Comparison of Myocardial Ischemia on the Ergocycle Versus the Treadmill in Patients With Coronary Heart Disease

February 25th, 2010    Posted by: admin

Publication year: 2010
Source: The American Journal of Cardiology, Volume 105, Issue 5, 1 March 2010, Pages 633-639

Martin, Noël , Jean, Jobin , Audrey, Marcoux , Paul, Poirier , Gilles, Dagenais , …

We previously observed an attenuation of exercise-induced myocardial ischemia on the ergocycle during a ramp protocol compared to the standard Bruce protocol treadmill test in patients with coronary heart disease. However, it was uncertain whether decreased ischemia on the ergocycle resulted from the warm-up effect of the more gradual ramp protocol or from the mode of exercise itself (cycling vs running). Sixteen stable patients, aged 64 ± 5 years, with documented coronary heart disease (≥70% coronary artery stenosis and/or reversible myocardial perfusion defects) performed 3 symptom-limited exercise tests: the standard Bruce protocol treadmill test and 2 individualized ramp protocols (treadmill…

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