Patient’s ability to perform a cardiac stress test offers a critical window on his Mortality Risk

Patient’s ability to perform a cardiac stress test offers a critical window on his Mortality Risk


Annualized Mortality Rate Person-YEARS According to Patients’ Number of Coronary Artry Disease Risk Factors and Number of CardiC-Related Comorbidities for Patients Who Performed Treaty Exercise (Left) and Who Underwent Pharmacologic Testing (Right) DURING DURSS-RESS-REST SINGLE-PHOTON Emission Computed Tomography Myocardial Perfusion Imaging. Credit: Mount Sinai Health System

People who can exercise successful on a treadmill during cardiac stress testing has a lower mortality risk regardless of their overall level of heart disease, a mountain sina-led TEAM of Resource Found.

The results of their study, Reported February 19 in Mayo clinic proceedingsUnderscore the potential life-serving benefits of physical fitness, a Finding which researchers encouraged physicians to share with their patients.

“Our data show that assessing a person’s ability to exercise during Cardiac stress testing and their exercise capacity provides a stronger distribution distribution between high- and low-revolts ThanNy Outer Clinical Risk factors evaluated at the time of cardiac stress testing, “Says Alan Rozanski, MD, Professor of Medicine (Cardiology) at the ICAHN SCHOOL OF MEDICINE at MOUNT SINAT SINAI and Lead Author of the Study.

“Our results highlight the importance of evaluating patients’ Exercise ability during testing and promoting physical activity or corrections to exercise limitations amon whats

The Study offers The Most Comprehensive Evaluation to Date of How Known Risk Factors Such as Hypertension, Diabetes, Smoking, Smoking, and Cardiac-Related Comorbidities Such as Peripheral Vasacular dissese Synergistically Affect the Mortality Risk of Patients Undergoing Cardiac Stress Testing.

The team analyzed and followed for Nearly Seven Years 15,562 Patients Who Were Given Spect Myocardial Perfusion Imaging, a Test that Assesses Blood Flow to the Heart Deringing BOT DUTH Stres and REST AREAS AREAS AREAS Reduced flow. Patients were divided into that one who could perform treadmill exercise and those who could not, with the latter undergoing medication-iduced coronary artry dilaation as an alternative for detect for detract

Researchers found that amon those who performed treadmill exercise, The Mortality Rate was Less Than One Percent A Year, Regardless of the Patient’s Burden of Coronary Artry Disease (Cad) Riske Factors and Comorbidities. By contrast, the annual rate of Mortality was markedly Higher Among Pharmacologically Tested Participants, and Increased Synergistically with a Higher Burden of Cad Risk Factors and Comorbidities.

“While these findings do not definitely establish causality due to the observational nature of our data, the magnitude of the results stangle sugged a highly protective Role for Physical Fitness,” Dr. Rozanski, who is widely recognized for his novel research integrating the fields of preventant cardiology with health physiology and behavioral medicine.

The results also demonstrated the need for Cardiac Stress Test Reports to Provide Comprehensive Evidence About A PATINES Ability to Exercise to Exercise at the time of testing. When an inability exists, according to the study, it should encourage physicians to thoroughly evaloo Prompt Appropriate Interventions for Patients.

“This information should prompt doctors to have more meaningful conversations with patients about the importance of staying active,” Emphasizes Dr. Rozanski. “Newer guidelines show that even small amounts of physical activity can improve health, and that short bursts of activity through the day can add up to significant cardio benefits. Message for physicians to convey to patients. “

More information:
Alan Rozanski et al, Comparative Predictors of Mortality Among Patients Referred for Stress Single-PHOTON EMISSION Computed Tomography Versus Positron Emision Tomography Myocardial Perfusion ” Journal of Nuclear Cardiology (2024). Doi: 10.1016/j.nuclcard.2024.101811

Provided by the mount sinai hospital


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