Journal article

Exercise Testing in Asymptomatic Patients After Revascularization Are Outcomes Altered?

Serge C Harb, Thomas Cook, Wael A Jaber, Thomas H Marwick

ARCHIVES OF INTERNAL MEDICINE | AMER MEDICAL ASSOC | Published : 2012

Abstract

BACKGROUND: Although exercise echocardiography (ExE) of asymptomatic patients early (2 years after percutaneous coronary intervention [PCI] or 5 years after coronary bypass graft surgery [CABG]) after revascularization is considered inappropriate, the appropriateness of later testing is indeterminate. Treatment responses to positive test results in either setting have uncertain outcome implications. We sought to identify whether predictors of increased risk by ExE could lead to interventions that change outcome in asymptomatic patients with previous coronary revascularization. METHODS: Exercise echocardiography was performed in 2105 asymptomatic patients (mean [SD] age, 64 [10] years; 310 [1..

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