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- W2075205762 abstract "Exercise testing is used to assess the degree of demand that results in myocardial ischemia and the functional result of induced ischemia, thus providing physiologic data that complement the anatomic information available from coronary angiography. Exercise testing has been shown to be useful for evaluating patients with stable coronary artery disease. The results of an exercise test can be used to evaluate patients presenting with chest pain,l for estimation of the ext,ent of disease and the prognosis,‘-’ or for determining the likelihood of benefit from surgical versus medical therapy.‘-” With respect to acute coronary syndromes, many studies have evaluated the use of exercise testing following myocardial infarctioni This report reviews the role of exercise test ing for evaluating patients with unstable angina. Natural history and pathophysiology. Iinstable angina embraces a spectrum of presentations, including new-onset angina, crescendo angina, and rest pain.x, ’ Patients with unstable angina have an increased incidence of myocardial infarction and mortality”‘: studies of pat,ients with unstable angina who are treated with rest and minimal medication show a cardiac mortality of B”, to 10’;’ and an incidence 01 nonfatal myocardial infarction of 12 ’ , to 14 ’ , over a l-year follow-up. il.” In a IO-year prospective follow-up study of patients with unstable angina, Gazes et al.“’ noted an 82“( 1%month survival and a 48’, survival 120 months aft,er diagnosis. The reported incidence of cardiac events associated with unstable angina varies as a function of the patient population studied’“; patients presenting with rest pain have a particularly poor prognosis.” Pathologic and angiographic evidence suggest that acute coronary syndromes most, commonly occur as a" @default.
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- W2075205762 title "The role of exercise testing for evaluating patients with unstable angina" @default.
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