International Journal of Physiology

  • Year: 2016
  • Volume: 4
  • Issue: 1

Estimating Cardiovascular Prognosis by Exercise Treadmill Test: A 5 Year Follow-up Study

  • Author:
  • Laxmikanta Say1, Arati Mohanty2, Arpita Priyadarshini3, Sunil Kumar Sharma4
  • Total Page Count: 6
  • Page Number: 87 to 92

1Senior Resident, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi

2Professor, Institute of Medical Sciences, SUM, Bhubaneswar

3Associate Professor, S.C.B. Medical College, Cuttack

4Associate Professor, Department of Cardiology, V.S.S. Medical College, Burla

Abstract

Treadmill exercise test was based on the principle that exercise increases myocardial oxygen demand, which although adequate at rest, becomes inadequate during exercise.1

Present study includes 200 cases of Stable angina of age group 25–65 years found positive for ST depression in resting ECG with complains of angina undergone stress exercise treadmill test by Dukes method followed by Coronary Angiogram as per the ACC/AHA guideline from 2010 to 2015. The median length of follow-up at the time of analysis was 5-years.

High risk and moderate risk group patients showing significant negative Duke Score, ST inversion, Maximal MHR, SBP at maximal exercise with significant CAD and low 5-year survival as compared to low risk group patients.

Considering the importance of early diagnosis, risk stratification and timely interventions will be helpful in preventing morbidity and mortality.

Keywords

Coronary Artery Disease, Duke's Treadmill Score, Ischemic Heart Disease, Maximal Heart Rate, Systolic Blood Pressure, Treadmill Test