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Electrocardiographic exercise testing in adults: performance and interpretation. An expert opinion of the Polish Cardiac Society Working Group on Cardiac Rehabilitation and Exercise Physiology.
Smarz, Krzysztof; Jaxa-Chamiec, Tomasz; Bednarczyk, Tadeusz; Bednarz, Bronislaw; Eysymontt, Zbigniew; Galaszek, Michal; Jegier, Anna; Korzeniowska-Kubacka, Iwona; Mamcarz, Artur; Mawlichanów, Agnieszka; Piotrowicz, Ryszard; Rybicki, Jerzy; Straburzynska-Migaj, Ewa; Szalewska, Dominika; Wolszakiewicz, Jadwiga.
Afiliação
  • Smarz K; Department of Cardiology, Centre of Postgraduate Medical Education, Grochowski Hospital, Warsaw, Poland. krzysztofsmarz@hotmail.com.
  • Jaxa-Chamiec T; Department of Cardiology, Centre of Postgraduate Medical Education, Grochowski Hospital, Warsaw, Poland.
  • Bednarczyk T; Cardiac Rehabilitation Unit, Voivodship Clinical Hospital No. 2, Rzeszow, Poland.
  • Bednarz B; Department of Cardiology, Centre of Postgraduate Medical Education, Grochowski Hospital, Warsaw, Poland.
  • Eysymontt Z; Silesian Rehabilitation and Prevention Centre, Ustron, Poland.
  • Galaszek M; Silesian Rehabilitation and Prevention Centre, Ustron, Poland.
  • Jegier A; Department of Sports Medicine, Medical University of Lodz, Lodz, Poland.
  • Korzeniowska-Kubacka I; Department of Cardiac Rehabilitation and Noninvasive Electrocardiology, Institute of Cardiology, Warsaw, Poland.
  • Mamcarz A; 3rd Department of Internal Medicine and Cardiology, 2nd Faculty of Medicine, Medical University of Warsaw, Miedzylesie Specialist Hospital, Warsaw, Poland.
  • Mawlichanów A; Cardiac Rehabilitation Unit, Krakow Specialist Hospital, Krakow, Poland, Kraków, Poland.
  • Piotrowicz R; Department of Cardiac Rehabilitation and Noninvasive Electrocardiology, Institute of Cardiology, Warsaw, Poland.
  • Rybicki J; SPZOZ "REPTY", Upper Silesian Rehabilitation Centre, Tarnowskie Gory, Poland.
  • Straburzynska-Migaj E; 1st Chair and Department of Cardiology, Poznan University of Medical Sciences, University Hospital of Lord's Transfiguration, Poznan, Poland, Poznan, Poland.
  • Szalewska D; Department of Rehabilitation, Medical University of Gdansk, Gdansk, Poland.
  • Wolszakiewicz J; Department of Cardiac Rehabilitation and Noninvasive Electrocardiology, Institute of Cardiology, Warsaw, Poland.
Kardiol Pol ; 77(3): 399-408, 2019.
Article em En | MEDLINE | ID: mdl-30566222
ABSTRACT
Electrocardiographic (ECG) exercise stress test has been a major diagnostic test in cardiology for several decades. Ongoing technological advances that have led to a wide use of imaging techniques and development of new guidelines have called for a revised and updated approach to the technique and interpretation of the ECG exercise testing. The present document outlines an expert opinion of the Polish Cardiac Society Working Group on Cardiac Rehabilitation and Exercise Physiology regarding the performance and interpretation of ECG exercise testing in adults. We discussed technical requirements and necessary equipment for the exercise testing laboratory as well as healthcare personnel competencies necessary to supervise ECG exercise testing and fully interpret test findings. Broad indications for ECG exercise testing include diagnostic assessment of coronary artery disease (CAD), including pre-test probability of CAD, evaluation of functional disease severity and risk strati- fication in patients with established CAD, assessment of response to treatment, evaluation of exercise-related symptoms and exercise capacity, patient evaluation before exercise training/cardiac rehabilitation, and risk stratification prior to non-cardiac surgery. ECG exercise testing is safe if indications and contraindications are observed, testing is appropriately monitored, and indications for test termination are clearly established. The exercise protocol should be adjusted to the expected exercise capacity of a patient so as to limit the duration of exercise to 8-12 min. Clinical, haemodynamic, and ECG response to exercise is evaluated during the test. The test report should include information about the exercise protocol used, reason for test termination, perceived exertion, presence/severity of anginal symptoms, peak exercise capacity or tolerated workload in relation to the predicted exercise capacity, heart rate response, and the presence or absence of ST-T changes. The test report should conclude with a summary including clinical and ECG assessment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença da Artéria Coronariana / Cardiologia / Ecocardiografia sob Estresse / Teste de Esforço Tipo de estudo: Guideline / Prognostic_studies Limite: Adult / Humans País/Região como assunto: Europa Idioma: En Revista: Kardiol Pol Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Polônia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença da Artéria Coronariana / Cardiologia / Ecocardiografia sob Estresse / Teste de Esforço Tipo de estudo: Guideline / Prognostic_studies Limite: Adult / Humans País/Região como assunto: Europa Idioma: En Revista: Kardiol Pol Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Polônia