Key result
Early exercise testing after myocardial infarction provides useful prognostic information for identifying patients at high risk of a second coronary event and guiding interventional therapy.
Why the study?
What is the clinical utility of early exercise testing in post-myocardial infarction patients?
What is the clinical utility of early exercise testing in post-myocardial infarction patients?
Early exercise testing is a valuable tool for risk stratification and guiding management in post-myocardial infarction patients.
May inform post-MI risk stratification; leaves open randomized confirmation of therapeutic impact.
The use and current limitations of early exercise testing of the patient with a postmyocardial infarction (MI) is reviewed. The test provides useful information in identifying patients at high risk of a second coronary event, thereby helping direct possible interventional therapy. It also furnishes information regarding the patient's capacity for physical exertion, detection of ventricular arrhythmias, and extent of coronary artery disease. Angina, ST segment responses, BP, and ventricular arrhythmias during early exercise testing are evaluated for their importance in determining prognosis. The concomitant use of thallium scintigraphy and radionuclide ventriculography seems to augment detection of multivessel disease and left-ventricular dysfunction. A practical strategy for the use of early exercise testing in the evaluation of post-Mis is provided.
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Dicran B. Baron (1984) conducted a review in Post-myocardial infarction. Early exercise testing was evaluated. Early exercise testing after myocardial infarction provides useful prognostic information for identifying patients at high risk of a second coronary event and guiding interventional therapy.
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