IRA B. FISHMAN, M.D.
To the editor: The final conclusions drawn by Stang and Lewis (1) are disturbingly illogical. They will certainly be ignored by an overwhelming majority of internists and cardiologists who regularly do predischarge exercise testing on their patients with myocardial infarction.
In the concluding paragraph, the authors have noted that early exercise testing should "remain a technique for tertiary care centers." However, earlier in the editorial they confirm the extraordinary safety of this technique and reinforce its value by stating that "not to do an exercise test before discharge is to ask the patient to do the treadmill test at home."
FISHMAN IB. Exercise Tests After Myocardial Infarction. Ann Intern Med. ;95:390–391. doi: 10.7326/0003-4819-95-3-390_2
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Published: Ann Intern Med. 1981;95(3):390-391.
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