Inspanningstesten: verschil tussen versies

Hiernaast ziet u een foto van een patiënt op een loopband.

In 2002 heeft de American Heart Association (AHA) een aantal Klasse I indicaties opgesteld voor het verrichten van een inspanningstest (1,2). Onderstaand zijn een aantal indicaties opgesomd:

     *To evaluate selected patients with arrhythmias. The major indications are identification of the appropriate setting in patients with rate-adaptive pacemakers, evaluation of patients with congenital complete heart block considering increased physical activity, evaluation of patients with known or suspected exercise-induced arrhythmia (eg, congenital long QT syndrome), and evaluation of the efficacy of therapy in patients with exercise-induced arrhythmia (including atrial fibrillation) (show table 6). In comparison, exercise testing is not routinely recommended in the evaluation of survivors of sudden cardiac death. (See appropriate topic reviews).

Exercise testing is not without potential risks or discomfort to the patient. A national survey published in 1980 analyzed data from over 500,000 exercise tests [19]. For every 10,000 tests there were approximately 3.6 myocardial infarctions, 4.8 serious arrhythmias, and 0.5 deaths [19]. Thus, an assessment of the benefits and risks of testing must be made in each patient prior to the procedure. (See "Life-threatening complications" below).