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Related Experiment Videos

Is nurse-supervised exercise stress testing safe practice?

R P Zecchin1, Y Y Chai, K A Roach

  • 1Cardiac Education and Assessment Program (CEAP), Westmead Hospital, Sydney, Australia.

Heart & Lung : the Journal of Critical Care
|May 18, 1999
PubMed
Summary
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Nurse-performed exercise stress tests (EST) are safe for high-risk cardiac patients. A 12-year audit showed no deaths and minimal major complications, highlighting the effectiveness of nurse training.

Area of Science:

  • Cardiology
  • Nursing Practice

Background:

  • Nurses have independently conducted exercise stress tests (EST) in cardiac rehabilitation since 1978.
  • This practice involves higher-risk patient populations.

Purpose of the Study:

  • To evaluate the incidence of cardiovascular complications during nurse-performed EST.
  • To describe the competency-based training program for nurses conducting EST.

Main Methods:

  • A retrospective audit of prospective data was conducted.
  • Data from 17,467 ESTs performed between 1986 and 1997 at a single cardiac rehabilitation center were analyzed.

Main Results:

  • No deaths occurred among 17,467 ESTs.
  • 13 major complications (0.075% morbidity) were recorded in 12 patients, including ventricular tachycardia and one reinfarction.

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  • The majority of patients (50%) had a diagnosis of acute myocardial infarction.

    • Conclusions:

    • Nurse-supervised EST in a hospital-based cardiac rehabilitation setting is a safe practice.
    • Low mortality and morbidity rates are attributed to rigorous nurse training and reaccreditation standards.