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European Heart Journal 2003 24(14):1285-1286; doi:10.1016/S0195-668X(03)00280-X
Copyright © 2003 by the European Society of Cardiology.
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Editorial

Detection of exercise induced ischaemia: a new role for cardiopulmonary exercise testing

J.-P Schmid*

Swiss Cardiovascular Center Bern, Cardiovascular Prevention & Rehabilitation, University Hospital (Inselspital), 3010 Bern, Switzerland

* Corresponding author. Tel.: +41-316-328-972; fax: +41-316-328-977
E-mail address: jean-paul.schmid@insel.ch

Received 9 May 2003; revised 9 May 2003; accepted 16 May 2003

The first 10% of the full text of this article appears below.

See doi:10.1016/S1095-668X(03)00210-0 for the article to which this editorial refers

The exercise stress test has been used for decades as a diagnostic tool in the work-up of patients with suspected coronary artery disease. Even though the traditional exercise electrocardiogram is a widely accepted and well-validated diagnostic tool, it suffers from low sensitivity, which nevertheless depends strongly on the population tested. When a work-up bias is avoided (that means, the test is applied to individuals not already known to have coronary artery disease), the sensitivity can be as low as 45% with a specificity of 85%.1In patients with an angiographically significant coronary artery disease and a horizontal . . . [Full Text of this Article]


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Related articles in EHJ:

Exercise-induced myocardial ischaemia detected by cardiopulmonary exercise testing
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EHJ 2003 24: 1304-1313. [Abstract] [FREE Full Text]  



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