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September 1, 2012Cardiopulmonary Physical Therapy JournalOpen Access

Development and Safety of an Exercise Testing Protocol for Patients with an Implanted Cardioverter Defibrillator for Primary or Secondary Indication

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Why the study?

Can symptom-limited maximal exercise testing be performed safely in patients with an implantable cardioverter defibrillator?

Population

161 patients with an implantable cardioverter defibrillator for primary or secondary indication undergoing…

Design

Cohort, Subjects were randomized after baseline testing to aerobic exercise…

Authors

GFGayle L. FloRGRobb W. GlennyPKPeter J. Kudenchuk

Discussion

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Overview

Low event rates observed; hypothesis-generating for ICD exercise testing safety, pending randomized confirmation.

Structured PICO

Can symptom-limited maximal exercise testing be performed safely in patients with an implantable cardioverter defibrillator?

P
Population
161 patients with an implantable cardioverter defibrillator (ICD) for primary or secondary indication undergoing baseline testing for a randomized trial
I
Intervention
Maximal cardiopulmonary exercise testing (modified Balke treadmill) with specific ICD programming (programming off ventricular tachycardia therapies)
O
Outcome
Safety outcomes including ventricular arrhythmias, cardiac arrest, and death during or following exercise testingsafety

Symptom-limited maximal exercise testing can be performed safely in patients with ICDs provided specific ICD programming strategies are implemented.

Cite This Study

Flo et al. (2012) studied this question.

synapsesocial.com/papers/6a70400326a7f98052dcbfcdhttps://doi.org/10.1097/01823246-201223030-00003
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Also Consider

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

  1. 1Safety of maximal exercise testing in patients at high risk for ventricular arrhythmia.1984 · 96 citations
  2. 29 Exercise Testing and Training in Patients with Malignant Arrhythmias1997 · 22 citations
  3. 3Stress Testing in Patients With Implantable Cardioverter‐Defibrillators: A Preliminary Report2007 · 9 citations
  4. 4ACC/AHA/ESC 2006 Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death2006 · 1,083 citations
  5. 5The AUDIT Alcohol Consumption Questions (AUDIT-C) An Effective Brief Screening Test for Problem Drinking1998 · 6,300 citations