Predischarge stress test after myocardial infarction in the old age: Results and prognostic value
Deutscher übersetzter Titel: | Belastungstest vor Entlassung aus stationaerer Behandlung nach Herzinfarkt in hoeherem Alter: Ergebnisse und prognostischer Wert |
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Autor: | Fioretti, P.; Deckers, J.W.; Brower, R.W.; Simoons, M.L.; Beelen, J.A.J.M.; Hugenholtz, P.G. |
Erschienen in: | European heart journal |
Veröffentlicht: | 5 (1984), Suppl. E, S. 101-104, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0195-668X, 1522-9645 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU198807011374 |
Quelle: | BISp |
Abstract
The aim of this study was to evaluate the results of predischarge stress testing in the elderly, and to assess the prognostic value of the test during one-year follow-up. The database consisted of 48 patients older than 64 years of age and 109 patients 55-64 years of age, who survived acute myocardial infarction, out of 532 consecutive patients admitted for myocardial infarction. Stress-test results were not different in the two groups. During one-year follow-up mortality was 6 in the younger patients and 4 in the older group, and the incidence of non-fatal reinfarctions was 8 in both groups. Mortality was best predicted by the extent of blood pressure rise (43 +-26 mmHg in survivors vs 19 +-15 mmHg in non-survivors, P<0.001). Stress-test results were no more predictive when non-fatal reinfarction was added to mortality as an end-point. We conclude that for patients in whom the stress test is not contraindicated, (1) age does not affect stress test results, (2) the extent of blood pressure rise during a stress test is the best single predictor of mortality, (3) stress tests are not predictive of reinfarctions. Verf.-Referat