Comparison of treadmill scores with physician estimates of diagnosis and prognosis in patients with coronary artery disease

Lipinski, Michael J.; Froelicher, Victor; Atwood, Eddie; Tseitlin, Anna; Franklin, Barry A.; Osterberg, Lars; Do, Duc; Myers, Jonathan

doi:10.1067/mhj.2002.120967

Cited by 26 publications

(20 citation statements)

References 27 publications

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“…The VO 2Max is considered to be the best parameter for exercise capacity and cardiopulmonary fitness15). It is best predictor for survival not only of patients with heart failure5,16) or coronary arteries disease17,18), but also of the general population19). The V E /VCO 2 has been alternative prognostic indicator in patients with chronic heart failure13), and V E /VCO 2 means how many liters of air are being breathed to eliminate 1 liter of CO 2 .…”

Section: Discussionmentioning

confidence: 99%

The results of cardiopulmonary exercise test in healthy Korean children and adolescents: single center study

et al. 2013

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PurposeThe cardiopulmonary exercise test (CPET) is an important clinical tool for evaluating exercise capacity and is frequently used to evaluate chronic conditions including congenital heart disease. However, data on the normal CPET values for Korean children and adolescents are lacking. The aim of this study was to provide reference data for CPET variables in children and adolescents.MethodsFrom August 2006 to April 2009, 76 healthy children and adolescents underwent the CPET performed using the modified Bruce protocol. Here, we performed a medical record review to obtain data regarding patient' demographics, medical history, and clinical status.ResultsThe peak oxygen uptake (VO2Peak) and metabolic equivalent (METMax) were higher in boys than girls. The respiratory minute volume (VE)/CO2 production (VCO2) slope did not significantly differ between boys and girls. The cardiopulmonary exercise test data did not significantly differ between the boys and girls in younger age group (age, 10 to 14 years). However, in older age group (age, 15 to 19 years), the boys had higher VO2Peak and METMax values and lower VE/VCO2 values than the girls.ConclusionThis study provides reference data for CPET variables in case of children and adolescents and will make it easier to use the CPET for clinical decision-making.

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Section: Discussionmentioning

confidence: 99%

The results of cardiopulmonary exercise test in healthy Korean children and adolescents: single center study

et al. 2013

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“…However, the DTS is not as precise when stratifying elderly patients (>75 years) [30]. As a diagnostic tool, the DTS demonstrated predictive accuracy for determining the presence of significant CAD [31] [32]. Overall, the DTS is a valid tool when used for risk stratification purposes and is recommended in practice guidelines for exercise testing [35] [36].…”

Section: Strengths and Weaknessesmentioning

confidence: 99%

“…Exercise testing in elderly patients using a treadmill may be limited due to inability to achieve exercise times because of overall deconditioning. Although developed as a prognostic tool, the DTS has been validated as a diagnostic tool [31] [32]. Lipinski et al [31] compared the probability estimates of CAD severity and death made by physicians with estimates from four different treadmill scores in patients with chest pain (n = 599).…”

Section: Validity and Reliabilitymentioning

confidence: 99%

“…Although developed as a prognostic tool, the DTS has been validated as a diagnostic tool [31] [32]. Lipinski et al [31] compared the probability estimates of CAD severity and death made by physicians with estimates from four different treadmill scores in patients with chest pain (n = 599). Receiver operating curves (ROC) were used to analyze the predictive accuracy of the treadmill and physician estimates of disease severity.…”

Section: Validity and Reliabilitymentioning

confidence: 99%

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A Comparison of the NYHA Classification and the Duke Treadmill Score in Patients with Cardiovascular Disease

Carroll¹,

Harkness²,

McGillion³

2014

OJN

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Aim: A discussion of the measurement of functional status in cardiovascular research. Background: Selection of appropriate outcome measures and instrumentation is vital for nurse researchers to ensure that outcomes align conceptually and are measured using reliable and valid tools. Functional status is a well-known outcome in cardiovascular research-however attention to underlying conceptual differences that may influence choices of whether to include subjective or objective measures is needed. Design: This work is a discussion paper: seminal research reporting the development, validation, and reliability testing of the NYHA classification system and the Duke Treadmill Score. Implications for nursing: Conceptually clarity and comprehensive appraisal of the reliability and validity of outcome measures in nursing research are essential to ensure high level of quality outcomes that will benefit patients.

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“…The additional data provided by these functional testing approaches has led them to be recommended as part of the approach to stress testing in the recent American College of Cardiology/American Heart Association guidelines (2). Indeed, several studies of exercise testing scores have shown that their ability to predict outcome exceeds that of most physicians and is equal to that of experienced cardiologists (3). Other scores have added clinical data to the stress test findings, and these appear to have greater prognostic power than the exercise data alone (4).…”

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confidence: 98%

A clinical and echocardiographic score for assigning risk of major events after dobutamine echocardiograms

Marwick

Case

Poldermans

et al. 2004

Journal of the American College of Cardiology

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Comparison of treadmill scores with physician estimates of diagnosis and prognosis in patients with coronary artery disease

Cited by 26 publications

References 27 publications

The results of cardiopulmonary exercise test in healthy Korean children and adolescents: single center study

The results of cardiopulmonary exercise test in healthy Korean children and adolescents: single center study

A Comparison of the NYHA Classification and the Duke Treadmill Score in Patients with Cardiovascular Disease

A clinical and echocardiographic score for assigning risk of major events after dobutamine echocardiograms

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