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Scand J Prim Health Care. 2005 Mar;23(1):47-51.

Exercise treadmill test may predict clinical outcome among working-aged patients suspected of coronary heart disease in general practice.

Author information

1
Kangasala Health Centre, Finland. markku.sumanen@kolumbus.fi

Abstract

OBJECTIVE:

To specify the diagnostic value of treadmill tests conducted in primary health care by trained GPs for working-aged patients.

DESIGN:

A two-year follow-up study.

SETTING:

Kangasala Health Centre, Finland.

SUBJECTS:

All patients under the age of 60 (n = 348) examined by exercise treadmill test carried out by trained GPs during a period of three years.

MAIN OUTCOME MEASURES:

The number of patients having a diagnosis of coronary heart disease at the end of two years' follow-up. Predictive values of the exercise test.

RESULTS:

During the two years' follow-up period CHD was diagnosed in six of the patients who did not yield a positive finding in the test. A negative finding in the test was very reliable; coronary heart disease manifested in only 2% of these cases. Almost half of the patients yielding a positive finding ended up having coronary angiography and 1 in 10 underwent coronary bypass surgery.

CONCLUSION:

Among working-aged patients suspected of coronary heart disease an exercise treadmill test may predict clinical outcome in general practice.

PMID:
16025874
[Indexed for MEDLINE]
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