The safety of treadmill exercise stress testing in patients with abdominal aortic aneurysms.

Abstract:

BACKGROUND:Exercise stress testing in patients with abdominal aortic aneurysms may cause enlargement or rupture of aneurysms. OBJECTIVE:To evaluate the safety of treadmill exercise stress testing in patients with abdominal aortic aneurysms. DESIGN:Retrospective descriptive study. SETTING:Tertiary care center. PATIENTS:262 patients who had abdominal aortic aneurysms more than 4 cm in diameter and underwent treadmill exercise stress testing. MEASUREMENTS:Pain after stress testing, rupture of the aneurysm or death, aneurysm size, and exercise stress test results. RESULTS:The average aneurysm diameter was 5.5 +/- 1.1 cm. One patient with a 6.1-cm aneurysm was found to have a contained rupture 12 hours after stress testing. The event rate for aneurysm rupture was 0.4% (95% CI, 0.0% to 2.1%). No deaths or other negative outcomes were documented. CONCLUSION:Despite theoretical concerns, exercise stress testing of patients with abdominal aortic aneurysms seems to be safe and is associated with a low incidence of acute adverse events.

journal_name

Ann Intern Med

authors

Best PJ,Tajik AJ,Gibbons RJ,Pellikka PA

doi

10.7326/0003-4819-129-8-199810150-00008

subject

Has Abstract

pub_date

1998-10-15 00:00:00

pages

628-31

issue

8

eissn

0003-4819

issn

1539-3704

journal_volume

129

pub_type

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