Methodologic Problems in Exercise Testing Research: Are We Solving Them?

Robert Detrano, Kenneth P. Lyons, Gilberto Marcondes, Nabil Abbassi, Victor F. Froelicher, Andras Janosi

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

To evaluate the comparative effects of methodologic factors on the reported accuracies of two standard exercise tests, 56 publications comparing the exercise thallium scintigram with the coronary angiogram were analyzed for conformation to five methodologic standards. Analyzed were adequate definition of study group, avoidance of a limited challenge group, avoidance of workup bias, and blinded analysis of the coronary angiogram and myocardial scintigram. Study group characteristics and technical factors were also reviewed. Better conformation with methodologic standards was found than has been reported previously for treadmill exercise testing. Furthermore, study group characteristics and technical factors were better predictors of sensitivity and specificity than were methodologic deficiencies. Only workup bias and test blinding were significantly associated with test accuracy. The percentage of patients with previous myocardial infarction had the highest correlation and was independently and directly related to sensitivity and inversely related to specificity.

Original languageEnglish
Pages (from-to)1289-1295
Number of pages7
JournalArchives of Internal Medicine
Volume148
Issue number6
DOIs
Publication statusPublished - Jun 1988

ASJC Scopus subject areas

  • Internal Medicine

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