The role of the exercise test in the evaluation of patients for ischemic heart disease. 1978

J F McNeer, and J R Margolis, and K L Lee, and J A Kisslo, and R H Peter, and Y Kong, and V S Behar, and A G Wallace, and C B McCants, and R A Rosati

A cohort of 1472 patients who underwent both exercise stress testing and coronary angiography within six weeks was examined. The data indicated that a combination of exercise parameters is both diagnostically and prognostically important. Almost all patients (greater than 97%) who had positive exercise tests at Stage I or Stage II had significant coronary artery disease. More than half of these (greater than 60%) had three vessel disease and over 25% had significant narrowing (greater than 50%) of the left main coronary artery. Patients who achieved Stage IV or greater exercise durations with either negative or indeterminate ST-segment response had less than a 15% prevalence of three vessel disease and less than a 1% prevalence of left main coronary artery disease. A low risk subgroup (75% of all non-operated patients) was identified with a twelve month survival greater than 99%. A high risk subgroup (11% of all nonoperated patients) was identified with a twelve month survival of less than 85%. The exercise test is a noninvasive, reproducible method to assess the presence and extent of anatomic disease and the prognosis when significant disease has been defined. It should be used in conjunction with other noninvasive tests to determine optimal management in patients evaluated for ischemic heart disease.

UI MeSH Term Description Entries
D008017 Life Expectancy Based on known statistical data, the number of years which any person of a given age may reasonably be expected to live. Life Extension,Years of Potential Life Lost,Expectancies, Life,Expectancy, Life,Life Expectancies
D003327 Coronary Disease An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels. Coronary Heart Disease,Coronary Diseases,Coronary Heart Diseases,Disease, Coronary,Disease, Coronary Heart,Diseases, Coronary,Diseases, Coronary Heart,Heart Disease, Coronary,Heart Diseases, Coronary
D005080 Exercise Test Controlled physical activity which is performed in order to allow assessment of physiological functions, particularly cardiovascular and pulmonary, but also aerobic capacity. Maximal (most intense) exercise is usually required but submaximal exercise is also used. Arm Ergometry Test,Bicycle Ergometry Test,Cardiopulmonary Exercise Testing,Exercise Testing,Step Test,Stress Test,Treadmill Test,Cardiopulmonary Exercise Test,EuroFit Tests,Eurofit Test Battery,European Fitness Testing Battery,Fitness Testing,Physical Fitness Testing,Arm Ergometry Tests,Bicycle Ergometry Tests,Cardiopulmonary Exercise Tests,Ergometry Test, Arm,Ergometry Test, Bicycle,Ergometry Tests, Arm,Ergometry Tests, Bicycle,EuroFit Test,Eurofit Test Batteries,Exercise Test, Cardiopulmonary,Exercise Testing, Cardiopulmonary,Exercise Tests,Exercise Tests, Cardiopulmonary,Fitness Testing, Physical,Fitness Testings,Step Tests,Stress Tests,Test Battery, Eurofit,Test, Arm Ergometry,Test, Bicycle Ergometry,Test, Cardiopulmonary Exercise,Test, EuroFit,Test, Exercise,Test, Step,Test, Stress,Test, Treadmill,Testing, Cardiopulmonary Exercise,Testing, Exercise,Testing, Fitness,Testing, Physical Fitness,Tests, Arm Ergometry,Tests, Bicycle Ergometry,Tests, Cardiopulmonary Exercise,Tests, EuroFit,Tests, Exercise,Tests, Step,Tests, Stress,Tests, Treadmill,Treadmill Tests
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000790 Angiocardiography Radiography of the heart and great vessels after injection of a contrast medium. Angiocardiographies

Related Publications

J F McNeer, and J R Margolis, and K L Lee, and J A Kisslo, and R H Peter, and Y Kong, and V S Behar, and A G Wallace, and C B McCants, and R A Rosati
January 1978, Revista de medicina interna, neurologe, psihiatrie, neurochirurgie, dermato-venerologie. Medicina interna,
J F McNeer, and J R Margolis, and K L Lee, and J A Kisslo, and R H Peter, and Y Kong, and V S Behar, and A G Wallace, and C B McCants, and R A Rosati
December 1978, The Journal of the Maine Medical Association,
J F McNeer, and J R Margolis, and K L Lee, and J A Kisslo, and R H Peter, and Y Kong, and V S Behar, and A G Wallace, and C B McCants, and R A Rosati
January 1985, Polskie Archiwum Medycyny Wewnetrznej,
J F McNeer, and J R Margolis, and K L Lee, and J A Kisslo, and R H Peter, and Y Kong, and V S Behar, and A G Wallace, and C B McCants, and R A Rosati
January 1984, Duodecim; laaketieteellinen aikakauskirja,
J F McNeer, and J R Margolis, and K L Lee, and J A Kisslo, and R H Peter, and Y Kong, and V S Behar, and A G Wallace, and C B McCants, and R A Rosati
December 1989, Kardiologiia,
J F McNeer, and J R Margolis, and K L Lee, and J A Kisslo, and R H Peter, and Y Kong, and V S Behar, and A G Wallace, and C B McCants, and R A Rosati
March 1970, The Proceedings of the Institute of Medicine of Chicago,
J F McNeer, and J R Margolis, and K L Lee, and J A Kisslo, and R H Peter, and Y Kong, and V S Behar, and A G Wallace, and C B McCants, and R A Rosati
January 1988, Archivos del Instituto de Cardiologia de Mexico,
J F McNeer, and J R Margolis, and K L Lee, and J A Kisslo, and R H Peter, and Y Kong, and V S Behar, and A G Wallace, and C B McCants, and R A Rosati
July 1991, Arquivos brasileiros de cardiologia,
J F McNeer, and J R Margolis, and K L Lee, and J A Kisslo, and R H Peter, and Y Kong, and V S Behar, and A G Wallace, and C B McCants, and R A Rosati
January 1978, Advances in cardiology,
J F McNeer, and J R Margolis, and K L Lee, and J A Kisslo, and R H Peter, and Y Kong, and V S Behar, and A G Wallace, and C B McCants, and R A Rosati
January 2020, Journal of Korean medical science,
Copied contents to your clipboard!