L. Ushakova, E. Vertinsky, M. Shtonda, I. Semenenkov
Exercise tolerance test is one of the most commonly used non-invasive cardiac tests used to diagnose coronary heart disease, determine prognosis, and evaluate treatment. Treadmill test or bicycle ergometry allows determining how much more expensive and complex follow-up examination is necessary for the patient: myocardial perfusion scintigraphy with stress, stress echocardiography, multispiral computed tomography, as well as defining more clearly the indications for coronary angiography. The article presents modern ideas about a differentiated approach to performing exercise tolerance tests in patients with coronary heart disease, myocardial infarction, and revascularization.
keywords: exercise tolerance tests, coronary heart disease, myocardial infarction, revascularization

for references: L. Ushakova, E. Vertinsky, M. Shtonda, I. Semenenkov. Exercise tolerance tests in the diagnosis of coronary heart disease, testing of patients with myocardial infarction and revascularization. Neotlozhnaya kardiologiya i kardiovaskulyarnye riski [Emergency cardiology and cardiovascular risks], 2021, vol. 5, no. 1, pp. 1247–1256.

References
1. Gibbons R.J., Balady G.J., Bricker J.T., Chaitman B.R., Fletcher G.F., Froelicher V.F., Mark D.B., McCallister B.D., Mooss A.N., O’Reilly M.G., Winters Jr W.L., Gibbons R.J., Antman E.M., Alpert J.S., Faxon D.P., Fuster V., Gregoratos G., Hiratzka L.F., Jacobs A.K., Russell R.O., Smith Jr S.C. ACC/AHA 2002 guideline update for exercise testing: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines). Circulation, 2002, vol. 106, no. 14, pp. 1883-1892. doi: 10.1161/01.cir.0000034670.06526.15.
2. Gibbons R.J., Abrams J., Chatterjee K., Daley J., Deedwania P.C., Douglas J.S., Ferguson Jr T.B., Fihn S.D., Fraker Jr T.D., Gardin J.M. et al. ACC/AHA 2002 guideline update for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1999 Guidelines for the Management of Patients with Chronic Stable Angina). Chatterjee. Circulation, 2003, vol. 107, no. 1, pp. 149-158. doi: 10.1161/01.cir.0000047041.66447.29.
3. Skalidis E.I., Vardas P.E. Guidelines on the management of stable angina pectoris. Eur Heart J, 2006, vol. 27, no. 21, pp. 2606. doi: 10.1093/eurheartj/ehl257.
4. Knuuti J., Wijns W., Saraste A., Capodanno D., Barbato E., Funck-Brentano C., Prescott E., Storey R.F., Deaton C., Cuisset T. et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J, 2020, vol. 41, no. 3, pp. 407-477. doi: 10.1093/eurheartj/ehz425.
5. Mancia G., Fagard R., Narkiewicz K., Redon J., Zanchetti A., Böhm M., Christiaens T., Cifkova R., De Backer G., Dominiczak A. et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J, 2013, vol. 34, no. 28, pp. 2949-3003. doi: 10.1093/eurheartj/eht151.
6. Roffi M., Patrono C., Collet J.-P., Mueller C., Valgimigli M., Andreotti F., Bax J.J., Borger M.A., Brotons C., Chew D.P. et al. 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J, 2016, vol. 37, no. 2, pp. 267-315. doi :10.1093/eurheartj/ehv320.
7. Collet J.-P., Thiele H., Barbato E., Barthélémy O., Bauersachs J., Bhatt D.L., Dendale P., Dorobantu M., Edvardsen T., Folliguet T. et al. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J, 2021, vol. 42, no.16, pp. 1289-1367. doi: 10.1093/eurheartj/ehaa575.
8. Aronov D.M., Lupanov V.P. Funkzionalnye proby v kardiologii [Functional tests in cardiology]. 3-e izd., pererab. i dop. M. : MEDpress-inform, 2007. 326 s. (in Russian).
9. O’Gara P.T., Kushner F.G., Ascheim D.D., CaseyJr D.E., Chung M.K., de Lemos J.A., Ettinger S.M., Fang J.C., Fesmire F.M., Franklin B.A., Granger C.B., Krumholz H.M. et al. 2013 АCCF/АHA Guideline for the management of ST-Elevation Myocardial infarction. Circulation, 2013, vol. 127, no. 4, pp e362-e425. doi: 10.1161/CIR.0b013e3182742cf6.
10. Klinicheskiy protokol diagnostiki i lecheniya infarkta miokarda, nestabilnoy stenokardii [Clinical protocol for the diagnosis and treatment of myocardial infarction, unstable angina]. Prilozhenie № 2 k postanovleniyu Ministerstva zdravoochraneniya Respubliki Belarus ot 6 iyunya 2017 g. № 59. (in Russian).
11. Thygesen K., Alpert J.S., Jaffe A.S., Chaitman B.R., Bax J.J., Morrow D.A., White H.D. et al. Fourth universal definition of myocardial infarction. J Am Coll Cardiol, 2018, vol. 72, no. 18, pp. 2231-2264. doi: 10.1016/j.jacc.2018.08.1038.
12. Tavrovskaya T.V. Veloergometriya : prakt. posobie dlya vrachey [Bicycle ergometry: practical. manual for doctors]. M., 2007. 138 s. (in Russian).
13. Neumann F.-J., Sousa-Uva M., Ahlsson A., Alfonso F., Banning A.P., Benedetto U., Byrne R.A., Collet J.-P., Falk V., Head S.J. et al. 2018 ECS/EACTS Guidelines on myocardial revascularization. Eur Heart J, 2019, vol. 40, no. 2, pp. 87-165. doi: 10.1093/eurheartj/ehy394.
Поступила 28.09.2020
File extension: pdf (315.6 KB)