Target Heart Rate Formulas for Exercise Stress Testing: What Is the Evidence? Article Swipe

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Omar Almaadawy , Barry F. Uretsky , Chayakrit Krittanawong , Yochai Birnbaum ·

YOU? · · 2024 · Open Access · · DOI: https://doi.org/10.3390/jcm13185562

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. The APMHR is often calculated using the formula 220-age. However, the accuracy of this formula and 85% APMHR as an endpoint may be questioned. Moreover, failing to reach 85% APMHR (known as chronotropic insufficiency) may also indicate poor cardiovascular prognosis, but measurements, such as percentage heart rate reserve (%HRR), maximum rate pressure product (MRPP), and the maximum metabolic equivalent of tasks (METs) reached during EST may provide better prediction of cardiovascular outcomes than not reaching 85% of APMHR. There is a need to incorporate comprehensive measurements to improve the diagnostic and prognostic capabilities of EST.

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Medicine Heart rate Stress testing (software) Chronotropic Cardiology Internal medicine Chest pain Metabolic equivalent Physical therapy Blood pressure Physical activity Programming language Computer science

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Type: review
Language: en
Landing Page: https://doi.org/10.3390/jcm13185562
OA Status: gold
Cited By: 6
References: 77
Related Works: 10
OpenAlex ID: https://openalex.org/W4402642846

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DOI: https://doi.org/10.3390/jcm13185562

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Title: Target Heart Rate Formulas for Exercise Stress Testing: What Is the Evidence?

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Type: review

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Language: en

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Publication year: 2024

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Publication date: 2024-09-19

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Authors: Omar Almaadawy, Barry F. Uretsky, Chayakrit Krittanawong, Yochai Birnbaum

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Landing page: https://doi.org/10.3390/jcm13185562

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Concepts: Medicine, Heart rate, Stress testing (software), Chronotropic, Cardiology, Internal medicine, Chest pain, Metabolic equivalent, Physical therapy, Blood pressure, Physical activity, Programming language, Computer science

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Cited by: 6

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