Increasing frequency of dyspnea among patients referred for cardiac stress testing

Rozanski A, Gransar H, Hayes SW, Min J, Friedman JD, Thomson LE. Temporal trends in the frequency of inducible myocardial ischemia during cardiac stress testing: 1991 to 2009. J Am Coll Cardiol 2013;61:1054‐65.

Article  PubMed  Google Scholar 

Rozanski A, Gransar H, Hayes SW, Friedman JD, Thomson LEJ, Berman DS. Changing drivers of mortality among patients referred for cardiac stress testing. Mayo Clin Proc Innov Qual Outcomes 2021;5:560‐73.

Article  PubMed  PubMed Central  Google Scholar 

Rozanski A, Han D, Miller RJH, et al. Decline in typical angina among patients referred for cardiac stress testing. J Nucl Cardiol 2023;30:1309‐20.

Article  PubMed  Google Scholar 

Fryar CD, Carroll MD, Afful J. Prevalence of overweight, obesity, and severe obesity among adults aged 20 and over: United States, 1960–1962 through 2017–2018. NCHS Health E-Stats, Centers for Disease Control and Prevention; 2020. Updated February 8, 2021. www.cdc.gov/nchs/data/hestat/obesity-adult-17-18/obesity-adult.htm. Accessed 3 Mar 2022.

National Diabetes Statistics Report 2020. Estimates of diabetes and its burden in the United States. www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf. Accessed 9 Mar 2022.

Physical activity among adults aged 18 and over: United States, 2020. www.cdc.gov/nchs/data/databriefs/db443.pdf.

Rozanski A. New principles, the benefits, and practices for fostering a physically active lifestyle. Prog Cardiovasc Dis 2023;77:50‐8.

Article  PubMed  PubMed Central  Google Scholar 

Bone and Joint Initiative. https://www.usbji.org. Accessed 12 May 2023.

D’Onofrio G, Kirschner J, Prather H, Goldman D, Rozanski A. Musculoskeletal exercise: Its role in promoting health and longevity. Prog Cardiovasc Dis 2023;77:25‐36.

Article  PubMed  Google Scholar 

Abidov A, Rozanski A, Hachamovitch R, Hayes SW, Aboul-Enein F, Cohen I, et al. Prognostic significance of dyspnea in patients referred for cardiac stress testing. N Engl J Med 2005;353:1889‐98.

Article  CAS  PubMed  Google Scholar 

Diamond GA, Forrester JS. Analysis of probability as an aid in the clinical diagnosis of coronary-artery disease. N Engl J Med 1979;300:1350‐8.

Article  CAS  PubMed  Google Scholar 

Henzlova MJ, Duvall WL, Einstein AJ, Travin MI, Verberne HJ. ASNC imaging guidelines for SPECT nuclear cardiology procedures: Stress, protocols, and tracers. J Nucl Cardiol 2016;23:606‐39.

Article  PubMed  Google Scholar 

Berman DS, Abidov A, Kang X, Hayes SW, Friedman JD, Sciammerella MG, et al. Prognostic validation of a 17-segment score derived from a 20-segment score for myocardial perfusion SPECT interpretation. J Nucl Cardiol 2004;11:414‐23.

Article  PubMed  Google Scholar 

Genders TS, Steyerberg EW, Alkadhi H, Leschka L, Desbiolloes L, Nieman K, et al. A clinical prediction rule for the diagnosis of coronary artery disease: Validation, updating, and extension. Eur Heart J 2011;32:1316‐30.

Article  PubMed  Google Scholar 

Genders TSS, Coles A, Hoffmann U, Patel MR, Mark DB, Lee KK, et al. The external validity of prediction models for the diagnosis of obstructive coronary artery disease in patients with stable chest pain: Insights from the PROMISE trial. JACC Cardiovasc Imaging 2018;11:437‐46.

Article  PubMed  Google Scholar 

Zhou J, Li C, Cong H, Duan L, Wang H, Wang C, et al. Comparison of different investigation strategies to defer cardiac testing in patients with stable chest pain. JACC Cardiovasc Imaging 2022;15:91‐104.

Article  PubMed  Google Scholar 

Meng J, Jiang H, Ren K, Zhou J. Comparison of risk assessment strategies incorporating coronary artery calcium score with estimation of pretest probability to defer cardiovascular testing in patients with stable chest pain. BMC Cardiovasc Disord 2023;23:53. https://doi.org/10.1186/s12872-023-03076-3.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Reeh J, Therming CB, Heitmann M, Hojberg S, Sorum C, Bech J, et al. Prediction of obstructive coronary artery disease and prognosis in patients with suspected stable angina. Eur Heart J 2019;40:1426‐35.

Article  PubMed  Google Scholar 

Jang JJ, Bhapkar M, Coles A, Vemulapalli S, Fordyce CB, Lee KL, et al. Predictive model for high-risk coronary artery disease. Circ Cardiovasc Imaging 2019;12:e007940.

Article  PubMed  PubMed Central  Google Scholar 

Cole Christopher Jones R, Pothier CE, Blackstone EH, Lauer MS. Prognostic importance of presenting symptoms in patients undergoing exercise testing for evaluation of known or suspected coronary disease. Am J Med 2004;117:380‐9.

Article  Google Scholar 

Kim J, Al-Mallah M, Juraschek SP, Brawner C, Keteyian SJ, Nasir K, et al. The association of clinical indication for exercise stress testing with all-cause mortality: The FIT project. Arch Med Sci 2016;12:303‐9.

Article  PubMed  PubMed Central  Google Scholar 

Balaravi B, Miller TD, Hodge DO, Gibbons RJ. The value of stress single photon emission computed tomography in patients without known coronary artery disease presenting with dyspnea. Am Heart J 2006;152:551‐7.

Article  PubMed  Google Scholar 

Bergeron S, Ommen SR, Bailey KR, Oh JK, McCully RB, Pellikka PA. Exercise echocardiographic findings and outcome of patients referred for evaluation of dyspnea. J Am Coll Cardiol 2004;43:2242‐6.

Article  PubMed  Google Scholar 

Bernheim AM, Kittipovanonth M, Scott CG, McCully RB, Tsang TS, Pellikka PA. Relation of dyspnea in patients unable to perform exercise stress testing to outcome and myocardial ischemia. Am J Cardiol 2009;104:265‐9.

Article  PubMed  Google Scholar 

van Rosendael AR, Bax AM, van den Hoogen IJ, Smit JM, Al’Aref SJ, Achenbach S, et al. Associations between dyspnoea, coronary atherosclerosis, and cardiovascular outcomes: Results from the long-term follow-up CONFIRM registry. Eur Heart J Cardiovasc Imaging 2022;23:266‐74.

Article  PubMed  Google Scholar 

Nakanishi R, Gransar H, Rozanski A, Rana JS, Cheng VY, Thomson LEJ, et al. Dyspnea predicts mortality among patients undergoing coronary computed tomographic angiography. Int J Cardiovasc Imaging 2016;32:329‐37.

Article  PubMed  Google Scholar 

Lowenstern A, Alexander KP, Pagidipati NJ, Hill CL, Pellikka PA, Cooper LS, et al. Presenting symptoms in patients undergoing coronary artery disease evaluation: Association with noninvasive test results and clinical outcomes in the PROMISE trial. Circ Cardiovasc Qual Outcomes 2022;15:e008298.

Article  PubMed  PubMed Central  Google Scholar 

Argulian E, Agarwal V, Bangalore S, Chatterjee S, Makani H, Rozanski A, et al. Meta-analysis of prognostic implications of dyspnea versus chest pain in patients referred for stress testing. Am J Cardiol 2014;113:559‐64.

Article  PubMed  Google Scholar 

Rozanski A, Sakul S, Narula J, Uretsky S, Lavie CJ, Berman D. Assessment of lifestyle-related risk factors enhances the effectiveness of cardiac stress testing. Prog Cardiovasc Dis 2023;77:107‐88.

Article  PubMed  Google Scholar 

Paulus WJ, Tschöpe C. A novel paradigm for heart failure with preserved ejection fraction: Comorbidities drive myocardial dysfunction and remodeling through coronary microvascular endothelial inflammation. J Am Coll Cardiol 2013;62:263‐71.

Article  PubMed  Google Scholar 

Pandey A, Patel KV, Vaduganathan M, Sarma S, Haykowsky MJ, Berry JD, et al. Physical activity, fitness, and obesity in heart failure with preserved ejection fraction. JACC Heart Fail 2018;6:975‐82.

Article  PubMed  Google Scholar 

Pandey A, Shah SJ, Butler J, Kellogg DL, Lewis GD, Forman DE, et al. Exercise intolerance in older adults with heart failure with preserved ejection fraction: JACC state-of-the-art review. J Am Coll Cardiol 2021;78:1166‐87.

Article  PubMed  PubMed Central  Google Scholar 

Cheng VY, Berman DS, Rozanski A, Dunning AM, Achenbach S, Al-Mallah M, et al. Performance of the traditional age, sex, and angina typicality-based approach for estimating pretest probability of angiographically significant coronary artery disease in patients undergoing coronary computed tomographic angiography: Results from the multinational coronary CT angiography evaluation for clinical outcomes: An international multicenter registry (CONFIRM). Circulation 2011;124:2423‐32.

Article  PubMed  PubMed Central  Google Scholar 

Winther S, Schmidt SE, Mayrhofer T, Botker HE, Hoffman U, Douglas PS, et al. Incorporating coronary calcification into pre-test assessment of the likelihood of coronary artery disease. J Am Coll Cardiol 2020;76:2421‐32.

Article  CAS  PubMed  Google Scholar 

Chan PS, Jones PG, Arnold SA, Spertus JA. Development and validation of a short version of the Seattle Angina Questionnaire. Circ Cardiovasc Qual Outcomes 2014;7:640‐7.

Article  PubMed  PubMed Central  Google Scholar 

Saxon JT, Chan PS, Tran AT, Angraal S, Jones PG, Grantham JA, et al. Comparison of patient-reported vs physician-estimated angina in patients undergoing elective and urgent percutaneous coronary intervention. JAMA Netw Open 2020;3:e207406.

Article  PubMed  PubMed Central  Google Scholar 

Spertus JA, Jones PG, Maron DJ, Mark DB, O’Brian SM, Fleg JL, et al. Health status after invasive or conservative care in coronary and advanced kidney disease. N Engl J Med 2020;382:1619‐28.

Article  PubMed  PubMed Central  Google Scholar 

Mark DB, Spertus JA, Bigelow R, Anderson S, Daniels MR, Anstrom KJ, et al. Comprehensive quality-of-life outcomes with invasive versus conservative management of chronic coronary disease in ISCHEMIA. Circulation 2022;145:294‐1307.

Article  Google Scholar 

Bestall JC, Paul EA, Garrod R, Garnham R, Jones PW, Wedzicha JA. Usefulness of the medical research council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax 1999;54:581‐6.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Arnson Y, Rozanski A, Gransar H, Hayes SSW, Friedman JD, Thomson LEJ, et al. Impact of exercise on the relationship between CAC Scores and all-cause mortality. JACC Cardiovasc Imaging 2017;10:1461‐8.

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