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Arch Cardiovasc Dis. 2018 Aug 6. pii: S1875-2136(18)30101-3. doi: 10.1016/j.acvd.2018.07.001. [Epub ahead of print]

French Society of Cardiology guidelines on exercise tests (part 2): Indications for exercise tests in cardiac diseases.

Author information

1
Cardiac Rehabilitation Department, Turin Clinic, 75008 Paris, France.
2
Cardiac Rehabilitation Department, Loire-Vendée-Océan Hospital, boulevard des Régents, BP2, 44270 Machecoul, France. Electronic address: pavy.bruno@wanadoo.fr.
3
Paediatric and Congenital Cardiology Department, M3C Regional Competences Centre, University Hospital, 54511 Vandoeuvre-les-Nancy, France; EA 3450, Development, Adaptation and Disadvantage, Faculty of Medicine, University of Lorraine, 54600 Villers-lès-Nancy, France.
4
Platform for Clinical Research Assistance, University Hospital, 54511 Vandoeuvre-les-Nancy, France; EA 4360 APEMAC, Faculty of Medicine, University of Lorraine, 54600 Villers-lès-Nancy, France.
5
Cardiac Rehabilitation Department, Bligny Medical Centre, 91640 Briis-sous-Forges, France.
6
Cardiac Rehabilitation Department, Bordeaux University Hospital, 33604 Pessac, France.
7
Cardiac Rehabilitation Department, Corentin-Celton Hospital, 92130 Issy-Les-Moulineaux, France.
8
Cardiac Rehabilitation Department, Les Rosiers Clinic, 21000 Dijon, France.
9
Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, University Hospital, 34295 Montpellier, France; Physiology and Experimental Biology of Heart and Muscles Laboratory, PHYMEDEXP, UMR CNRS 9214-Inserm U1046, University of Montpellier, 34295 Montpellier, France.
10
Cardiology Functional Evaluation Department, University Hospital Laennec, 44800 Nantes, France.
11
Cardiology Department, Hospital Lariboisière, 75010 Paris, France.
12
Department of Sport Medicine, Pontchaillou Hospital, University of Rennes 1, Inserm 1099, 35043 Rennes, France.

Abstract

The exercise test is performed routinely in cardiology; its main indication is the diagnosis of myocardial ischemia, evaluated along with the subject's pretest probability and cardiovascular risk level. Other criteria, such as analysis of repolarization, must be taken into consideration during the interpretation of an exercise test, to improve its predictive value. An exercise test is also indicated for many other cardiac diseases (e.g. rhythm and conduction disorders, severe asymptomatic aortic stenosis, hypertrophic cardiomyopathy, peripheral artery disease, hypertension). Moreover, an exercise test may be indicated for specific populations (women, the elderly, patients with diabetes mellitus, patients in a preoperative context, asymptomatic patients and patients with congenital heart defects). Some cardiac diseases (such as chronic heart failure or arterial pulmonary hypertension) require a cardiopulmonary exercise test. Finally, an exercise test or a cardiopulmonary exercise test is indicated to prescribe a cardiac rehabilitation programme, adapted to the patient.

KEYWORDS:

Exercise test; French guidelines; Indications; Recommandations françaises; Tests d’effort

PMID:
30093255
DOI:
10.1016/j.acvd.2018.07.001

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