Low Prevalance of Major Events Adverse to Exercise Stress Echocardiography
Abstract Background: Stress echocardiography is well validated for diagnosis and risk stratification of coronary artery disease. Exercise stress echocardiography (ESE) has been shown to be the most physiological among the modalities of stress, but its safety is not well established. Objective: To study the complications related to ESE and clinical and echocardiographic variables most commonly associated with their occurrence. Methods: Cross-sectional study consisting of 10250 patients submitted to ESE for convenience, from January 2000 to June 2014. Cardiac Arrhythmias (CA) were the most frequent complications observed during the examination. The volunteers were divided into two groups according to the occurrence of CA during ESE: G1 group, composed of patients who have CA, and G2 formed by individuals who did not show such complication. Results: Group G1, consisting of 2843 patients (27.7%), and Group G2 consisting of 7407 patients (72.3%). There was no death, acute myocardial infarction, ventricular fibrillation or asystole. Predominant CAs were: supraventricular extrasystoles (13.7%), and ventricular extrasystoles (11.5%). G1 group had a higher mean age, higher frequency of hypertension and smoking, larger aortic roots and left atrium (LA) and lower ejection fraction than G2. G1 group also had more ischemic changes (p < 0.001). The predictor variables were age (RR 1.04; [CI] 95% from 1.038 to 1.049) and LA (RR 1.64; [CI] 95% from 1.448 to 1.872). Conclusion: ESE proved to be a safe modality of stress, with non-fatal complications only. Advanced age and enlargement of the left atrium are predictive of cardiac arrhythmias.
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Sociedade Brasileira de Cardiologia - SBC
2016
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oai:scielo:S0066-782X20160041001162016-09-09Low Prevalance of Major Events Adverse to Exercise Stress EchocardiographyAndrade,Stephanie MacedoTelino,Caio José Coutinho LealSousa,Antônio Carlos SobralMelo,Enaldo Vieira deTeixeira,Carla Carolina CardosoTeixeira,Clarissa Karine CardosoSantana,Jaquiele SantosMota,Igor LarchertMatos,Carlos José Oliveira deOliveira,Joselina Luzia Menezes Coronary Artery Disease Exercise / physiology Exercise Test Safety Abstract Background: Stress echocardiography is well validated for diagnosis and risk stratification of coronary artery disease. Exercise stress echocardiography (ESE) has been shown to be the most physiological among the modalities of stress, but its safety is not well established. Objective: To study the complications related to ESE and clinical and echocardiographic variables most commonly associated with their occurrence. Methods: Cross-sectional study consisting of 10250 patients submitted to ESE for convenience, from January 2000 to June 2014. Cardiac Arrhythmias (CA) were the most frequent complications observed during the examination. The volunteers were divided into two groups according to the occurrence of CA during ESE: G1 group, composed of patients who have CA, and G2 formed by individuals who did not show such complication. Results: Group G1, consisting of 2843 patients (27.7%), and Group G2 consisting of 7407 patients (72.3%). There was no death, acute myocardial infarction, ventricular fibrillation or asystole. Predominant CAs were: supraventricular extrasystoles (13.7%), and ventricular extrasystoles (11.5%). G1 group had a higher mean age, higher frequency of hypertension and smoking, larger aortic roots and left atrium (LA) and lower ejection fraction than G2. G1 group also had more ischemic changes (p < 0.001). The predictor variables were age (RR 1.04; [CI] 95% from 1.038 to 1.049) and LA (RR 1.64; [CI] 95% from 1.448 to 1.872). Conclusion: ESE proved to be a safe modality of stress, with non-fatal complications only. Advanced age and enlargement of the left atrium are predictive of cardiac arrhythmias.info:eu-repo/semantics/openAccessSociedade Brasileira de Cardiologia - SBCArquivos Brasileiros de Cardiologia v.107 n.2 20162016-08-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016004100116en10.5935/abc.20160096 |
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Andrade,Stephanie Macedo Telino,Caio José Coutinho Leal Sousa,Antônio Carlos Sobral Melo,Enaldo Vieira de Teixeira,Carla Carolina Cardoso Teixeira,Clarissa Karine Cardoso Santana,Jaquiele Santos Mota,Igor Larchert Matos,Carlos José Oliveira de Oliveira,Joselina Luzia Menezes |
| spellingShingle |
Andrade,Stephanie Macedo Telino,Caio José Coutinho Leal Sousa,Antônio Carlos Sobral Melo,Enaldo Vieira de Teixeira,Carla Carolina Cardoso Teixeira,Clarissa Karine Cardoso Santana,Jaquiele Santos Mota,Igor Larchert Matos,Carlos José Oliveira de Oliveira,Joselina Luzia Menezes Low Prevalance of Major Events Adverse to Exercise Stress Echocardiography |
| author_facet |
Andrade,Stephanie Macedo Telino,Caio José Coutinho Leal Sousa,Antônio Carlos Sobral Melo,Enaldo Vieira de Teixeira,Carla Carolina Cardoso Teixeira,Clarissa Karine Cardoso Santana,Jaquiele Santos Mota,Igor Larchert Matos,Carlos José Oliveira de Oliveira,Joselina Luzia Menezes |
| author_sort |
Andrade,Stephanie Macedo |
| title |
Low Prevalance of Major Events Adverse to Exercise Stress Echocardiography |
| title_short |
Low Prevalance of Major Events Adverse to Exercise Stress Echocardiography |
| title_full |
Low Prevalance of Major Events Adverse to Exercise Stress Echocardiography |
| title_fullStr |
Low Prevalance of Major Events Adverse to Exercise Stress Echocardiography |
| title_full_unstemmed |
Low Prevalance of Major Events Adverse to Exercise Stress Echocardiography |
| title_sort |
low prevalance of major events adverse to exercise stress echocardiography |
| description |
Abstract Background: Stress echocardiography is well validated for diagnosis and risk stratification of coronary artery disease. Exercise stress echocardiography (ESE) has been shown to be the most physiological among the modalities of stress, but its safety is not well established. Objective: To study the complications related to ESE and clinical and echocardiographic variables most commonly associated with their occurrence. Methods: Cross-sectional study consisting of 10250 patients submitted to ESE for convenience, from January 2000 to June 2014. Cardiac Arrhythmias (CA) were the most frequent complications observed during the examination. The volunteers were divided into two groups according to the occurrence of CA during ESE: G1 group, composed of patients who have CA, and G2 formed by individuals who did not show such complication. Results: Group G1, consisting of 2843 patients (27.7%), and Group G2 consisting of 7407 patients (72.3%). There was no death, acute myocardial infarction, ventricular fibrillation or asystole. Predominant CAs were: supraventricular extrasystoles (13.7%), and ventricular extrasystoles (11.5%). G1 group had a higher mean age, higher frequency of hypertension and smoking, larger aortic roots and left atrium (LA) and lower ejection fraction than G2. G1 group also had more ischemic changes (p < 0.001). The predictor variables were age (RR 1.04; [CI] 95% from 1.038 to 1.049) and LA (RR 1.64; [CI] 95% from 1.448 to 1.872). Conclusion: ESE proved to be a safe modality of stress, with non-fatal complications only. Advanced age and enlargement of the left atrium are predictive of cardiac arrhythmias. |
| publisher |
Sociedade Brasileira de Cardiologia - SBC |
| publishDate |
2016 |
| url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016004100116 |
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