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July 1, 2000Journal of Cardiopulmonary Rehabilitation

A Survey of Exercise Testing: Methods, Utilization, Interpretation, and Safety in the VAHCS

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Population

71 Veterans Affairs Medical Centers reporting on 75,828 exercise tests performed within the last year

Design

Cross-sectional

Key result

A survey of 75,828 exercise tests in the Veterans Affairs Health Care System demonstrated high adherence to AHA/ACC guidelines and an extremely low major cardiac event rate of 1.2 per 10,000 tests.

Authors

JMJonathan MyersLVLakshmi VoodiTUTianna Umann

Discussion

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Overview

Variation in VA exercise testing practices persists despite guidelines; leaves open need for standardization to improve adherence and safety monitoring.

Study Design

Type

Cross-Sectional (n=75,828)

Multicenter

Yes

Structured PICO

P
Population
Survey of 71 Veterans Affairs Medical Centers comprising 75,828 exercise tests performed within the last year to evaluate practice patterns and safety.
E
Exposure
Survey of exercise testing practice patterns (methods, indications, utilization, interpretation, safety)
O
Outcome
Practice patterns, adherence to guidelines, methods, indications, utilization, interpretation criteria, and safety

Exercise testing practices in the VAHCS show high adherence to AHA/ACC guidelines for indications and demonstrate excellent safety, despite variations in interpretation criteria and physician supervision.

Cite This Study

Myers et al. (2000) conducted a cross-sectional in Patients undergoing exercise testing (n=75,828). Exercise testing was evaluated on Major cardiac events (myocardial infarction, sustained ventricular tachycardia). A survey of 75,828 exercise tests in the Veterans Affairs Health Care System demonstrated high adherence to AHA/ACC guidelines and an extremely low major cardiac event rate of 1.2 per 10,000 tests.

synapsesocial.com/papers/6a484ecd85791bcb1ba7784bhttps://doi.org/10.1097/00008483-200007000-00007
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Electrocardiographic Exercise Test in a Population with Reduced Workup Bias: Diagnostic Performance, Computerized Interpretation, and Multivariable Prediction1998 · 217 citations
  2. 2Clinical significance of upsloping ST segments in exercise electrocardiography.1980 · 95 citations
  3. 3Triggering of Acute Myocardial Infarction by Heavy Physical Exertion -- Protection against Triggering by Regular Exertion1993 · 1,439 citations
  4. 4Use of Methodological Standards in Diagnostic Test Research1995 · 686 citations
  5. 5Exercise standards. A statement for health professionals from the American Heart Association.1990 · 729 citations