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July 14, 2008Archives of Internal MedicineOpen Access

Inducible Ischemia and the Risk of Recurrent Cardiovascular Events in Outpatients With Stable Coronary Heart DiseaseThe Heart and Soul Study

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Why the study?

Does the presence of inducible ischemia or self-reported angina predict recurrent CHD events in outpatients with stable CHD?

Population

937 outpatients with stable coronary heart disease (CHD)

Comparison

Presence of inducible ischemia and/or… vs Absence of angina or inducible ischemia

Design

Cohort

Follow-up

mean 3.9 years

Authors

AGAnil K. GehiElectrophysiology

Discussion

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Overview

Inducible ischemia without angina was associated with recurrent events in stable CHD; leaves open whether routine stress testing improves outcomes.

Structured PICO

Does the presence of inducible ischemia or self-reported angina predict recurrent CHD events in outpatients with stable CHD?

P
Population
937 outpatients with stable coronary heart disease (CHD)
I
Intervention
Presence of inducible ischemia (measured using treadmill stress echocardiography) and/or self-reported angina (measured by questionnaire)
C
Comparator
Absence of angina or inducible ischemia
O
Outcome
CHD events (myocardial infarction or CHD death) during a mean of 3.9 years of follow-uphard clinical

In patients with stable CHD, inducible ischemia without angina is common and strongly predicts recurrent CHD events, challenging guidelines that do not recommend routine stress testing in asymptomatic patients.

Cite This Study

Anil K. Gehi (2008) studied this question.

synapsesocial.com/papers/6a70ab8df44fa9f079de59e2https://doi.org/10.1001/archinte.168.13.1423
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