Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 22

April - June 2006

Number 2


 

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Prioritizing patients for coronary angiography
using simplified treadmill score in high risk
Asian subjects in Saudi Arabia

Syed Iftikhar Ali

Abstract

Objective: Our aim was to prioritize & identify patients for coronary angiography using simplified treadmill score in high risk Asian subjects.

Methods: Consecutive patients referred for chest pain were evaluated based on clinical history and Treadmill Exercise Stress tests and Duke treadmill score and The Simplified treadmill score were plotted into risk categories and high risk patients were referred for coronary angiography.

Results: A total of 212 subjects with 95% males underwent Treadmill Stress test of whom 51(24%) were designated as high risk group with a Simplified treadmill score of >60, who were advised Coronary angiography but only 22% of the high risk group underwent Coronary angiography and almost all were found to have two or three vessel disease.

Conclusion: The Simplified treadmill score can prioritize patients for coronary angiography using the high risk probability ratio of Simplified treadmill score in Asian subjects.

KEY WORDS: Stress ECG Test, Exercise Tolerance test, Simplified Treadmill score, Duke treadmill score, Ischemic heart disease, Coronary artery disease, Asian subjects.

Pak J Med Sci April - June 2006 Vol. 22 No. 2 122 - 126


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