Treadmill exercise testing of asymptomatic men and women without evidence of heart disease

The aim of this study was to test the hypothesis of differences in performance including differences in ST-T wave changes between healthy men and women submitted to an exercise stress test. Two hundred (45.4%) men and 241 (54.6%) women (mean age: 38.7 ± 11.0 years) were submitted to an exercise stre...

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Main Authors: W.A. Chalela, R.B. Fukushima, F. Araujo, A.C.P. Lima, P.J. Moffa, A.J. Mansur
Format: Article
Language:English
Published: Associação Brasileira de Divulgação Científica 2009-12-01
Series:Brazilian Journal of Medical and Biological Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2009001200018
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author W.A. Chalela
R.B. Fukushima
F. Araujo
A.C.P. Lima
P.J. Moffa
A.J. Mansur
author_facet W.A. Chalela
R.B. Fukushima
F. Araujo
A.C.P. Lima
P.J. Moffa
A.J. Mansur
author_sort W.A. Chalela
collection DOAJ
description The aim of this study was to test the hypothesis of differences in performance including differences in ST-T wave changes between healthy men and women submitted to an exercise stress test. Two hundred (45.4%) men and 241 (54.6%) women (mean age: 38.7 ± 11.0 years) were submitted to an exercise stress test. Physiologic and electrocardiographic variables were compared by the Student t-test and the chi-square test. To test the hypothesis of differences in ST-segment changes, data were ranked with functional models based on weighted least squares. To evaluate the influence of gender and age on the diagnosis of ST-segment abnormality, a logistic model was adjusted; P < 0.05 was considered to be significant. Rate-pressure product, duration of exercise and estimated functional capacity were higher in men (P < 0.05). Sixteen (6.7%) women and 9 (4.5%) men demonstrated ST-segment upslope &#8805;0.15 mV or downslope &#8805;0.10 mV; the difference was not statistically significant. Age increase of one year added 4% to the chance of upsloping of segment ST &#8805;0.15 mV or downsloping of segment ST &#8805;0.1 mV (P = 0.03; risk ratio = 1.040, 95% confidence interval (CI) = 1.002-1.080). Heart rate recovery was higher in women (P < 0.05). The chance of women showing an increase of systolic blood pressure &#8804;30 mmHg was 85% higher (P = 0.01; risk ratio = 1.85, 95%CI = 1.1-3.05). No significant difference in the frequency of ST-T wave changes was observed between men and women. Other differences may be related to different physical conditioning.
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spelling doaj.art-1015256a1b1c4bd6a2e16bbdf121b6b92022-12-22T02:52:23ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research0100-879X1414-431X2009-12-0142121230123510.1590/S0100-879X2009001200018Treadmill exercise testing of asymptomatic men and women without evidence of heart diseaseW.A. ChalelaR.B. FukushimaF. AraujoA.C.P. LimaP.J. MoffaA.J. MansurThe aim of this study was to test the hypothesis of differences in performance including differences in ST-T wave changes between healthy men and women submitted to an exercise stress test. Two hundred (45.4%) men and 241 (54.6%) women (mean age: 38.7 ± 11.0 years) were submitted to an exercise stress test. Physiologic and electrocardiographic variables were compared by the Student t-test and the chi-square test. To test the hypothesis of differences in ST-segment changes, data were ranked with functional models based on weighted least squares. To evaluate the influence of gender and age on the diagnosis of ST-segment abnormality, a logistic model was adjusted; P < 0.05 was considered to be significant. Rate-pressure product, duration of exercise and estimated functional capacity were higher in men (P < 0.05). Sixteen (6.7%) women and 9 (4.5%) men demonstrated ST-segment upslope &#8805;0.15 mV or downslope &#8805;0.10 mV; the difference was not statistically significant. Age increase of one year added 4% to the chance of upsloping of segment ST &#8805;0.15 mV or downsloping of segment ST &#8805;0.1 mV (P = 0.03; risk ratio = 1.040, 95% confidence interval (CI) = 1.002-1.080). Heart rate recovery was higher in women (P < 0.05). The chance of women showing an increase of systolic blood pressure &#8804;30 mmHg was 85% higher (P = 0.01; risk ratio = 1.85, 95%CI = 1.1-3.05). No significant difference in the frequency of ST-T wave changes was observed between men and women. Other differences may be related to different physical conditioning.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2009001200018ST-T wave changesExercise stress testAsymptomaticWomen
spellingShingle W.A. Chalela
R.B. Fukushima
F. Araujo
A.C.P. Lima
P.J. Moffa
A.J. Mansur
Treadmill exercise testing of asymptomatic men and women without evidence of heart disease
Brazilian Journal of Medical and Biological Research
ST-T wave changes
Exercise stress test
Asymptomatic
Women
title Treadmill exercise testing of asymptomatic men and women without evidence of heart disease
title_full Treadmill exercise testing of asymptomatic men and women without evidence of heart disease
title_fullStr Treadmill exercise testing of asymptomatic men and women without evidence of heart disease
title_full_unstemmed Treadmill exercise testing of asymptomatic men and women without evidence of heart disease
title_short Treadmill exercise testing of asymptomatic men and women without evidence of heart disease
title_sort treadmill exercise testing of asymptomatic men and women without evidence of heart disease
topic ST-T wave changes
Exercise stress test
Asymptomatic
Women
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2009001200018
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