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European Heart Journal 1992 13(7):936-941;
Copyright © 1992 by the European Society of Cardiology.
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© 1992 The European Society of Cardiology

Exercise testing at 3 weeks, 6 weeks and 18 months after infarction and the outcome at 3 years in young patients (under 55 years)

O. ODEMUYIWA*,, I. PEART{dagger}, C ALBERS and R. J. C. HALL*

Department of Cardiology, Royal Victoria Infirmary, Newcastle upon Tyne London
*Department of Cardiological Sciences St George's Hospital, London
{dagger}Royal Liverpool Hospital for Sick Children Alder Hey, Liverpool
{ddagger}Department of Cardiology, University Hospital of Wales Heath Park, Cardiff, Wales

Received 28 May 1991; revised 12 September 1991; .

Correspondence. Dr O. Odemuyiwa, Department of Cardiological Sciences, St George's Hospital, London SW17 ORE

Abstract

To examine the prognostic value of routine postinfarction exercise tests in young patients, exercise tests were carried out at 3 and 6 weeks and 18 months after infarction in 149 patients aged under 55 years at the time of the index infarction. The patients also had coronary angiography and left ventriculography a mean of 3 months after infarction.

Three years after infarction, only two of the 149 patients have died, reinfarction occurred in only seven (4.7%) patients; unstable angina in four (3%) patients and coronary artery surgery was needed in 31 (20.8%) patients; 16 in the first, 10 in the second, and 5 in the third year of follow-up. Angina on exercise testing at 6 weeks was the only variable with any predictive value. Eighteen (38%) of the 47 patients with, compared to 12 (11.8%) of the 102 patients without, angina on exercise testingatS weeks had coronary surgery ( <0.001). None of the other exercise variables reliably predicted death, or other complications, including coronary surgery. Ten (13.8%) of the 75 patients excluded from the study died during follow-up; six of them within 6 weeks of infarction. Four (67%) of these patients were excluded from the study because of heart failure. Therefore, the 3-year outcome in young survivors of a myocardial infarction is good and is not reliably predicted by exercise testing at 3 and 6 weeks or 18 months.

Key Words: Postinfarction exercise testing • young patients


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A A Awad-Elkarim, J P Bagger, C J Albers, J S Skinner, P C Adams, and R J C Hall
A prospective study of long term prognosis in young myocardial infarction survivors: the prognostic value of angiography and exercise testing
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[Abstract] [Full Text] [PDF]


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