Κωνσταντίνα Αγγέλη, Αναπληρώτρια Καθηγήτρια, Ιατρική, ΕΚΠΑ
Introduction: The way to reduce impact and mortality involves intervening in three areas: prevention, early diagnosis and modern effective treatment. An important role has been taken by all three industries to experience fatigue as they provide a variety of diagnostic, diagnostic and clinical information.
Purpose: The purpose of this study is to record and evaluate the electrocardiographic and hemodynamic parameters that can be obtained from the Gravitational fatigue test in both sexes in patients without a history of cardiovascular disease.
Material and Method: 236 patients, male and female, aged 11-85 years (median age: 54.1 years: 11-85) were studied retrospectively, without a history of cardiovascular disease undergoing an ECG on a rolling carpet in the fatigue test Of the University Hospital of Hippocrates at Athens Hospital.
Results: From the statistical analysis of the data for the investigation of the demographic and clinical characteristics of the sample in relation to sex, there were no statistically significant differences between men and women, with respect to age p = 0.091, BMI p = 0.087, although men Had a higher BMI than women. In contrast to the clinical characteristics of the sample, it was found that women with a statistically significant difference more frequently interrupted the stress test (p <0.001) and exhibited a lower mets value (p <0.01). They have lower systolic blood pressure (PAS) in exercise (p = 0.011) and lower Diastolic Arterial Pressure (PID) (p = 0.052) and do not differ statistically significant in the rate of throat. On the other hand, Double Result was lower in women with a statistically significant difference (p = 0.007). In addition, there were no statistically significant differences between men and women in relation to the existence of BP p = 0,256, the presence of hypercholesterolemia (p = 0,193), the inherited history (p = 0,559), AD (p = 0,545). But in terms of smoking while smokers are more likely to be male (p = 0.051), however, there was a large statistically significant difference and more frequent in the EBPR showed by women (p = 0.003). From the association of EBPR with demographic and clinical characteristics, we notice that it is higher as the age of the sample increases (p = 0.004). Overweight and obese individuals are associated with the less exercise duration (p = 0.00) 5. Higher EBPR values are seen in those who discontinued less exercise (p = 0.004). Higher EBPR values were observed in subjects with a higher SOP and a higher COP (p<0.001), respectively, in those who had fewer pulses (p = 0.023), as well as those who had a higher value in Dual Result (p <0.001 ). In contrast, a high response rate of fatigue to the fetus was reported more frequently in women (p = 0.003), hypertensive subjects (p <0.001) While statistically significant differences were not found in the presence of AD, hereditary history, smoking and cholesterol (p> 0.05).
Conclusions: The fatigue test keeps its place in the diagnostic assessment of people with coronary heart disease suspicion. The predictive value in asymptomatic individuals is generally low, given that the prevalence of coronary artery disease in this group of patients is initially low. However, the predictive value of the fatigue test is increased when it comes to asymptomatic individuals with one or more risk factors.
Stress test,Coronary artery disease,Hemodynamic parameters,