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Circulation, Vol 56, 26-31, Copyright © 1977 by American Heart Association
W Markiewicz, N Houston and RF DeBusk
Forty-six men under age 70, without clinical congestive heart failure or
unstable angina pectoris, performed treadmill tests 3, 5, 7, 9 and 11 weeks
after myocardial infarction. Patients were more frequently able to perform
moderate exertion (2 mph, 14% grade) at 7 and 11 weeks than at 3 weeks
following infarction. Ischemic ST-segment depression, usually unaccompained
by angina pectoris, occurred in 45% of patients and was associated with a
significantly increased incidence of subsequent coronary events. The
presence of exercise-induced ventricular ectopic activity provided little
independent prognostic information. No serious complications occurred in
210 tests. Exercise testing soon after myocardial infarction provides
objective information concerning the capacity to resume physical activity,
including return to work. Two tests, at 3-5 weeks and at 7-11 weeks, appear
to provide most of the information contined in five tests performed during
this time.
ARTICLES
Exercise testing soon after myocardial infarction
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