Safety and utility of exercise testing in emergency room chest pain centers: An advisory from the Committee on Exercise, Rehabilitation, and Prevention, Council on Clinical Cardiology, American Heart Association

R. A. Stein, B. R. Chaitman, G. J. Balady, J. L. Fleg, M. C. Limacher, I. L. Pina, M. A. Williams, T. Bazzarre

Research output: Contribution to journalReview article

80 Scopus citations

Abstract

When reviewed together, the studies summarized here confirm the safety of symptom-limited treadmill exercise ECG testing after 8 to 12 hours of evaluation in patients who have been identified as being at low to intermediate risk by a clinical algorithm that uses serum markers of myocardial necrosis and resting ECGs. This is consistent with similar safety data reported in patient groups with a higher disease prevalence, such as patients presenting with unstable angina. Utility, expressed as the incremental clinical value of exercise ECG testing when added to a chest pain center clinical algorithm, serial serum markers of myocardial necrosis, and serial ECG testing, has been demonstrated in at least 2 well-designed studies.

Original languageEnglish (US)
Pages (from-to)1463-1467
Number of pages5
JournalCirculation
Volume102
Issue number12
DOIs
StatePublished - Sep 19 2000

Keywords

  • AHA Science Advisory
  • Angina
  • Coronary disease
  • Exercise
  • Tests

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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