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Elderly patients and coronary heart disease on response to treadmill exercise test

Jian-ling Sun1, Guo-lan Gao, Ying Zhao

  • 1Department of Cardiology, Aviation General Hospital, An Ding Men Wai Bei Yuan Road 3, Beijing, 100012, People's Republic of China, sunjianling2000@yahoo.com.cn.

Cell Biochemistry and Biophysics
|April 2, 2013
PubMed

Insights

Elderly patients over 75 with coronary heart disease (CHD) show reduced exercise tolerance and altered treadmill exercise test (TET) parameters. TET is highly valuable for diagnosing CHD in older adults.

Area of Science:

  • Cardiology
  • Geriatrics
  • Exercise Physiology

Background:

  • Coronary heart disease (CHD) poses significant health challenges in the elderly population.
  • Understanding the cardiovascular response to exercise in older adults with CHD is crucial for effective management.

Purpose of the Study:

  • To investigate the cardiovascular system's response to exercise tolerance in patients over 75 with CHD.
  • To evaluate the diagnostic significance of treadmill exercise test (TET) parameters in this demographic.

Main Methods:

  • 110 patients underwent TET and coronary angiography.
  • Patients were stratified into an elderly group (≥75 years) and a control group (<60 years).

Main Results:

  • A higher proportion of elderly patients exhibited positive TET results compared to the control group.
  • Elderly CHD patients demonstrated lower exercise time, peak heart rate, and earlier onset of ST depression during TET.
  • No significant differences were observed in the extent or duration of ST depression between groups.

Conclusions:

  • Treadmill exercise testing holds significant diagnostic value for identifying CHD in elderly individuals.
  • Older patients with CHD exhibit diminished exercise endurance compared to younger counterparts.

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