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Exercise testing: a prospective study of complication rates.

J H Atterhög, B Jonsson, R Samuelsson

    American Heart Journal
    |November 1, 1979
    PubMed
    Summary
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    Exercise stress testing is a safe evaluation method for patients, even those with severe illness. Complication rates are low, with minimal permanent damage, when conducted with proper safety measures and trained staff.

    Area of Science:

    • Clinical Physiology
    • Cardiology

    Background:

    • Exercise stress testing is widely performed in clinical physiology departments.
    • Bicycle ergometry is the predominant method used for these tests.

    Purpose of the Study:

    • To assess the safety and complication rates of exercise stress testing in a large patient cohort.
    • To evaluate the impact of inclusion and interruption criteria on test safety.

    Main Methods:

    • A questionnaire was distributed to 20 Swedish clinical physiology departments.
    • Data on complications were collected over an 18-month period, encompassing 50,000 exercise tests.

    Main Results:

    • The overall complication rate was 18.4 per 10,000 tests.
    • Morbidity and mortality rates were 5.2 and 0.4 per 10,000 tests, respectively.

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  • Patients with aortic stenosis faced a higher risk of complications.

    • Conclusions:

    • Exercise stress testing is a safe procedure when performed with adequate safety measures and experienced personnel.
    • The method is suitable for evaluating even critically ill patients.
    • The study found no evidence that exercise testing increased complication rates beyond the baseline risk.