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Prognostic value of exercise testing in women after acute coronary syndromes (the Stockholm female coronary risk study)

      Exercise electrocardiographic testing is a widely used noninvasive procedure for the diagnostic and prognostic assessment of coronary heart disease. However, compared with men, the prognostic value of exercise testing is uncertain in women due to limited number of women included in studies. Early adequate risk stratification in female patients recovering from acute coronary syndrome is becoming more important as newly published studies show a high mortality rate in young female patients with myocardial infarction compared with men at the same age,
      • Vaccarino V.
      • Parsons L.
      • Every N.R.
      • Barron H.V.
      • Krumholz H.M.
      Participants for the National Registry of Myocardial Infarction 2 Participants
      Sex-based differences in early mortality after myocardial infarction.
      and that coronary intervention studies show uncertain effects in women with unstable coronary syndrome.
      Fragmin, and Fast Resvascularisation During Instability in Coronary Artery Disease (FRISC II) Investigators
      Invasive compared with non-invasive treatment in unstable coronary-artery disease FRISC II prospective randomised multicentre study.
      In the Stockholm Female Coronary Risk Study we had the opportunity to address this issue in a cohort of women ≤65 years old who had been hospitalized for acute coronary syndromes in the greater Stockholm area. This study describes the value of exercise testing parameters for the prediction of recurrent coronary events during a 5-year follow-up period.
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