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Exercise Testing and Risk Assessment

  • Christopher R. Cole
  • Michael S. Lauer
Chapter
Part of the Contemporary Cardiology book series (CONCARD)

Abstract

With the development of advanced imaging modalities, the regular exercise electro-cardiogram (ECG) test has come to be regarded by some as passé. In large part, this is because of the low sensitivity and specificity for the diagnosis of coronary artery disease (CAD). With newer methods of interpretation, however, exercise testing remains a powerful and inexpensive prognostic tool. The use of the exercise test has important implications for risk stratification as a part of prevention strategies and for after myocardial infarction (MI) management. This chapter focuses primarily on the prognostic implications of exercise testing using cardiovascular events and mortality as endpoints. It examines all aspects of the exercise test, including functional capacity, heart rate (HR) changes during exercise, blood pressure (BP) response, and more-recent methods of computerized interpretation of the exercise ECG.

Keywords

Heart Rate Recovery Chronotropic Incompetence Coronary Artery Surgery Study Preventive Cardiology Metabolic Reserve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Humana Press Inc., Totowa, NJ 2006

Authors and Affiliations

  • Christopher R. Cole
    • 1
  • Michael S. Lauer
    • 2
  1. 1.Colorado Springs CardiologistsColorado Cardiac Alliance Research InstituteColorado Springs
  2. 2.Division of CardiologyWilliam Beaumont HospitalRoyal Oak

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