Document Detail

Stress testing for coronary artery disease in the elderly.
MedLine Citation:
PMID:  8653653     Owner:  NLM     Status:  MEDLINE    
The elderly constitute an increasing percentage of patients evaluated and treated for coronary artery disease. Clinical and noninvasive evaluation are important in both the diagnosis and prognosis of coronary disease in the elderly, and stress testing is an important part of that evaluation. For older individuals capable of vigorous treadmill or cycle exercise, the exercise electrocardiogram, either alone or combined with radionuclide or echocardiographic imaging, remains an excellent diagnostic and prognostic tool. For the large percentage of elderly patients unable to perform adequate exercise, pharmacologic stress testing with dipyridamole, adenosine, or dobutamine is a valuable alternative. The clinician's challenge is to choose the most appropriate cardiac stress test for his or her patient from among the many alternatives available. Future studies comparing the accuracy and cost-to-benefit ratio of various stress tests with regard to the elderly will help achieve this goal.
S P Schulman; J L Fleg
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in geriatric medicine     Volume:  12     ISSN:  0749-0690     ISO Abbreviation:  Clin. Geriatr. Med.     Publication Date:  1996 Feb 
Date Detail:
Created Date:  1996-07-31     Completed Date:  1996-07-31     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8603766     Medline TA:  Clin Geriatr Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  101-19     Citation Subset:  IM    
Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
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MeSH Terms
Aged, 80 and over
Coronary Disease / diagnosis*,  radionuclide imaging
Exercise Test* / methods,  utilization
Sensitivity and Specificity

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