Clinical experience of a new reference material for exercise capacity in exercise stress testing in Sweden
(2018) In Clinical Physiology and Functional Imaging 38(4). p.699-702- Abstract
Summary: Background: In 2014, the Swedish Association of Clinical Physiology recommended the use of a new reference material for exercise capacity in bicycle exercise stress testing, 'the Kalmar material'. Compared to the formerly used reference material, 'the Kristianstad material', an increase in the amount of patients being classified as having decreased exercise capacity was expected, but the extent of this in clinical practice is not known. Methods: Results of exercise capacity from 1449 bicycle exercise tests, in patients aged ≥20 years (656 women, 793 men) performed at two departments of Clinical Physiology before and after change of reference materials, were collected. Maximal workload was related to the predicted values of both... (More)
Summary: Background: In 2014, the Swedish Association of Clinical Physiology recommended the use of a new reference material for exercise capacity in bicycle exercise stress testing, 'the Kalmar material'. Compared to the formerly used reference material, 'the Kristianstad material', an increase in the amount of patients being classified as having decreased exercise capacity was expected, but the extent of this in clinical practice is not known. Methods: Results of exercise capacity from 1449 bicycle exercise tests, in patients aged ≥20 years (656 women, 793 men) performed at two departments of Clinical Physiology before and after change of reference materials, were collected. Maximal workload was related to the predicted values of both reference materials. If made, recommendations for supplemental nuclear myocardial perfusion imaging study by the attending physician were noted. Results: Using the new reference material, 31% of all patients were classified as having a decreased exercise capacity, compared to 17% using the formerly used reference material. The difference between the two reference materials was largest in the older age groups. In one of the departments, an increase in recommendations of supplemental myocardial perfusion studies was seen after introduction of the new reference material, whereas the opposite was seen at the other department. Conclusion: A large amount of patients are being classified as having decreased exercise capacity and very few as having good exercise capacity using the new reference material for exercise capacity.
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- author
- Lindow, Thomas LU ; Mosén, Henrik LU and Engblom, Henrik LU
- organization
- publishing date
- 2018
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adults, Exercise capacity, Exercise stress testing, Reference values, Work capacity
- in
- Clinical Physiology and Functional Imaging
- volume
- 38
- issue
- 4
- pages
- 699 - 702
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- pmid:28940689
- scopus:85030214567
- ISSN
- 1475-0961
- DOI
- 10.1111/cpf.12471
- language
- English
- LU publication?
- yes
- id
- 57a65adc-bc2b-422a-a9f3-176069b7126a
- date added to LUP
- 2017-11-06 15:53:48
- date last changed
- 2024-06-24 03:28:10
@article{57a65adc-bc2b-422a-a9f3-176069b7126a,
abstract = {{<p>Summary: Background: In 2014, the Swedish Association of Clinical Physiology recommended the use of a new reference material for exercise capacity in bicycle exercise stress testing, 'the Kalmar material'. Compared to the formerly used reference material, 'the Kristianstad material', an increase in the amount of patients being classified as having decreased exercise capacity was expected, but the extent of this in clinical practice is not known. Methods: Results of exercise capacity from 1449 bicycle exercise tests, in patients aged ≥20 years (656 women, 793 men) performed at two departments of Clinical Physiology before and after change of reference materials, were collected. Maximal workload was related to the predicted values of both reference materials. If made, recommendations for supplemental nuclear myocardial perfusion imaging study by the attending physician were noted. Results: Using the new reference material, 31% of all patients were classified as having a decreased exercise capacity, compared to 17% using the formerly used reference material. The difference between the two reference materials was largest in the older age groups. In one of the departments, an increase in recommendations of supplemental myocardial perfusion studies was seen after introduction of the new reference material, whereas the opposite was seen at the other department. Conclusion: A large amount of patients are being classified as having decreased exercise capacity and very few as having good exercise capacity using the new reference material for exercise capacity.</p>}},
author = {{Lindow, Thomas and Mosén, Henrik and Engblom, Henrik}},
issn = {{1475-0961}},
keywords = {{Adults; Exercise capacity; Exercise stress testing; Reference values; Work capacity}},
language = {{eng}},
number = {{4}},
pages = {{699--702}},
publisher = {{John Wiley & Sons Inc.}},
series = {{Clinical Physiology and Functional Imaging}},
title = {{Clinical experience of a new reference material for exercise capacity in exercise stress testing in Sweden}},
url = {{http://dx.doi.org/10.1111/cpf.12471}},
doi = {{10.1111/cpf.12471}},
volume = {{38}},
year = {{2018}},
}