A description of the experimental design. Am J Epidemiol. 1975 Nov;102(5):358–365. doi: 10.1093/oxfordjournals.aje.a112174. [DOI] [PubMed] [Google Scholar]
  15. Sivarajan E. S., Snydsman A., Smith B., Irving J. B., Mansfield L. W., Bruce R. A. Low-level treadmill testing of 41 patients with acute myocardial infarction prior to discharge from the hospital. Heart Lung. 1977 Nov-Dec;6(6):975–980. [PubMed] [Google Scholar]
  16. Sullivan W., Vlodaver Z., Tuna N., Long L., Edwards J. E. Correlation of electrocardiographic and pathologic findings in healed myocardial infarction. Am J Cardiol. 1978 Nov;42(5):724–732. doi: 10.1016/0002-9149(78)90090-5. [DOI] [PubMed] [Google Scholar]
  17. Théroux P., Waters D. D., Halphen C., Debaisieux J. C., Mizgala H. F. Prognostic value of exercise testing soon after myocardial infarction. N Engl J Med. 1979 Aug 16;301(7):341–345. doi: 10.1056/NEJM197908163010701. [DOI] [PubMed] [Google Scholar]

Articles from Canadian Medical Association Journal are provided here courtesy of Canadian Medical Association

RESOURCES