The Duke treadmill score with bicycle ergometer : Exercise capacity is the most important predictor of cardiovascular mortality

Show full item record



Permalink

http://hdl.handle.net/10138/298615

Citation

Salokari , E , Laukkanen , J A , Lehtimaki , T , Kurl , S , Kunutsor , S , Zaccardi , F , Viik , J , Lehtinen , R , Nikus , K , Kööbi , T , Turjanmaa , V , Kähönen , M & Nieminen , T 2019 , ' The Duke treadmill score with bicycle ergometer : Exercise capacity is the most important predictor of cardiovascular mortality ' , European journal of preventive cardiology , pp. 199-207 . https://doi.org/10.1177/2047487318804618

Title: The Duke treadmill score with bicycle ergometer : Exercise capacity is the most important predictor of cardiovascular mortality
Author: Salokari, Esko; Laukkanen, Jari A; Lehtimaki, Terho; Kurl, Sudhir; Kunutsor, Setor; Zaccardi, Francesco; Viik, Jari; Lehtinen, Rami; Nikus, Kjell; Kööbi, Tiit; Turjanmaa, Väinö; Kähönen, Mika; Nieminen, Tuomo
Contributor: University of Helsinki, Clinicum
University of Helsinki, Department of Medicine
Date: 2019-01
Language: eng
Number of pages: 9
Belongs to series: European journal of preventive cardiology
ISSN: 2047-4873
URI: http://hdl.handle.net/10138/298615
Abstract: BackgroundThe Duke treadmill score, a widely used treadmill testing tool, is a weighted index combining exercise time or capacity, maximum ST-segment deviation and exercise-induced angina. No previous studies have investigated whether the Duke treadmill score and its individual components based on bicycle exercise testing predict cardiovascular death.DesignTwo populations with a standard bicycle testing were used: 3936 patients referred for exercise testing (2371 men, age 56?±?13 years) from the Finnish Cardiovascular Study (FINCAVAS) and a population-based sample of 2683 men (age 53?±?5.1 years) from the Kuopio Ischaemic Heart Disease study (KIHD).MethodsCox regression was applied for risk prediction with cardiovascular mortality as the primary endpoint.ResultsIn FINCAVAS, during a median 6.3-year (interquartile range (IQR) 4.5?8.2) follow-up period, 180 patients (4.6%) experienced cardiovascular mortality. In KIHD, 562 patients (21.0%) died from cardiovascular causes during the median follow-up of 24.1 (IQR 18.0?26.2) years. The Duke treadmill score was associated with cardiovascular mortality in both populations (FINCAVAS, adjusted hazard ratio (HR) 3.15 for highest vs. lowest Duke treadmill score tertile, 95% confidence interval (CI) 1.83?5.42, P?
Subject: 3121 General medicine, internal medicine and other clinical medicine
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
2047487318804618.pdf 311.7Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record