Use of stress testing early after coronary artery bypass graft surgery

The American Journal of Cardiology
Mark J EisenbergROSETTA-CABG Investigators

Abstract

The American College of Cardiology/American Heart Association guidelines for exercise testing do not take a position regarding the utility of routine stress testing after coronary artery bypass grafting (CABG). Our purposes were (1) to document the patterns of use of stress testing after CABG and (2) to establish whether the choice of stress testing strategy is associated with clinical characteristics of patients. The Routine versus Selective Exercise Treadmill Testing after Coronary Artery Bypass Graft Surgery (ROSETTA-CABG) Registry is a prospective multicenter study that examined the use of stress testing after CABG among 395 patients at 16 clinical centers in 6 countries. During the 12 months after CABG, 37% of patients underwent stress testing (range across centers 0% to 100%). Among patients who underwent stress testing, 24% had a clinical indication and 76% had it as a routine follow-up. A total of 65% of stress tests involved exercise treadmill testing alone, 17% involved stress nuclear perfusion imaging, 13% involved stress echocardiographic imaging, and 5% involved other types of stress tests, such as positron emission tomographic scans. The first stress test was performed at a median of 13 weeks after CABG, with 20% ...Continue Reading

References

Mar 1, 1989·The American Journal of Cardiology·P DubachR Detrano
Apr 3, 1998·Journal of the American College of Cardiology·T D MillerR J Gibbons
May 10, 2001·Journal of the American College of Cardiology·A ElhendyP A Pellikka
Feb 19, 2002·Journal of the American College of Cardiology·Adelaide M Arruda-OlsonPatricia A Pellikka
Oct 3, 2002·Circulation·Raymond J GibbonsUNKNOWN American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Ex

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Citations

Mar 31, 2011·Medicine and Science in Sports and Exercise·Benjamin L WillisKenneth H Cooper
Nov 7, 2018·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Jared Hornberger, Edward Hulten

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