Why the study?
Does abnormal exercise electrocardiography with normal stress echocardiography identify patients at increased risk for adverse cardiac events?
Does abnormal exercise electrocardiography with normal stress echocardiography identify patients at increased risk for adverse cardiac events?
Patients with abnormal exercise ECG but normal stress echocardiography may have a slightly increased risk of adverse cardiac events, warranting further investigation.
Suggests refined risk stratification for discordant tests; leaves open optimal management pending prospective validation.
The presence of +ECG results with normal stress Echo imaging may identify a population of patients who are at slightly increased risk for adverse cardiac events, which was not previously recognized. Further study is needed to determine whether these patients will benefit from intensification of medical management.
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Daubert et al. (2020) studied this question.
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