[Role of physical effort in the monitoring of coronary disease: under medical treatment, after bypass, after angioplasty].
Exercise tests must be performed only in hospitals and private clinics equipped for intensive care. Electrocardiographs must be fitted with a computer-assisted system for averaging and smoothing. In all but special cases it would be preferable to interrupt or delay the anti-angina treatment, so that the degree of ischaemia can be quantified. In this way, the severity of coronary lesions, the risk of arrhythmia and the prognosis for life can be predicted with good statistical certainty. In addition, the patient's fitness for work can easily be evaluated. As years go by, the ischaemia may be found to have become worse, and it might be decided to revascularize the myocardium in due course. Following revascularisation exercise tests are used to evaluate its benefits and follow their persistence. In addition, exercise tests are a very useful means of adjusting the antianginal treatment. Finally, exercise tests create a special link between patients and their medical team since they participate, both physically and psychologically, in their own diagnosis and evaluation of treatment.
Broustet
J P
JP
Département des épreuves d'effort et de la réadaptation hôpital cardiologique Haut-Lévêque, Pessac.
Douard
H
H
Oysel
N
N
Rougier
P
P
D015906:Angioplasty, Balloon, Coronary; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D005080:Exercise Test / Q000379:methods*; D006801:Humans; D008991:Monitoring, Physiologic; D011184:Postoperative Period
Place de l'épreuve d'effort dans la surveillance de la maladie coronaire: sous traitement médical, après pontage, après angioplastie.