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Indications and Contraindications for Exercise Testing
Council on Scientific Affairs
JAMA. 1981;246(9):1015-1018.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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EXERCISE testing has long provided a means to measure cardiovascular and physical fitness and was improved by the relatively recent addition of the ECG response to exertion. The Master's two-step test was accepted 35 years ago but today has been replaced by the treadmill or the bicycle ergometer, which uses a progression of mild to strenuous exercise. Safe protocols to be used for a progressive exercise test have been established,1,2 and the testing of cardiac fitness, both in normal and healthy subjects and patients, has become routine. Only recently, however, have data become available that allow comparison of coronary arteriography with the results of exercise testing in substantial numbers of asymptomatic subjects. This has shown a disturbingly high prevalence of both false-positive and false-negative test results, so that the value of such testing has recently been challenged.3 As a consequence, the Council on Scientific Affairs has requested several expert
. . . [Full Text PDF of this Article]
Author Affiliations
From the Council on Scientific Affairs, American Medical Association, Chicago.
Footnotes
This report is not intended to serve as a standard of medical care; standards of medical care, which are determined locally and are constantly subject to change, are established on the basis of all the several facts of the individual case.
Reprint requests to Council on Scientific Affairs, American Medical Association, 535 N Dearborn St, Chicago, IL 60610 (Rogers J. Smith, MD).
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