Why the study?
Does exercise ECG provide optimal diagnostic accuracy and risk stratification in women and men with stable ischaemic heart disease?
Does exercise ECG provide optimal diagnostic accuracy and risk stratification in women and men with stable ischaemic heart disease?
Exercise ECG remains an effective and cost-efficient first-line diagnostic option for risk stratification in patients with stable ischemic heart disease who can perform maximal exercise.
Reaffirms exercise ECG for capable SIHD patients; reinforces its role in cost-efficient guidelines amid advanced imaging.
UNLABELLED: The exercise ECG is an integral part within the evaluation algorithm for diagnosis and risk stratification of patients with stable ischaemic heart disease (SIHD). There is evidence, both older and new, that the exercise ECG can be an effective and cost-efficient option for patients capable of performing at maximal levels of exercise with suitable resting ECG findings. In this review, we will highlight the major dilemmas in interpreting suspected coronary artery disease symptoms in women and identify optimal strategies for employing exercise ECG as a first-line diagnostic test in the SIHD evaluation algorithm. We will highlight current evidence as well as recent guideline statements on this subject. TRIAL REGISTRATION NUMBER: NCT01471522; Pre-results.
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Shaw et al. (2016) studied this question.
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