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J Am Coll Cardiol, 2009; 54:538-545, doi:10.1016/j.jacc.2009.04.042
© 2009 by the American College of Cardiology Foundation
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Achieving an Exercise Workload of ≥10 Metabolic Equivalents Predicts a Very Low Risk of Inducible Ischemia

Does Myocardial Perfusion Imaging Have a Role?

Jamieson M. Bourque, MD, MHS*, Benjamin H. Holland, MD, Denny D. Watson, PhD and George A. Beller, MD

Cardiovascular Division and the Cardiovascular Imaging Center, Department of Internal Medicine, University of Virginia Health System, Charlottesville, Virginia


Figure 1
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Figure 1 Study Cohort Derivation Flowchart

MAPHR = maximum age-predicted heart rate; MET = metabolic equivalent; SPECT = single-photon emission computed tomography.

 

Figure 2
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Figure 2 Prevalence of LV Ischemia by Exercise Capacity

The 974 individuals reaching 85% of their maximum age-predicted heart rate were divided by exercise workload achieved (horizontal axis). The vertical axis represents the percentage of subjects with each percentage of left ventricular (LV) ischemia. MET = metabolic equivalent.

 

Figure 3
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Figure 3 Relationship of Ischemic ST-Segment Depression on the Exercise ECG and Workload Achieved to the Percentage of LV Ischemia

The 974 subjects reaching ≥85% of their maximum age-predicted heart rate were divided by the exercise workload attained and the presence of ischemic ST-segment depression. The vertical axis represents the prevalence of 5% to 9% and ≥10% LV ischemia. ECG = electrocardiogram; other abbreviations as in Figure 2.

 




 
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