Use of routine functional testing after percutaneous transluminal coronary angioplasty: results from the ROSETTA Registry

American Heart Journal
M J EisenbergROSETTA Investigators

Abstract

The American College of Cardiology (ACC)/American Heart Association (AHA) guidelines for exercise testing suggest that only selected groups of high-risk patients should undergo routine functional testing after percutaneous transluminal coronary angioplasty (PTCA) for the detection of restenosis. Our purpose was (1) to document the patterns of use of post-PTCA functional testing and (2) to determine whether the choice of functional testing strategy is related to clinical characteristics of patients or whether physicians use a similar strategy for all their patients. The Routine Versus Selective Exercise Treadmill Testing After Angioplasty (ROSETTA) Registry is a prospective study examining the use of functional testing among 788 patients at 13 centers in 5 countries. During the 6-month period after a successful PTCA, 49% of patients underwent functional testing (range among centers 10%-81%). Among patients who underwent functional testing, 39% had a clinical indication and 61% had functional testing as a routine follow-up. The first functional test was performed a median of 7 weeks after PTCA, with 13% of patients having second tests at a median of 14 weeks and 4% having additional tests at a median of 20 weeks. Univariate and m...Continue Reading

References

May 1, 1991·Journal of the American College of Cardiology·R M CaliffR S Stack
Feb 1, 1990·Journal of the American College of Cardiology·K J BeattP G Hugenholtz
Oct 1, 1995·European Heart Journal·F A FlachskampfP Hanrath

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Citations

Mar 31, 2007·BMC Cardiovascular Disorders·Mohan N BabapulleMark J Eisenberg
May 5, 2009·Scandinavian Cardiovascular Journal : SCJ·Karl AndersenThorarinn Gudnason
Jul 8, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Francesco BurzottaFilippo Crea
Dec 6, 2003·The American Journal of Medicine·Timothy A Mixon, Gregory J Dehmer
Aug 16, 2016·International Journal of Cardiology·Naoki MisumidaYumiko Kanei
May 10, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Marco FerliniRoberta Rossini

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