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European Heart Journal Advance Access originally published online on April 26, 2005
European Heart Journal 2005 26(14):1353-1354; doi:10.1093/eurheartj/ehi303
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oupjournals.org

Screening with the exercise test: time for a guideline change?

Victor F. Froelicher*

Palo Alto VA Medical Center, 3801 Miranda Ave, Bldg 100 room E2-441, Palo Alto, CA 94304-1207, USA

* Corresponding author. E-mail address: vicmd@pacbell.net

This editorial refers to ‘Reasons for terminating an exercise test provide independent prognostic information: 2014 apparently healthy men followed for 26 years’{dagger} by J. Bodegard et al., on page 1394

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Exercise testing as a screening modality must be considered in a new light given the paper by Bodegard et al.1 and three other recent screening studies. First, this paper demonstrates the importance of using cardiac endpoints for evaluating cardiac tests. When adjusting for age, men who stopped exercising exclusively because of impaired breathing had a two-fold increased risk of dying from coronary heart disease (CHD) and a 3.5-fold increased risk of dying from pulmonary causes when compared with men who stopped due to volitional fatigue. Although all-cause mortality must be the primary endpoint of intervention studies, this is not the case for cardiac tests, . . . [Full Text of this Article]


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Related articles in EHJ:

Reasons for terminating an exercise test provide independent prognostic information: 2014 apparently healthy men followed for 26 years
Johan Bodegard, Gunnar Erikssen, Jørgen V. Bjørnholt, Knut Gjesdal, Knut Liestøl, and Jan Erikssen
EHJ 2005 26: 1394-1401. [Abstract] [Full Text]