What question did this study set out to answer?

To evaluate the safety and prognostic capability of early load-limited exercise testing for predicting long-term cardiac mortality following uncomplicated myocardial infarction.

October 1, 1981European Heart Journal

Early exercise test for evaluation of long-term prognosis after uncomplicated myocardial infarction

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Why the study?

Does early load-limited exercise testing predict cardiac mortality in men after uncomplicated myocardial infarction?

Population

200 men younger than 66 years, evaluated three weeks after uncomplicated myocardial infarction.

Design

Cohort

Follow-up

mean three years and one month

Authors

JVJosé Ignácio VelascoUniversitat Politècnica de Catalunya VTV. TormoHospital Clínico Universitario de Valencia LFLinda FerrerAventura Hospital and Medical Center

Discussion

Member takes

Implication

Early post-MI exercise testing stratifies cardiac mortality risk in men; supports prognostic use but leaves open impact on management.

Key Points

To evaluate the safety and prognostic capability of early load-limited exercise testing for predicting long-term cardiac mortality following uncomplicated myocardial infarction.
Conducted load-limited exercise tests three weeks post-infarction in 200 men younger than 66 years with uncomplicated myocardial infarction.
Defined positive test criteria by typical angina, ST depression ≥ 0.1 mV, heart rate increase ≥ 35 beats/min above rest, poor systolic blood pressure rise (< 5 mm Hg), or malignant ventricular premature beats.
Followed patients over a period ranging from three months to six years (mean three years and one month) to track cardiac mortality.
A positive exercise test was significantly predictive of cardiac mortality (P < 0.005), and no test-related complications occurred.
Individual criteria significantly predicting mortality included ischemic ST depression (P < 0.005), excessive heart rate increase (P < 0.01), and exercise angina (P < 0.05).
Poor systolic blood pressure rise and malignant premature beats did not significantly predict cardiac mortality.

Structured PICO

Does early load-limited exercise testing predict cardiac mortality in men after uncomplicated myocardial infarction?

Population

200 men younger than 66 years, evaluated three weeks after uncomplicated myocardial infarction.

Intervention

Early load-limited exercise testing

Outcome

Cardiac mortalityhard clinical

Early load-limited exercise testing performed three weeks after an uncomplicated myocardial infarction is safe and provides considerable prognostic value for long-term cardiac mortality.

Cite This Study

Velasco et al. (1981) studied this question.

synapsesocial.com/papers/6a8bf241de5ec4e001e3de42 https://doi.org/10.1093/oxfordjournals.eurheartj.a061225

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October 1, 1981European Heart Journal

Early exercise test for evaluation of long-term prognosis after uncomplicated myocardial infarction

View Full Paper

Ask AI

Bookmark

Why the study?

Does early load-limited exercise testing predict cardiac mortality in men after uncomplicated myocardial infarction?

Population

200 men younger than 66 years, evaluated three weeks after uncomplicated myocardial infarction.

Design

Cohort

Follow-up

mean three years and one month

Authors

JVJosé Ignácio VelascoUniversitat Politècnica de Catalunya VTV. TormoHospital Clínico Universitario de Valencia LFLinda FerrerAventura Hospital and Medical Center

Discussion

Member takes

Implication

Early post-MI exercise testing stratifies cardiac mortality risk in men; supports prognostic use but leaves open impact on management.

Key Points

To evaluate the safety and prognostic capability of early load-limited exercise testing for predicting long-term cardiac mortality following uncomplicated myocardial infarction.
Conducted load-limited exercise tests three weeks post-infarction in 200 men younger than 66 years with uncomplicated myocardial infarction.
Defined positive test criteria by typical angina, ST depression ≥ 0.1 mV, heart rate increase ≥ 35 beats/min above rest, poor systolic blood pressure rise (< 5 mm Hg), or malignant ventricular premature beats.
Followed patients over a period ranging from three months to six years (mean three years and one month) to track cardiac mortality.
A positive exercise test was significantly predictive of cardiac mortality (P < 0.005), and no test-related complications occurred.
Individual criteria significantly predicting mortality included ischemic ST depression (P < 0.005), excessive heart rate increase (P < 0.01), and exercise angina (P < 0.05).
Poor systolic blood pressure rise and malignant premature beats did not significantly predict cardiac mortality.

Structured PICO

Does early load-limited exercise testing predict cardiac mortality in men after uncomplicated myocardial infarction?

Population

200 men younger than 66 years, evaluated three weeks after uncomplicated myocardial infarction.

Intervention

Early load-limited exercise testing

Outcome

Cardiac mortalityhard clinical

Early load-limited exercise testing performed three weeks after an uncomplicated myocardial infarction is safe and provides considerable prognostic value for long-term cardiac mortality.

Cite This Study

Velasco et al. (1981) studied this question.

synapsesocial.com/papers/6a8bf241de5ec4e001e3de42 https://doi.org/10.1093/oxfordjournals.eurheartj.a061225

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