American Journal of Cardiology
Volume 102, Issue 10 , Pages 1407-1412 , 15 November 2008

Age and Double Product (Systolic Blood Pressure × Heart Rate) Reserve-Adjusted Modification of the Duke Treadmill Score Nomogram in Men

  • Amir H. Sadrzadeh Rafie, MD

      Affiliations

    • Stanford University School Medicine, Stanford, California
    • ,
  • Frederick E. Dewey, MD

      Affiliations

    • Stanford University School Medicine, Stanford, California
    • ,
  • Gannon W. Sungar, BA

      Affiliations

    • Stanford University School Medicine, Stanford, California
    • ,
  • Euan A. Ashley, MRCP, DPhil

      Affiliations

    • Stanford University School Medicine, Stanford, California
    • ,
  • David Hadley, PhD

      Affiliations

    • Cardiac Science, Bothell, Washington
    • ,
  • Jonathan Myers, PhD

      Affiliations

    • VA Palo Alto Health Care System, Palo Alto, California
    • ,
  • Victor F. Froelicher, MD

      Affiliations

    • VA Palo Alto Health Care System, Palo Alto, California
    • Corresponding Author InformationCorresponding author: Tel: 650-493-5000, ext. 64605; fax: 650 849 0298

Received 6 June 2008 ,Revised 13 July 2008 ,Accepted 13 July 2008.

References 

  1. Mark DB, Hlatky MA, Harrell FE, Lee KL, Califf RM, Pryor DB. Exercise treadmill score for predicting prognosis in coronary artery disease. Ann Int Med. 1987;106:793–800
  2. Mark DB, Shaw L, Harrell FE, Hlatky MA, Lee KL, Bengtson JR, et al. Prognostic value of a treadmill exercise score in outpatients with suspected coronary artery disease. New Engl J Med. 1991;325:849–853
  3. Kwok JMF, Miller TD, Hodge DO, Gibbons RJ. Prognostic value of the Duke Treadmill Score in the elderly. J Am Coll Cardiol. 2002;39:1475–1481
  4. Gulati M, Arnsdorf MF, Shaw LJ, Pandey DK, Thisted RA, Lauderdale DS, et al. Prognostic value of the Duke Treadmill Score in asymptomatic women. Amer J Cardiol. 2005;96:369–375
  5. Gibbons RJ, Balady GJ, Bricker JT, Chaitman BR, Fletcher GF, Froelicher VF, et al ACC/AHA 2002 guideline update for exercise testing: summary article: a report of the Amer College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines). J Amer Coll Cardiol. 2002;40:1531–1540
  6. Braunwald E, Jones RH, Mark DB, Brown J, Brown L, Cheitlin MD, et al. Diagnosing and managing unstable angina: Agency for Health Care Policy and Research. Circulation. 1994;90:613–622
  7. Yamazaki T, Myers J, Froelicher VF. Effect of age and end point on the prognostic value of the exercise test. Chest. 2004;125:1920–1928
  8. Dewey FE, Kapoor JR, Williams RS, Lipinski MJ, Ashley EA, Hadley D, et al. Ventricular arrhythmias during clinical treadmill testing and prognosis. Arch Int Med. 2008;168:225–234
  9. Fioretti P, Deckers JW, Salm E, Baardman T, Roelandt JR. Four-year prognostic value of exercise-induced angina and painless ST segment depression early after myocardial infarction. Eur Heart J. 1988;9(Suppl N):123–127
  10. Myers J, Prakash M, Froelicher V, Do D, Partington S, Atwood JE. Exercise capacity and mortality in men referred for exercise testing. New Engl J Med. 2002;346:793–801
  11. Hadley DM, Dewey FE, Freeman JV, Myers JN, Froelicher VF. Prediction of cardiovascular death using a novel heart rate recovery parameter. Med Sci Sports Exerc. 2008;40:1072–1079
  12. Acanfora D, De Caprio L, Cuomo S, Papa M, Ferrara N, Leosco D, et al. Diagnostic value of the ratio of recovery systolic blood pressure to peak exercise systolic blood pressure for the detection of coronary artery disease. Circulation. 1988;77:1306–1310
  13. Villella M, Villella A, Barlera S, Franzosi MG, Maggioni AP. Prognostic significance of double product and inadequate double product response to maximal symptom-limited exercise stress testing after myocardial infarction in 6296 patients treated with thrombolytic agents: GISSI-2 Investigators (Grupo Italiano per lo Studio della Sopravvivenza nell-Infarto Miocardico). Amer Heart J. 1999;137:443–452
  14. Myers J, Buchanan N, Walsh D, Kraemer M, McAuley P, Hamilton-Wessler M, et al. Comparison of the ramp versus standard exercise protocols. J Amer Coll Cardiol. 1991;17:1334–1342
  15. Lachterman B, Lehmann KG, Abrahamson D, Froelicher VF. “Recovery only” ST-segment depression and the predictive accuracy of the exercise test. Annals Int Med. 1990;112:11–16
  16. Myers J, Do D, Herbert W, Ribisl P, Froelicher VF. A nomogram to predict exercise capacity from a specific activity questionnaire and clinical data. Am J Cardiol. 1994;73:591–596
  17. Gibbons RJ, Balady GJ, Bricker JT, Chaitman BR, Fletcher GF, Froelicher VF, et al ACC/AHA 2002 guideline update for exercise testing: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines). Circulation. 2002;106:1883–1892
  18. Yamada H, Do D, Morise A, Atwood JE, Froelicher V. Review of studies using multivariable analysis of clinical and exercise test data to predict angiographic coronary artery disease. Prog Cardiovasc Dis. 1997;39:457–481
  19. Rodeheffer RJ, Gerstenblith G, Becker LC, Fleg JL, Weisfeldt ML, Lakatta EG. Exercise cardiac output is maintained with advancing age in healthy human subjects: cardiac dilatation and increased stroke volume compensate for a diminished heart rate. Circulation. 1984;69:203–213
  20. Stratton JR, Levy WC, Cerqueira MD, Schwartz RS, Abrass IB. Cardiovascular responses to exercise: effects of aging and exercise training in healthy men. Circulation. 1994;89:1648–1655
  21. Kasser IS, Bruce RA. Comparative effects of aging and coronary heart disease on submaximal and maximal exercise. Circulation. 1969;39:759–774
  22. Lai S, Kaykha A, Yamazaki T, Goldstein M, Spin JM, Myers J, et al. Treadmill scores in elderly men. J Amer Coll Cardiol. 2004;43:606–615
  23. Nishime EO, Cole CR, Blackstone EH, Pashkow FJ, Lauer MS. Heart rate recovery and treadmill exercise score as predictors of mortality in patients referred for exercise ECG. JAMA. 2000;284:1392–1398
  24. Gobel FL, Norstrom LA, Nelson RR, Jorgensen CR, Wang Y. The rate-pressure product as an index of myocardial oxygen consumption during exercise in patients with angina pectoris. Circulation. 1978;57:549–556
  25. Nelson RR, Gobel FL, Jorgensen CR, Wang K, Wang Y, Taylor HL. Hemodynamic predictors of myocardial oxygen consumption during static and dynamic exercise. Circulation. 1974;50:1179–1189
  26. Kitamura K, Jorgensen CR, Gobel FL, Taylor HL, Wang Y. Hemodynamic correlates of myocardial oxygen consumption during upright exercise. J Appl Physiol. 1972;32:516–522
  27. Shaw LJ, Hachamovitch R, Redberg RF. Current evidence on diagnostic testing in women with suspected coronary artery disease: choosing the appropriate test. Cardiol Rev. 2000;8:65–74

PII: S0002-9149(08)01237-X

doi: 10.1016/j.amjcard.2008.07.020

American Journal of Cardiology
Volume 102, Issue 10 , Pages 1407-1412 , 15 November 2008

Article Tools

* Image Usage & Resolution