International Journal of Cardiovascular Sciences. 14/dez/2021;35(1):37-8.
Exercise Testing Protocols to Detect the Presence of Coronary Artery Disease: Bruce or Ramp?
Ricardo Vivacqua Cardoso Costa
The investigation of ischemic response through clinical, metabolic, hemodynamic, and electrocardiographic parameters displayed in the exercise stress test (ET) in multifactorial analysis increases the ET’s diagnostic and prognostic accuracy indication of ischemic response.
Coronary artery disease (CAD) is a pathology that requires quick and safe decisions for the patient, and it is always a challenge. The protocols for performing the ET, whether on a cycle ergometer or a treadmill, must be adapted to the patient’s biomechanical conditions so that they are comfortable and can reach the criteria that define a maximum or close to the maximum effort level. The protocol must seek a satisfactory mobilization of myocardial reserves so that the sensitivity to the presence of an ischemic response can be increased.
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