October 13, 2006Cardiology in Review
Gender-Specific Prediction of Cardiac Disease
Key result
Low exercise capacity and slow heart rate recovery predict increased cardiovascular risk, while regular moderate physical activity is associated with 30% to 50% reductions in coronary events.
Why the study?
Do exercise capacity and heart rate recovery improve cardiovascular risk stratification in asymptomatic women?
Population
Asymptomatic U.S. women (and men), particularly those deemed intermediate risk by the Framingham score
Design
Review
Authors
Discussion
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Member takes
Implication
May improve risk stratification in asymptomatic women; extends observational data but leaves open whether it changes practice beyond Framingham scores.
Structured PICO
Do exercise capacity and heart rate recovery improve cardiovascular risk stratification in asymptomatic women?
P
Population
Asymptomatic U.S. women (and men), particularly those deemed intermediate risk by the Framingham score
E
Exposure
Exercise testing (evaluating exercise capacity and heart rate recovery) and regular physical activity (at least 30 minutes of moderate physical activity most days of the week)
O
Outcome
Cardiovascular disease (CVD) and all-cause deathhard clinical
Exercise capacity and heart rate recovery are simple, noninvasive measures that can improve cardiovascular risk stratification in asymptomatic women beyond traditional Framingham risk scores.
Cite This Study
D'Amore et al. (2006) conducted a review in Cardiovascular disease. Exercise testing and physical activity was evaluated. Low exercise capacity and slow heart rate recovery predict increased cardiovascular risk, while regular moderate physical activity is associated with 30% to 50% reductions in coronary events.