Patricia J. Best, MD; A. Jamil Tajik, MD; Raymond J. Gibbons, MD; Patricia A. Pellikka, MD
Best PJ, Tajik AJ, Gibbons RJ, Pellikka PA. The Safety of Treadmill Exercise Stress Testing in Patients with Abdominal Aortic Aneurysms. Ann Intern Med. 1998;129:628-631. doi: 10.7326/0003-4819-129-8-199810150-00008
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Published: Ann Intern Med. 1998;129(8):628-631.
Exercise stress testing in patients with abdominal aortic aneurysms may cause enlargement or rupture of aneurysms.
To evaluate the safety of treadmill exercise stress testing in patients with abdominal aortic aneurysms.
Retrospective descriptive study.
Tertiary care center.
262 patients who had abdominal aortic aneurysms more than 4 cm in diameter and underwent treadmill exercise stress testing.
Pain after stress testing, rupture of the aneurysm or death, aneurysm size, and exercise stress test results.
The average aneurysm diameter was 5.5 ± 1.1 cm. One patient with a 6.1-cm aneurysm was found to have a contained rupture 12 hours after stress testing. The event rate for aneurysm rupture was 0.4% (95% CI, 0.0% to 2.1%). No deaths or other negative outcomes were documented.
Despite theoretical concerns, exercise stress testing of patients with abdominal aortic aneurysms seems to be safe and is associated with a low incidence of acute adverse events.
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Cardiology, Emergency Medicine, Pulmonary/Critical Care, Cardiac Diagnosis and Imaging, Prevention/Screening.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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