Evaluation of technician supervised treadmill exercise testing in a cardiac chest pain clinic
Objective To determine the efficacy and safety of trained cardiac technicians independently performing treadmill exercise stress tests as part of the assessment of patients with suspected angina pectoris. Design Retrospective comparison of 250 exercise tests performed by cardiac technicians and 225...
Gespeichert in:
| Veröffentlicht in: | Heart (British Cardiac Society) 1998-06, Vol.79 (6), p.613-615 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 615 |
|---|---|
| container_issue | 6 |
| container_start_page | 613 |
| container_title | Heart (British Cardiac Society) |
| container_volume | 79 |
| creator | Davis, G Ortloff, S Reed, A Worthington, G Roberts, D |
| description | Objective To determine the efficacy and safety of trained cardiac technicians independently performing treadmill exercise stress tests as part of the assessment of patients with suspected angina pectoris. Design Retrospective comparison of 250 exercise tests performed by cardiac technicians and 225 tests performed by experienced cardiology clinical assistants (general practitioners who perform regular NHS cardiology duties), and consultant cardiologists over the same time period. Setting Regional cardiac centre with a dedicated cardiac chest pain clinic. Patients All patients were referred by their general practitioners with a history of recent onset of chest pain, which was suspected to be angina pectoris. Outcome measures Peak workload achieved, symptoms, indications for termination, complications. Results The diagnostic yield of technician supervised tests (percentage positive or negative) was similar to that of medically supervised tests (76% v 69%, NS). The average peak workload achieved by patients was less by 1.2 mets (p |
| doi_str_mv | 10.1136/hrt.79.6.613 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1728737</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69185865</sourcerecordid><originalsourceid>FETCH-LOGICAL-b507t-423333a065eb48ea99d4ebf09aeaa4ac2356e180508fa6f8d1aa106427f111283</originalsourceid><addsrcrecordid>eNp9kd2L1DAUxYMo7u7om88SUNYXOyZpk6YvgsyujrDogx_IgoTbNN3J2KZj0g7rf--VDsPqg3lJOPfH4Z4cQp5wtuQ8V682cVyW1VItFc_vkVNeKJ0Jxr_dx3cuZaZYXp6Qs5S2jLGi0uohOeGMlZpV4pR8v9xDN8Hoh0CHlo7OboK3HgJN087FvU-uoWN00PS-66i7ddGihmAafbihPlCgFmLjwVK7QZXuAEXbefR5RB600CX3-HAvyJe3l59X6-zq47v3qzdXWS1ZOWaFyPEAU9LVhXZQVU3h6pZV4AAKsCKXynHNJNMtqFY3HIAzVYiy5ZwLnS_I69l3N9W9a6wLY4TO7KLvIf4yA3jz9yT4jbkZ9oaXQpd5iQbnB4M4_Jwwhel9sq7rILhhSkZVXEutJILP_gG3wxQDhkMv_FLGNLayIC9nysYhpeja4yqcmT-tGWzNlJVRBltD_Ond9e_Ac00IPD8AkCx0bYSALRw5IZTUuUIsmzGfRnd7HEP8YRSmlObD15W5XlfX4uJibT4h_2Lm6377_w1_A4WuvPo</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1780900811</pqid></control><display><type>article</type><title>Evaluation of technician supervised treadmill exercise testing in a cardiac chest pain clinic</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Davis, G ; Ortloff, S ; Reed, A ; Worthington, G ; Roberts, D</creator><creatorcontrib>Davis, G ; Ortloff, S ; Reed, A ; Worthington, G ; Roberts, D</creatorcontrib><description>Objective To determine the efficacy and safety of trained cardiac technicians independently performing treadmill exercise stress tests as part of the assessment of patients with suspected angina pectoris. Design Retrospective comparison of 250 exercise tests performed by cardiac technicians and 225 tests performed by experienced cardiology clinical assistants (general practitioners who perform regular NHS cardiology duties), and consultant cardiologists over the same time period. Setting Regional cardiac centre with a dedicated cardiac chest pain clinic. Patients All patients were referred by their general practitioners with a history of recent onset of chest pain, which was suspected to be angina pectoris. Outcome measures Peak workload achieved, symptoms, indications for termination, complications. Results The diagnostic yield of technician supervised tests (percentage positive or negative) was similar to that of medically supervised tests (76% v 69%, NS). The average peak workload achieved by patients was less by 1.2 mets (p < 0.005). This was probably due to more tests being terminated earlier due to chest pain and ST segment depression in the technician group compared with doctors (10% and 16% v 5% and 11% respectively, p = 0.06 and 0.07). One patient in the technician supervised group developed a supraventricular tachycardia during the recovery phase of the exercise test. Conclusions Technician supervised stress testing is associated with a high diagnostic rate and low complication rate in patients with suspected ischaemic heart disease. Its efficacy is comparable to tests supervised by experienced doctors and its use should be encouraged.</description><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>DOI: 10.1136/hrt.79.6.613</identifier><identifier>PMID: 10078092</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><subject>Aged ; Allied Health Personnel ; Angina pectoris ; Angina Pectoris - diagnosis ; audit ; Biological and medical sciences ; Blood pressure ; cardiac technician ; Cardiology ; Cardiology. Vascular system ; Cardiovascular disease ; Coronary heart disease ; exercise stress testing ; Exercise Test ; Family physicians ; Female ; Fitness equipment ; Heart ; Heart attacks ; Humans ; Male ; Medical practices ; Medical sciences ; Middle Aged ; Pain ; Patients ; Physicians ; Retrospective Studies ; Workloads</subject><ispartof>Heart (British Cardiac Society), 1998-06, Vol.79 (6), p.613-615</ispartof><rights>British Cardiac Society</rights><rights>1998 INIST-CNRS</rights><rights>Copyright: 1998 British Cardiac Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b507t-423333a065eb48ea99d4ebf09aeaa4ac2356e180508fa6f8d1aa106427f111283</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1728737/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1728737/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2265836$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10078092$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davis, G</creatorcontrib><creatorcontrib>Ortloff, S</creatorcontrib><creatorcontrib>Reed, A</creatorcontrib><creatorcontrib>Worthington, G</creatorcontrib><creatorcontrib>Roberts, D</creatorcontrib><title>Evaluation of technician supervised treadmill exercise testing in a cardiac chest pain clinic</title><title>Heart (British Cardiac Society)</title><addtitle>Heart</addtitle><description>Objective To determine the efficacy and safety of trained cardiac technicians independently performing treadmill exercise stress tests as part of the assessment of patients with suspected angina pectoris. Design Retrospective comparison of 250 exercise tests performed by cardiac technicians and 225 tests performed by experienced cardiology clinical assistants (general practitioners who perform regular NHS cardiology duties), and consultant cardiologists over the same time period. Setting Regional cardiac centre with a dedicated cardiac chest pain clinic. Patients All patients were referred by their general practitioners with a history of recent onset of chest pain, which was suspected to be angina pectoris. Outcome measures Peak workload achieved, symptoms, indications for termination, complications. Results The diagnostic yield of technician supervised tests (percentage positive or negative) was similar to that of medically supervised tests (76% v 69%, NS). The average peak workload achieved by patients was less by 1.2 mets (p < 0.005). This was probably due to more tests being terminated earlier due to chest pain and ST segment depression in the technician group compared with doctors (10% and 16% v 5% and 11% respectively, p = 0.06 and 0.07). One patient in the technician supervised group developed a supraventricular tachycardia during the recovery phase of the exercise test. Conclusions Technician supervised stress testing is associated with a high diagnostic rate and low complication rate in patients with suspected ischaemic heart disease. Its efficacy is comparable to tests supervised by experienced doctors and its use should be encouraged.</description><subject>Aged</subject><subject>Allied Health Personnel</subject><subject>Angina pectoris</subject><subject>Angina Pectoris - diagnosis</subject><subject>audit</subject><subject>Biological and medical sciences</subject><subject>Blood pressure</subject><subject>cardiac technician</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Coronary heart disease</subject><subject>exercise stress testing</subject><subject>Exercise Test</subject><subject>Family physicians</subject><subject>Female</subject><subject>Fitness equipment</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Male</subject><subject>Medical practices</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Patients</subject><subject>Physicians</subject><subject>Retrospective Studies</subject><subject>Workloads</subject><issn>1355-6037</issn><issn>1468-201X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kd2L1DAUxYMo7u7om88SUNYXOyZpk6YvgsyujrDogx_IgoTbNN3J2KZj0g7rf--VDsPqg3lJOPfH4Z4cQp5wtuQ8V682cVyW1VItFc_vkVNeKJ0Jxr_dx3cuZaZYXp6Qs5S2jLGi0uohOeGMlZpV4pR8v9xDN8Hoh0CHlo7OboK3HgJN087FvU-uoWN00PS-66i7ddGihmAafbihPlCgFmLjwVK7QZXuAEXbefR5RB600CX3-HAvyJe3l59X6-zq47v3qzdXWS1ZOWaFyPEAU9LVhXZQVU3h6pZV4AAKsCKXynHNJNMtqFY3HIAzVYiy5ZwLnS_I69l3N9W9a6wLY4TO7KLvIf4yA3jz9yT4jbkZ9oaXQpd5iQbnB4M4_Jwwhel9sq7rILhhSkZVXEutJILP_gG3wxQDhkMv_FLGNLayIC9nysYhpeja4yqcmT-tGWzNlJVRBltD_Ond9e_Ac00IPD8AkCx0bYSALRw5IZTUuUIsmzGfRnd7HEP8YRSmlObD15W5XlfX4uJibT4h_2Lm6377_w1_A4WuvPo</recordid><startdate>19980601</startdate><enddate>19980601</enddate><creator>Davis, G</creator><creator>Ortloff, S</creator><creator>Reed, A</creator><creator>Worthington, G</creator><creator>Roberts, D</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19980601</creationdate><title>Evaluation of technician supervised treadmill exercise testing in a cardiac chest pain clinic</title><author>Davis, G ; Ortloff, S ; Reed, A ; Worthington, G ; Roberts, D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b507t-423333a065eb48ea99d4ebf09aeaa4ac2356e180508fa6f8d1aa106427f111283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Aged</topic><topic>Allied Health Personnel</topic><topic>Angina pectoris</topic><topic>Angina Pectoris - diagnosis</topic><topic>audit</topic><topic>Biological and medical sciences</topic><topic>Blood pressure</topic><topic>cardiac technician</topic><topic>Cardiology</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Coronary heart disease</topic><topic>exercise stress testing</topic><topic>Exercise Test</topic><topic>Family physicians</topic><topic>Female</topic><topic>Fitness equipment</topic><topic>Heart</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Male</topic><topic>Medical practices</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Patients</topic><topic>Physicians</topic><topic>Retrospective Studies</topic><topic>Workloads</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davis, G</creatorcontrib><creatorcontrib>Ortloff, S</creatorcontrib><creatorcontrib>Reed, A</creatorcontrib><creatorcontrib>Worthington, G</creatorcontrib><creatorcontrib>Roberts, D</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Heart (British Cardiac Society)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davis, G</au><au>Ortloff, S</au><au>Reed, A</au><au>Worthington, G</au><au>Roberts, D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of technician supervised treadmill exercise testing in a cardiac chest pain clinic</atitle><jtitle>Heart (British Cardiac Society)</jtitle><addtitle>Heart</addtitle><date>1998-06-01</date><risdate>1998</risdate><volume>79</volume><issue>6</issue><spage>613</spage><epage>615</epage><pages>613-615</pages><issn>1355-6037</issn><eissn>1468-201X</eissn><abstract>Objective To determine the efficacy and safety of trained cardiac technicians independently performing treadmill exercise stress tests as part of the assessment of patients with suspected angina pectoris. Design Retrospective comparison of 250 exercise tests performed by cardiac technicians and 225 tests performed by experienced cardiology clinical assistants (general practitioners who perform regular NHS cardiology duties), and consultant cardiologists over the same time period. Setting Regional cardiac centre with a dedicated cardiac chest pain clinic. Patients All patients were referred by their general practitioners with a history of recent onset of chest pain, which was suspected to be angina pectoris. Outcome measures Peak workload achieved, symptoms, indications for termination, complications. Results The diagnostic yield of technician supervised tests (percentage positive or negative) was similar to that of medically supervised tests (76% v 69%, NS). The average peak workload achieved by patients was less by 1.2 mets (p < 0.005). This was probably due to more tests being terminated earlier due to chest pain and ST segment depression in the technician group compared with doctors (10% and 16% v 5% and 11% respectively, p = 0.06 and 0.07). One patient in the technician supervised group developed a supraventricular tachycardia during the recovery phase of the exercise test. Conclusions Technician supervised stress testing is associated with a high diagnostic rate and low complication rate in patients with suspected ischaemic heart disease. Its efficacy is comparable to tests supervised by experienced doctors and its use should be encouraged.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and British Cardiovascular Society</pub><pmid>10078092</pmid><doi>10.1136/hrt.79.6.613</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1355-6037 |
| ispartof | Heart (British Cardiac Society), 1998-06, Vol.79 (6), p.613-615 |
| issn | 1355-6037 1468-201X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1728737 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Aged Allied Health Personnel Angina pectoris Angina Pectoris - diagnosis audit Biological and medical sciences Blood pressure cardiac technician Cardiology Cardiology. Vascular system Cardiovascular disease Coronary heart disease exercise stress testing Exercise Test Family physicians Female Fitness equipment Heart Heart attacks Humans Male Medical practices Medical sciences Middle Aged Pain Patients Physicians Retrospective Studies Workloads |
| title | Evaluation of technician supervised treadmill exercise testing in a cardiac chest pain clinic |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T11%3A24%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Evaluation%20of%20technician%20supervised%20treadmill%20exercise%20testing%20in%20a%20cardiac%20chest%20pain%20clinic&rft.jtitle=Heart%20(British%20Cardiac%20Society)&rft.au=Davis,%20G&rft.date=1998-06-01&rft.volume=79&rft.issue=6&rft.spage=613&rft.epage=615&rft.pages=613-615&rft.issn=1355-6037&rft.eissn=1468-201X&rft_id=info:doi/10.1136/hrt.79.6.613&rft_dat=%3Cproquest_pubme%3E69185865%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1780900811&rft_id=info:pmid/10078092&rfr_iscdi=true |