Exercise testing in women: Improved positive predictive accuracy by consideration of age and exercise variables

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Improving the positive predictive value of exercise testing in women.

OBJECTIVE To identify exercise test variables that can improve the positive predictive value of exercise testing in women. DESIGN Cohort study. SETTING Regional cardiothoracic centre. SUBJECTS 1286 women and 1801 men referred by primary care physicians to a rapid access chest pain clinic, of whom 160 women and 406 men had ST depression of at least 1 mm during exercise testing. The results...

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CARDIOVASCULAR MEDICINE Improving the positive predictive value of exercise testing in women

Objective: To identify exercise test variables that can improve the positive predictive value of exercise testing in women. Design: Cohort study. Setting: Regional cardiothoracic centre. Subjects: 1286 women and 1801 men referred by primary care physicians to a rapid access chest pain clinic, of whom 160 women and 406 men had ST depression of at least 1 mm during exercise testing. The results f...

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Exercise testing after beta-blockade: improved specificity and predictive value in detecting coronary heart disease.

The value of exercise testing in detecting myocardial ischaemia resulting from coronary atheroma remains controversial. In order to increase the reliability of exercise testing, all its components (asymptomatic, haemodynamic, and electrocardiographic) have been scrutinised. In this study, concerned only with the electrocardiographic response to exercise, the incorporation of beta-blockade into ...

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Influence of R wave analysis upon diagnostic accuracy of exercise testing in women.

Exercise electrocardiography in women with chest pain is associated with a high incidence of false positive ST segment depression. The recent observation that changes in R wave amplitude during exercise can also be used diagnostically may improve the value of stress testing in women. The results of 12 lead treadmill exercise and coronary angiography were reviewed in 62 women, mean age 51 years,...

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Exercise testing in women with chest pain. Are there additional exercise characteristics that predict true positive test results?

Women have a notoriously high rate of false positive exercise test results. Since the exercise ST segment response has low specificity in predicting CAD in women, we examined additional exercise parameters in 200 women with a history of chest pain compatible with angina and having ST segment depression greater than or equal to 1 mm recorded during a Bruce treadmill test. All subsequently had co...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1996

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(96)80291-9