Barry F. Uretsky
Galveston
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Target Heart Rate Formulas for Exercise Stress Testing: What Is the Evidence?
Keywords chest pain, exercise stress test, age-predicted maximum heart rate, APMHR, HRmax formula, 220-age, cardiovascular prognosis, heart rate reserve, maximum rate pressure product, metabolic equivalents, cardiovascular disease, functional status, nuclear imaging stress test, stress echocardiogram Abstract Exercise stress testing (EST) is commonly used to evaluate chest pain, with some labs using 85% of age-predicted maximum heart rate (APMHR) as an endpoint for EST.
Target Heart Rate Formulas for Exercise Stress Testing: What Is the Evidence?
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Think SCAD (Spontaneous Coronary Artery Dissection) for MINOCA (Myocardial Infarction in Patients With Unobstructed Coronary Arteries)
Clinical Editor's Corner Although some of the causes of myocardial infarction with no coronary artery obstruction (MINOCA) are often unknown, spontaneous coronary artery dissection (SCAD) in MINOCA should always be considered early on as one of the major etiologies of the MINOCA diagnosis. Dr. Barry Uretsky from the University of Arkansas prompted this discussion on SCAD.
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