Aerobic Exercise Testing in Clinical Practice
By Linda on Aug 29, 2010 in F.I.G.H.T. | comments(0)
Stress ECG pales in comparison to www.PREMIERHEART.com. Multigate ECG requires a $35,000 advanced computerized painless 15 minute ECG but has real predictive value that you can use to motivate patients to stay on my protocol and virtually eliminate all fatal heart attacks.
The statements you can make about the badly outdated stress ECG is that it has some limited usefulness. Investing in the future moves this into meaningful predictive medicine.
Here is a statement from the proponents of the outdated stress ECG that are unwilling to move into the future and use multigated ECG from www.premierheart.com. Anyone can have this test in a cardiologist’s office in Tucson, AZ for $150 cash. That is the logical next step in testing anyone with a real desire to know the status of their coronaries better than angiograms non-invasively and quickly.
Here is the data from the attached report on stress ECG, clearly better than nothing but not very predictive. The $1000 www.bioclip.com vascular age test tells us that those who do poorly have a 90% probability they will be dead within ten years!
Here is what you might learn from a treadmill ECG. Low aerobic capacity in young adulthood appears to predict a higher likelihood of established cardiovascular risk factors later in life. Carnethon et al. performed aerobic exercise testing in more than 4000 apparently healthy males and females between 18 and 30 years of age.[95] There was an increasing risk for the development of hypertension, diabetes and metabolic syndrome with a progressively lower aerobic capacity during the 15 year follow-up, which was maintained after adjusting for baseline body mass index.
Also here is the link for those of you who couldn’t open it to yesterday’s article:http://www.scribd.com/doc/35263197/Dumbing-Down-Part-I
Garry F. Gordon MD,DO,MD(H)
President, Gordon Research Institute
www.gordonresearch.com
Full article: http://www.medscape.com/viewarticle/722941_2
Excerpt:
The four traditional vital signs: resting heart rate, blood pressure, respiratory rate and body temperature, serve as the cornerstone of a physical examination. Other assessments such as pain have been proposed as additional vital signs. To this point however, there has been limited consideration for aerobic exercise assessment as a vital sign. A wealth of literature demonstrating the prognostic, diagnostic and interventional value of the aerobic exercise assessment now exists, supporting its use in numerous clinical scenarios. Moreover, the assessment of the aerobic exercise response allows for the manifestation of physiologic abnormalities that are not readily apparent during the collection of resting data. This review will provide evidence supporting the assertion that the aerobic exercise assessment may be afforded vital sign status in future clinical practice.
