Exercise Tests: A Survey of Procedures, Safety, and Litigation Experience in Approximately 170,000 Tests

Paul Rochmis; Henry Blackburn

doi:10.1001/jama.217.8.1061

Exercise Tests: A Survey of Procedures, Safety, and Litigation Experience in Approximately 170,000 Tests

Paul Rochmis
, Henry Blackburn

Research output: Contribution to journal › Article › peer-review

151 Scopus citations

Abstract

This report surveys the techniques, safety and litigation experience of 170,000 exercise stress tests performed in 73 medical centers. Procedures and results varied but certain patterns emerged: (1) A medical history was required before testing in 89% of centers, a physical examination in 97%, and a resting electrocardiogram in 57%. (2) Active cardiac disease precluded testing. (3) Informed consent was sought in 75% and was required in written form in 30%. (4) Specific test-interruption criteria involved symptoms, signs, and ECG findings. (5) Progressive workloads were employed by 73%. (6) Full resuscitation facilities were available. (7) The mortality was about 1 per 10,000 tests (16 per 170,000). (8) Combined mortalitymorbidity was about 4 per 10,000 tests. (9) Mortality was not clearly related to type of test. (10) Successful litigation, with an out-of-court settlement was reported in one instance.

Original language	English (US)
Pages (from-to)	1061-1066
Number of pages	6
Journal	JAMA: The Journal of the American Medical Association
Volume	217
Issue number	8
DOIs	https://doi.org/10.1001/jama.217.8.1061
State	Published - Aug 23 1971
Externally published	Yes

Bibliographical note

Funding Information:
ThisreportwassponsoredbytheTech¬ nical Group on Exercise Electrocardiogra- phyandsupportedbytheHeartDisease andStrokeControlProgram,Public Health Service (contract grant PH 86-68- 170,TechnicalGrouponExerciseElectro- cardiography).Itsothermemberswere GunnarBlomquist,RobertBruce,Samuel FoxIII,AlvinFreiman,WilliamHaskell, LarryJackson,EugeneLepeschkin,Rob¬ ertE.Mason,PenttiRautaharjuandL. ThomasSheffield. Partial support was also giventhroughPublicHealthServicegrant HE-06314totheUniversityofMinnesota CardiovascularClinicalResearchPro¬

Publisher link

10.1001/jama.217.8.1061

Find It

Find It at U of M Libraries

Cite this

@article{dea7a3b8c87e4a2ab5bec49ceb1dce95,

title = "Exercise Tests: A Survey of Procedures, Safety, and Litigation Experience in Approximately 170,000 Tests",

abstract = "This report surveys the techniques, safety and litigation experience of 170,000 exercise stress tests performed in 73 medical centers. Procedures and results varied but certain patterns emerged: (1) A medical history was required before testing in 89\% of centers, a physical examination in 97\%, and a resting electrocardiogram in 57\%. (2) Active cardiac disease precluded testing. (3) Informed consent was sought in 75\% and was required in written form in 30\%. (4) Specific test-interruption criteria involved symptoms, signs, and ECG findings. (5) Progressive workloads were employed by 73\%. (6) Full resuscitation facilities were available. (7) The mortality was about 1 per 10,000 tests (16 per 170,000). (8) Combined mortalitymorbidity was about 4 per 10,000 tests. (9) Mortality was not clearly related to type of test. (10) Successful litigation, with an out-of-court settlement was reported in one instance.",

author = "Paul Rochmis and Henry Blackburn",

note = "Funding Information: ThisreportwassponsoredbytheTech¬ nical Group on Exercise Electrocardiogra- phyandsupportedbytheHeartDisease andStrokeControlProgram,Public Health Service (contract grant PH 86-68- 170,TechnicalGrouponExerciseElectro- cardiography).Itsothermemberswere GunnarBlomquist,RobertBruce,Samuel FoxIII,AlvinFreiman,WilliamHaskell, LarryJackson,EugeneLepeschkin,Rob¬ ertE.Mason,PenttiRautaharjuandL. ThomasSheffield. Partial support was also giventhroughPublicHealthServicegrant HE-06314totheUniversityofMinnesota CardiovascularClinicalResearchPro¬",

year = "1971",

month = aug,

day = "23",

doi = "10.1001/jama.217.8.1061",

language = "English (US)",

volume = "217",

pages = "1061--1066",

journal = "JAMA: The Journal of the American Medical Association",

issn = "0098-7484",

publisher = "American Medical Association",

number = "8",

}

TY - JOUR

T1 - Exercise Tests

T2 - A Survey of Procedures, Safety, and Litigation Experience in Approximately 170,000 Tests

AU - Rochmis, Paul

AU - Blackburn, Henry

N1 - Funding Information: ThisreportwassponsoredbytheTech¬ nical Group on Exercise Electrocardiogra- phyandsupportedbytheHeartDisease andStrokeControlProgram,Public Health Service (contract grant PH 86-68- 170,TechnicalGrouponExerciseElectro- cardiography).Itsothermemberswere GunnarBlomquist,RobertBruce,Samuel FoxIII,AlvinFreiman,WilliamHaskell, LarryJackson,EugeneLepeschkin,Rob¬ ertE.Mason,PenttiRautaharjuandL. ThomasSheffield. Partial support was also giventhroughPublicHealthServicegrant HE-06314totheUniversityofMinnesota CardiovascularClinicalResearchPro¬

PY - 1971/8/23

Y1 - 1971/8/23

N2 - This report surveys the techniques, safety and litigation experience of 170,000 exercise stress tests performed in 73 medical centers. Procedures and results varied but certain patterns emerged: (1) A medical history was required before testing in 89% of centers, a physical examination in 97%, and a resting electrocardiogram in 57%. (2) Active cardiac disease precluded testing. (3) Informed consent was sought in 75% and was required in written form in 30%. (4) Specific test-interruption criteria involved symptoms, signs, and ECG findings. (5) Progressive workloads were employed by 73%. (6) Full resuscitation facilities were available. (7) The mortality was about 1 per 10,000 tests (16 per 170,000). (8) Combined mortalitymorbidity was about 4 per 10,000 tests. (9) Mortality was not clearly related to type of test. (10) Successful litigation, with an out-of-court settlement was reported in one instance.

AB - This report surveys the techniques, safety and litigation experience of 170,000 exercise stress tests performed in 73 medical centers. Procedures and results varied but certain patterns emerged: (1) A medical history was required before testing in 89% of centers, a physical examination in 97%, and a resting electrocardiogram in 57%. (2) Active cardiac disease precluded testing. (3) Informed consent was sought in 75% and was required in written form in 30%. (4) Specific test-interruption criteria involved symptoms, signs, and ECG findings. (5) Progressive workloads were employed by 73%. (6) Full resuscitation facilities were available. (7) The mortality was about 1 per 10,000 tests (16 per 170,000). (8) Combined mortalitymorbidity was about 4 per 10,000 tests. (9) Mortality was not clearly related to type of test. (10) Successful litigation, with an out-of-court settlement was reported in one instance.

UR - https://www.scopus.com/pages/publications/85047694545

UR - https://www.scopus.com/pages/publications/85047694545#tab=citedBy

U2 - 10.1001/jama.217.8.1061

DO - 10.1001/jama.217.8.1061

M3 - Article

C2 - 5109427

AN - SCOPUS:85047694545

SN - 0098-7484

VL - 217

SP - 1061

EP - 1066

JO - JAMA: The Journal of the American Medical Association

JF - JAMA: The Journal of the American Medical Association

IS - 8

ER -

Exercise Tests: A Survey of Procedures, Safety, and Litigation Experience in Approximately 170,000 Tests

Abstract

Bibliographical note

Publisher link

Find It

Other files and links

Fingerprint

Cite this