Treadmill exercise testing of asymptomatic men and women without evidence of heart disease
Braz. j. med. biol. res
; 42(12): 1230-1235, Dec. 2009. tab, ilus
Article
em En
| LILACS
| ID: lil-532291
Biblioteca responsável:
BR1.1
ABSTRACT
The aim of this study was to test the hypothesis of differences in performance including differences in ST-T wave changes between healthy men and women submitted to an exercise stress test. Two hundred (45.4 percent) men and 241 (54.6 percent) women (mean age 38.7 ¡À 11.0 years) were submitted to an exercise stress test. Physiologic and electrocardiographic variables were compared by the Student t-test and the chi-square test. To test the hypothesis of differences in ST-segment changes, data were ranked with functional models based on weighted least squares. To evaluate the influence of gender and age on the diagnosis of ST-segment abnormality, a logistic model was adjusted; P < 0.05 was considered to be significant. Rate-pressure product, duration of exercise and estimated functional capacity were higher in men (P < 0.05). Sixteen (6.7 percent) women and 9 (4.5 percent) men demonstrated ST-segment upslope ¡Ý0.15 mV or downslope ¡Ý0.10 mV; the difference was not statistically significant. Age increase of one year added 4 percent to the chance of upsloping of segment ST ¡Ý0.15 mV or downsloping of segment ST ¡Ý0.1 mV (P = 0.03; risk ratio = 1.040, 95 percent confidence interval (CI) = 1.002-1.080). Heart rate recovery was higher in women (P < 0.05). The chance of women showing an increase of systolic blood pressure ¡Ü30 mmHg was 85 percent higher (P = 0.01; risk ratio = 1.85, 95 percentCI = 1.1-3.05). No significant difference in the frequency of ST-T wave changes was observed between men and women. Other differences may be related to different physical conditioning.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Pressão Sanguínea
/
Eletrocardiografia
/
Teste de Esforço
/
Frequência Cardíaca
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Braz. j. med. biol. res
Assunto da revista:
BIOLOGIA
/
MEDICINA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil