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. 1975 Aug;37(8):785–789. doi: 10.1136/hrt.37.8.785

Reproducibility of exercise tests in patients with symptomatic ischaemic heart disease.

J Fabián, I Stolz, M Janota, J Rohác
PMCID: PMC482875  PMID: 1191440

Abstract

In 50 patients with ischaemic heart disease prospective analyses of the reproducibility of exercise tests at 3-month intervals were performed. The same method of testing was used repeatedly in a smaller group of patients 3 or more times at 6- to 8-week intervals. No significant differences were found in maximal heart rate, maximal systolic blood pressure, rate-pressure product, and total work. Symptoms resulting in the discontinuation of exercise were unchanged in 94 per cent of patients. The evaluation of the electrocardiographic recordings revealed good agreement in 94 per cent of patients. The evaluation of the electrocardiographic recordings revealed good agreement in ST segment depression and ST segment elevation. The reproducibility of arrhythmic events was very poor. The standardized electrocardiographic exercise test is, therefore, recommended for objective evaluation of various interventions in patients with manifest ischaemic heart disease, both in short-term and long-term follow-up studies.

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Selected References

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

  1. Aronow W. S., Chesluk H. M. Sublingual isosorbide dinitrate therapy versus sublingual acebo in angina pectoris. Circulation. 1970 May;41(5):869–874. doi: 10.1161/01.cir.41.5.869. [DOI] [PubMed] [Google Scholar]
  2. BORG G., DAHLSTROM H. The reliability and validity of a physical work test. Acta Physiol Scand. 1962 Aug;55:353–361. doi: 10.1111/j.1748-1716.1962.tb02449.x. [DOI] [PubMed] [Google Scholar]
  3. BRUCE R. A., BLACKMON J. R., JONES J. W., STRAIT G. EXERCISING TESTING IN ADULT NORMAL SUBJECTS AND CARDIAC PATIENTS. Pediatrics. 1963 Oct;32:SUPPL–756. [PubMed] [Google Scholar]
  4. Dagenais G. R., Mason R. E., Friesinger G. C., Wender C., Ross R. S. Exercise tolerance in patients with angina pectoris: daily variation and effect of pentaerythritol tetranitrate. Johns Hopkins Med J. 1969 Dec;125(6):301–311. [PubMed] [Google Scholar]
  5. Dagenais G. R., Pitt B., Ross R. S. Exercise tolerance in patients with angina pectoris. Daily variation and effects of erythrityl tetranitrate, propranolol and alprenolol. Am J Cardiol. 1971 Jul;28(1):10–16. doi: 10.1016/0002-9149(71)90028-2. [DOI] [PubMed] [Google Scholar]
  6. Doan A. E., Peterson D. R., Blackmon J. R., Bruce R. A. Myocardial ischemia after maximal exercise in healthy men. One year follow-up of physically active and inactive men. Am J Cardiol. 1966 Jan;17(1):9–19. doi: 10.1016/0002-9149(66)90255-4. [DOI] [PubMed] [Google Scholar]
  7. Ellestad M. H., Allen W., Wan M. C., Kemp G. L. Maximal treadmill stress testing for cardiovascular evaluation. Circulation. 1969 Apr;39(4):517–522. doi: 10.1161/01.cir.39.4.517. [DOI] [PubMed] [Google Scholar]
  8. Hamer J., Grandjean T., Melendez L., Sowton G. E. Effect of propranolol (inderal) on exercise tolerance in angina pectoris. Br Heart J. 1966 May;28(3):414–418. doi: 10.1136/hrt.28.3.414. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lecerof H. Influence of body position on exercise tolerance, heart rate, blood pressure, and respiration rate in coronary insufficiency. Br Heart J. 1971 Jan;33(1):78–83. doi: 10.1136/hrt.33.1.78. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Mason R. E., Likar I., Biern R. O., Ross R. S. Multiple-lead exercise electrocardiography. Experience in 107 normal subjects and 67 patients with angina pectoris, and comparison with coronary cinearteriography in 84 patients. Circulation. 1967 Oct;36(4):517–525. doi: 10.1161/01.cir.36.4.517. [DOI] [PubMed] [Google Scholar]
  11. Redwood D. R., Rosing D. R., Goldstein R. E., Beiser G. D., Epstein S. E. Importance of the design of an exercise protocol in the evaluation of patients with angina pectoris. Circulation. 1971 May;43(5):618–628. doi: 10.1161/01.cir.43.5.618. [DOI] [PubMed] [Google Scholar]
  12. Robinson B. F. Mode of action of nitrglycerin in angina pectoris. Correlation between haemodynamic effects during exercise and prevention of pain. Br Heart J. 1968 May;30(3):295–302. doi: 10.1136/hrt.30.3.295. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Robinson B. F. Relation of heart rate and systolic blood pressure to the onset of pain in angina pectoris. Circulation. 1967 Jun;35(6):1073–1083. doi: 10.1161/01.cir.35.6.1073. [DOI] [PubMed] [Google Scholar]
  14. Sime W. E., Whipple I. T., Berkson D. M., MacIntyre W. C., Stamler J. Reproducibility of heart rate at rest and in response to submaximal treadmill and bicycle ergometer test in middle-aged men. Med Sci Sports. 1972 Spring;4(1):14–17. [PubMed] [Google Scholar]
  15. Smokler P. E., MacAlpin R. N., Alvaro A., Kattus A. A. Reproducibility of a multi-stage near maximal treadmill test for exercise tolerance in angina pectoris. Circulation. 1973 Aug;48(2):346–351. doi: 10.1161/01.cir.48.2.346. [DOI] [PubMed] [Google Scholar]
  16. Wahren J., Bygdeman S. Onset of angina pectoris in relation to circulatory adaptation during arm and leg exercise. Circulation. 1971 Sep;44(3):432–441. doi: 10.1161/01.cir.44.3.432. [DOI] [PubMed] [Google Scholar]

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