Assessment of Measurement Reliability for the IPN Test in Cardiac Patients
Cardiological diagnostics use maximal and submaximal tests with increasing load. Maximal stress tests are currently considered the gold standard. The Institut für Prävention und Nachsorge, Cologne (IPN) test may be an alternative when maximal patient load is not indicated. The universality of the te...
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Veröffentlicht in: | Journal of clinical medicine 2020-05, Vol.9 (5), p.1552 |
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description | Cardiological diagnostics use maximal and submaximal tests with increasing load. Maximal stress tests are currently considered the gold standard. The Institut für Prävention und Nachsorge, Cologne (IPN) test may be an alternative when maximal patient load is not indicated. The universality of the test is well-documented in sport, but the reliability of this test is unknown. The aim of this study was to assess between-trial and between-day reliability for parameters assessed by the IPN stress test in cardiological patients.: In a study of 24 patients aged 39 to 79 years with cardiovascular diseases, the IPN cycle ergometer short test was performed (submaximal performance test). The reliability of heart rate, systolic and diastolic pressure, absolute power at submaximal load, relative performance at submaximal load and target heart rate were assessed. Good (Interclass Correlation Coefficient (ICC) values ranged from 0.832 to 0.894) and excellent (ICC values ranged from 0.904 to 0.969) between-trial reliability was noted. Between-day reliability was good (ICC values from 0.777 to 0.895) and excellent (ICC values from 0.922 to 0.950). The obtained results suggest that the IPN test may be a reliable tool for use in the assessment of cardiological patients, avoiding the implementation of maximal efforts when excessive patient load is not recommended. |
doi_str_mv | 10.3390/jcm9051552 |
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Maximal stress tests are currently considered the gold standard. The Institut für Prävention und Nachsorge, Cologne (IPN) test may be an alternative when maximal patient load is not indicated. The universality of the test is well-documented in sport, but the reliability of this test is unknown. The aim of this study was to assess between-trial and between-day reliability for parameters assessed by the IPN stress test in cardiological patients.: In a study of 24 patients aged 39 to 79 years with cardiovascular diseases, the IPN cycle ergometer short test was performed (submaximal performance test). The reliability of heart rate, systolic and diastolic pressure, absolute power at submaximal load, relative performance at submaximal load and target heart rate were assessed. Good (Interclass Correlation Coefficient (ICC) values ranged from 0.832 to 0.894) and excellent (ICC values ranged from 0.904 to 0.969) between-trial reliability was noted. Between-day reliability was good (ICC values from 0.777 to 0.895) and excellent (ICC values from 0.922 to 0.950). The obtained results suggest that the IPN test may be a reliable tool for use in the assessment of cardiological patients, avoiding the implementation of maximal efforts when excessive patient load is not recommended.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm9051552</identifier><identifier>PMID: 32455568</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Angina pectoris ; Cardiovascular disease ; Clinical medicine ; Consent ; Contraindications ; Disease ; Exercise ; Fitness equipment ; Heart rate ; Load ; Patients ; Physical fitness ; Rehabilitation</subject><ispartof>Journal of clinical medicine, 2020-05, Vol.9 (5), p.1552</ispartof><rights>2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c365t-3d1996a2c85920f6ca57d7c678e89db9a52ea20dc515c49bfbe377d4199992183</cites><orcidid>0000-0003-1025-0508 ; 0000-0002-0589-0554 ; 0000-0002-3044-3422 ; 0000-0002-4366-5091 ; 0000-0001-9218-6153</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290293/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290293/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32455568$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oleksy, Łukasz</creatorcontrib><creatorcontrib>Skiba, Agnieszka</creatorcontrib><creatorcontrib>Sulowska, Iwona</creatorcontrib><creatorcontrib>Trębowicz, Marcin</creatorcontrib><creatorcontrib>Rukasz, Bartosz</creatorcontrib><creatorcontrib>Stolarczyk, Artur</creatorcontrib><creatorcontrib>Zyznawska, Joanna</creatorcontrib><creatorcontrib>Mika, Anna</creatorcontrib><title>Assessment of Measurement Reliability for the IPN Test in Cardiac Patients</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>Cardiological diagnostics use maximal and submaximal tests with increasing load. Maximal stress tests are currently considered the gold standard. The Institut für Prävention und Nachsorge, Cologne (IPN) test may be an alternative when maximal patient load is not indicated. The universality of the test is well-documented in sport, but the reliability of this test is unknown. The aim of this study was to assess between-trial and between-day reliability for parameters assessed by the IPN stress test in cardiological patients.: In a study of 24 patients aged 39 to 79 years with cardiovascular diseases, the IPN cycle ergometer short test was performed (submaximal performance test). The reliability of heart rate, systolic and diastolic pressure, absolute power at submaximal load, relative performance at submaximal load and target heart rate were assessed. Good (Interclass Correlation Coefficient (ICC) values ranged from 0.832 to 0.894) and excellent (ICC values ranged from 0.904 to 0.969) between-trial reliability was noted. Between-day reliability was good (ICC values from 0.777 to 0.895) and excellent (ICC values from 0.922 to 0.950). 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Between-day reliability was good (ICC values from 0.777 to 0.895) and excellent (ICC values from 0.922 to 0.950). The obtained results suggest that the IPN test may be a reliable tool for use in the assessment of cardiological patients, avoiding the implementation of maximal efforts when excessive patient load is not recommended.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>32455568</pmid><doi>10.3390/jcm9051552</doi><orcidid>https://orcid.org/0000-0003-1025-0508</orcidid><orcidid>https://orcid.org/0000-0002-0589-0554</orcidid><orcidid>https://orcid.org/0000-0002-3044-3422</orcidid><orcidid>https://orcid.org/0000-0002-4366-5091</orcidid><orcidid>https://orcid.org/0000-0001-9218-6153</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Angina pectoris Cardiovascular disease Clinical medicine Consent Contraindications Disease Exercise Fitness equipment Heart rate Load Patients Physical fitness Rehabilitation |
title | Assessment of Measurement Reliability for the IPN Test in Cardiac Patients |
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