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Tag Archives: cardiac risk stratification

March 2021 Br J Cardiol 2021;28:29–32 doi:10.5837/bjc.2021.013

ECG changes during ISWTs in adult patients commencing CR: a retrospective case note review

Alexandra Palma, Charlotte Pereira, Heather Probert, Harriet Shannon

Abstract

Introduction Completion of a functional capacity test before cardiac rehabilitation (CR) is one of the British Association for Cardiovascular Prevention and Rehabilitation (BACPR) Standards.1 The incremental shuttle walk test (ISWT) is an externally paced submaximal walking test with strong reliability, test–retest reliability, validity and responsiveness in cardiac populations.2,3 It is a test that is widely used to inform both risk stratification for cardiovascular events during CR, and for exercise prescription. The use of an electrocardiogram (ECG) to monitor the safety of the ISWT (indicated by the absence of major ECG changes) has not

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Utility of MPS in AAA repair and prognostication of cardiovascular events and mortality

October 2018 Br J Cardiol 2018;25:150–1 doi:10.5837/bjc.2018.027

Utility of MPS in AAA repair and prognostication of cardiovascular events and mortality

Mark G MacGregor, Neil Donald, Ayesha Rahim, Zara Kwan, Simon Wong, Hannah Sharp, Hannah Burkey, Mark Fellows, David Fluck, Pankaj Sharma, Vineet Prakash, Thang S Han

Abstract

Introduction Abdominal aortic aneurysm (AAA) is a progressive and potentially life-threatening condition, with a rupture risk of the order of 25% per annum for aneurysms exceeding 6 cm.1 Prophylactic AAA repair is, therefore, often necessary. Open repair has been the traditional method for many decades. However, since its inception in the early 1990s, endovascular aneurysm repair (EVAR) has increasingly been the procedure of choice,2 and has now overtaken open repair by a factor of between two and three to one.3,4 Prior to major vascular surgery, pre-operative assessment is routinely carried out to establish the patient’s risk profile to e

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