Evidence map›Paper›PMID 39337046›Full record

ReviewJournal of clinical medicine2024

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

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

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Omar AlmaadawyDepartment of Internal Medicine, MedStar Health, Baltimore, MD 21218, USA.
Barry F UretskyDivision of Cardiovascular Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
Chayakrit KrittanawongCardiology Division, NYU Langone Health and NYU School of Medicine, New York, NY 10016, USA.
Yochai BirnbaumThe Section of Cardiology, Baylor College of Medicine, 7200 Cambridge Street, Houston, TX 77030, USA.ORCID 0000-0001-7653-6328

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

220-ageage-predicted maximum heart rateAPMHRcardiovascular diseasecardiovascular prognosischest painexercise stress testfunctional statusheart rate reserveHRmax formulamaximum rate pressure productmetabolic equivalentsnuclear imaging stress teststress echocardiogram

Identifiers

PMID39337046
PMCPMC11432587

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.