Prognostic Value of a Treadmill Exercise Score in Outpatients with Suspected Coronary Artery Disease

• Published in: The New England journal of medicine Vol. 325; no. 12; pp. 849 - 853
• Main Authors: Mark, Daniel B, Shaw, Linda, Harrell, Frank E, Hlatky, Mark A, Lee, Kerry L, Bengtson, James R, McCants, Charles B, Califf, Robert M, Pryor, David B
• Format: Journal Article
• Language: English
• Published: Boston, MA Massachusetts Medical Society 19.09.1991
• Subjects: Adult; Angina; Angina pectoris; Angina Pectoris - etiology; Angioplasty; Biological and medical sciences; Cardiology; Cardiology. Vascular system; Cardiovascular disease; Cardiovascular diseases; Catheterization; Coronary artery; Coronary artery disease; Coronary Disease - mortality; Coronary heart disease; Coronary vessels; Electrocardiography; Exercise; Exercise Test; Female; Fitness equipment; Heart; Humans; Information systems; Intubation; Ischemia; Male; Medical prognosis; Medical sciences; Middle Aged; Mortality; Outpatients; Patients; Population; Prognosis; Prospective Studies; Survival; Time Factors; Treadmill exercise; Human; Cardiovascular disease; Prognosis; Coronary heart disease
• ISSN: 0028-4793; 1533-4406
• DOI: 10.1056/NEJM199109193251204

DESPITE the large number of diagnostic and prognostic tests that can be used to evaluate patients with suspected coronary artery disease, the treadmill exercise test remains the most readily available and the most often used for this purpose, especially by noncardiologists. Previous studies have identified the major prognostic variables related to this test among patients undergoing either invasive 1 2 3 4 5 or noninvasive 6 , 7 evaluation. After identifying the important prognostic variables, we devised a simple prognostic treadmill score, using data on a population of inpatients referred to our institution for cardiac catheterization between 1969 and 1980. 4 This treadmill score, which was validated in a . . .