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Complications in 1000 consecutive treadmill tests

S K Malani1, C P Roy, C S Nath

  • 1Department of Medicine, AFMC, Pune.

The Journal of the Association of Physicians of India
|August 1, 1993
PubMed
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Treadmill tests (TMT) are safe, with only 1.8% of 1000 patients experiencing complications like arrhythmias or hypotension. Proper patient selection and expert supervision ensure a secure diagnostic procedure.

Area of Science:

  • Cardiology
  • Diagnostic Procedures

Background:

  • Treadmill tests (TMT) are a common diagnostic tool in cardiology.
  • Assessing the safety and complication rates of TMT is crucial for clinical practice.

Purpose of the Study:

  • To report complications in 1000 consecutive Treadmill Tests (TMT) performed at a tertiary care hospital.
  • To evaluate the safety of TMT when conducted under specific protocols and supervision.

Main Methods:

  • 1000 consecutive TMTs were performed using the Bruce Protocol.
  • Complications were analyzed based on Selzer's criteria.
  • Coronary arteriography (CART) was performed on selected cases, including those with complications.

Main Results:

  • A total of 18 complications (1.8%) were recorded.

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  • Observed complications included arrhythmias (ventricular fibrillation, tachycardia, atrial fibrillation), conduction disturbances, asystole, atrial flutter, hypotension, and severe angina.
  • No acute myocardial infarctions or deaths occurred during the study.
  • 5.0% of patients underwent Coronary Arteriography (CART).

    • Conclusions:

    • TMT is a safe procedure when performed with appropriate patient selection.
    • Supervision by an experienced and efficient medical team is essential for TMT safety.
    • The low complication rate supports the continued use of TMT in cardiac diagnostics.