Clinical outcomes vary between the Shuttle Walk Test and Stress Test in patients with coronary artery disease

Autor: Pallav Deka, Dola Pathak, Vicente Miró, Milind Karve, Raquel López-Vilella, Isabel Vázquez-Arce, Leonie Klompstra, Elena Marques-Sule
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: American Heart Journal Plus, Vol 12, Iss , Pp 100064- (2021)
Druh dokumentu: article
ISSN: 2666-6022
DOI: 10.1016/j.ahjo.2021.100064
Popis: Purpose: The purpose of this study was to determine if the Incremental Shuttle Walk Test (ISWT) can elicit similar patient responses as a treadmill stress test in patients with coronary artery disease (CAD). Methods: Both the stress test and the ISWT were performed by 172 participants, aged 60.67±10.23 years. We screened participants for unstable angina, severe aortic stenosis, uncontrolled hypertension, and excluded if unable to walk on a treadmill. Outcome measures (signs and symptoms) included: i) patient-reported chest pain; ii) patient-reported breathlessness/exhaustion and not being able to keep up with test protocol; and iii) able to reach target HRmax. Additionally, EKG changes during the stress test were monitored for ST changes or arrhythmias. Results: During the stress test, 15 participants reported chest pain, 23 participants reached target HRmax. No participants reported chest pain and 2 participants reached target HRmax during the ISWT. Participants reporting chest pain had a higher mean BMI and significant difference in METS (p
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