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European Heart Journal 1984 5(9):752-755;
Copyright © 1984 by the European Society of Cardiology.
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© 1984 The European Society of Cardiology

A comparison of the Naughton and modified Bruce treadmill exercise protocols in their ability to detect ischaemic abnormalities six weeks after myocardial infarction

C. E. HANDLER and E. SOWTON

The Department of Cardiology, Guy's Hospital St Thomas' Street, London SE1 9RT, U.K.

Received 16 April 1984; revised 25 June 1984; .

Address for Correspondece: Dr C. E. Handler. Department of Cardiology, Guy's Hospital. St Thomas' Street, London SEI 9RT.

Abstract

Symptom-limited Naughton and modified Bruce treadmill exercise protocols were compared in 20 patient to assess their ability in detecting additional ischaemic abnormalities six weeks after myocardial infarction. Eleven patients had a result indicating reversible myocardial ischaemia on both tests while the other nine had no ischaemic abnormality during either of the two protocols. The only significant difference between the two protocols was the longer exercise duration resulting from the Naughton protocol (17.3±5.0 vs, 14.8±2.8 mins, P<0.01). The mean maximum heart rates, rate-pressure products and achieved workloads did not differ significantly.

We conclude that even though the Naughton protocol resulted in a significantly longer mean maximum exercise duration, the protocols were equally effective in detecting additional ischaemic abnormalities six weeks after myocardial infarction.

Key Words: Naughton and modified Bruce treadmill exercise protocols • post infarction exercise tests


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