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Exercise Testing and Its Role in Ischemic Heart Disease

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Ischemic Heart Disease

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Abstract

Exercise testing is widely used as a provocative test in patients with known or suspected ischemic heart disease, to identify coronary artery stenosis, evaluate exercise-related symptoms, assess response to interventions, and predict cardiovascular events and all-cause death. Adequate equipment and patient preparation, as well as an appropriate patient selection, are necessary to increase the diagnostic yield of exercise testing and to reduce false-positive and false-negative results. Availability of imaging modalities, such as stress echocardiography and myocardial single photon emission tomography, has provided clinicians with effective diagnostic tool and prompts an individualized selection of the most appropriate test.

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Abbreviations

CFR:

Coronary flow reserve

CO:

Cardiac output

CPET:

Cardiopulmonary exercise testing

HR:

Heart rate

LV:

Left ventricular

LVEF:

LV ejection fraction

METS:

Metabolic equivalents

RWM:

Regional wall motion

SE:

Stress echocardiography

SV:

Stroke volume

WMSI:

Wall motion score index

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Authors and Affiliations

  1. Division of Cardiology and Cardiovascular Medicine, Fondazione Toscana Gabriele Monasterio, Pisa, Italy

    Giuseppe Vergaro, Valentina Spini & Iacopo Fabiani

  2. Health Science Interdisciplinary Center, Scuola Superiore Sant’Anna, Pisa, Italy

    Giuseppe Vergaro

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  1. Giuseppe Vergaro
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  2. Valentina Spini
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  3. Iacopo Fabiani
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Correspondence to Giuseppe Vergaro .

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Editors and Affiliations

  1. Department of Adult Cardiac Surgery, Ospedale del cuore “G. Pasquinucci", Massa, Italy

    Giovanni Concistrè

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Vergaro, G., Spini, V., Fabiani, I. (2023). Exercise Testing and Its Role in Ischemic Heart Disease. In: Concistrè, G. (eds) Ischemic Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-031-25879-4_11

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