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February 15, 2001European Heart JournalOpen Access

Prognostic value of exercise testing in a cohort of patients followed for 15 years after acute myocardial infarction

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Why the study?

Does exercise testing and exercise capacity provide prognostic information for long-term mortality in patients recovering from acute myocardial infarction?

Population

1,430 patients who were alive 3 weeks after an acute myocardial infarction

Comparison

Exercise testing performed 3 weeks… vs No exercise testing (for participation analysis)

Design

Cohort

Follow-up

15 years

Authors

Helena Domínguez
Helena DomínguezElectrophysiology

Discussion

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Implication

May refine post-MI mortality risk stratification beyond ischemia; leaves open prospective validation and therapeutic impact.

Structured PICO

Does exercise testing and exercise capacity provide prognostic information for long-term mortality in patients recovering from acute myocardial infarction?

P
Population
1,430 patients who were alive 3 weeks after an acute myocardial infarction (from an initial consecutive cohort of 1,773 admitted between 1979 and 1983)
I
Intervention
Exercise testing performed 3 weeks post-myocardial infarction
C
Comparator
No exercise testing (for participation analysis)
O
Outcome
Mortality at 15 years follow-uphard clinical

In post-myocardial infarction patients, exercise capacity is a more powerful predictor of long-term mortality than the detection of ischemia during exercise testing.

Cite This Study

Helena Domínguez (2001) studied this question.

synapsesocial.com/papers/6a7653ce3bd31deb7eb1c38dhttps://doi.org/10.1053/euhj.2000.2281
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Also Consider

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

  1. 1Markers of risk after acute myocardial infarction. A comparison of clinical variables, ambulatory and exercise electrocardiography, echocardiography, and stress echocardiography1997 · 8 citations
  2. 2Prevalence and prognostic significance of silent myocardial ischaemia detected by exercise test and continuous ECG monitoring after acute myocardial infarction1991 · 39 citations
  3. 3Prognostic value of ambulatory ST segment monitoring compared with exercise testing at 1–3 months after acute myocardial infarction1994 · 6 citations
  4. 4Angina pectoris and ST-Segment Depression during Exercise Testing Early following Acute Myocardial Infarction2008 · 7 citations
  5. 5Early exercise testing after treatment with thrombolytic drugs for acute myocardial infarction: importance of reciprocal ST segment depression1994 · 6 citations