Download PDF
Dtsch Med Wochenschr 2013; 138(48): 2479-2483
DOI: 10.1055/s-0033-1359897
Übersicht | Review article
Kardiologie
© Georg Thieme Verlag KG Stuttgart · New York

Indikationen für ein Belastungs-EKG jenseits der Koronarischämie

Indications for an ergometry stress test beyond myocardial ischemia
B. Schwaab
1   Curschmann Klinik, Rehabilitationskrankenhaus für Kardiologie, Angiologie und Diabetologie, Akademisches Lehrkrankenhaus der Medizinischen Fakultät der Universität zu Lübeck
,
G. Bönner
2   Medizinische Fakultät der Albert-Ludwigs-Universität Freiburg
,
T. Meyer
3   Institut für Sport- und Präventivmedizin, Universität des Saarlandes, Saarbrücken
› Author Affiliations
Further Information

Publication History

20 June 2013

27 September 2013

Publication Date:
19 November 2013 (online)

Also available at
   Permissions and Reprints

Schlüsselwörter

Belastungs-EKG - körperliche Belastbarkeit - Trainingsintensität - Belastungshypertonie - Herzklappenerkrankungen

Keywords

ergometry stress test - exercise capacity - training intensity - exercise hypertension - valvular heart disease
 

  • Literatur

  • 1 Ainsworth BE, Haskell WL, Herrmann SD et al. Leon AS 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc 2011; 43: 1575-1581
    CrossrefPubMedSearch in Google Scholar
  • 2 Areskog NH. Exercise testing in the evaluation of patients with valvular aortic stenosis. Clin Physiol 1984; 4: 201-208
    CrossrefPubMedSearch in Google Scholar
  • 3 Bagger M, Pedersen PH, Pedersen PK. Biological variation in variables associated with exercise training. Int J Sports Med 2003; 24: 433-440
    Thieme ConnectPubMedSearch in Google Scholar
  • 4 Bonow RO, Carabello BA, Chatterjee K et al. 2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease. Circulation 2008; 118: e523-661
    CrossrefPubMedSearch in Google Scholar
  • 5 Demming T, Bonnemeier H. Die Interpretation des Belastungs-EKG. Dtsch Med Wochenschr 2011; 136: 265-270
    Thieme ConnectPubMedSearch in Google Scholar
  • 6 ESH/ESC. 2013 Guidelines for the management of arterial Hypertension. The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J 2013; 34: 2159-2219
    CrossrefPubMedSearch in Google Scholar
  • 7 Fagard RH, Pardaens K, Staessen JA et al. Prognostic value of invasive hemodynamic measurements at rest and during exercise in hypertensive men. Hypertension 1996; 28: 31-38
    CrossrefPubMedSearch in Google Scholar
  • 8 Fateh-Moghadam S, Steeg M, Bocksch W. Diagnostik der Low-Gradient- Aortenklappenstenose. Dtsch Med Wochenschr 2011; 136: 1959-1963
    Thieme ConnectPubMedSearch in Google Scholar
  • 9 Franz IW. Ergometrische Untersuchungen. In: Rosenthal J, Kolloch R. Arterielle Hypertonie. 4. Auflage Berlin: Springer; 2004: 288-296
    CrossrefSearch in Google Scholar
  • 10 Grigioni F, Specchia S, Maietta P et al. Changes in exercise capacity induced by heart transplantation: prognostic and therapeutic implications. Scand J Med Sci Sports 2010; 21: 519-525
    PubMedSearch in Google Scholar
  • 11 Hare JL, Sharman JE, Leano R et al. Impact of spironolactone on vascular, myocardial, and functional parameters in untreated patients with a hypertensive response to exercise. Am J Hypertens 2013; 26: 691-699
    CrossrefPubMedSearch in Google Scholar
  • 12 Helgerud J, Hoydal K, Wang E et al. Aerobic high-intensity intervals improve VO2max more than moderate training. Med Sci Sports Exerc 2007; 39: 665-671
    CrossrefPubMedSearch in Google Scholar
  • 13 Holmqvist L, Mortensen L, Kanckos C et al. Exercise blood pressure and the risk of future hypertension. J Hum Hypertens 2012; 26: 691-95
    CrossrefPubMedSearch in Google Scholar
  • 14 Kindermann W. Ergometrie-Empfehlungen für die ärztliche Praxis. Dtsch Z Sportmed 1987; 38: 244-268
    PubMedSearch in Google Scholar
  • 15 Kjeldsen SE, Mundal R, Sandvik L et al. Supine and exercise systolic blood pressure predict cardiovascular death in middle-aged men. J Hypertens 2001; 19: 1343-1348
    CrossrefPubMedSearch in Google Scholar
  • 16 Mancini DM, Eisen H, Kussmaul W et al. Value of peak exercise oxygen consumption for optimal timing of cardiac transplantation in ambulatory patients with heart failure. Circulation 1991; 83: 778-786
    CrossrefPubMedSearch in Google Scholar
  • 17 Maruf FA, Ogochukwu UN, Dim PA et al. Absence of sex differences in systolic blood pressure and heart rate responses to exercise in healthy young adults. Nigerian J Physiol Sci 2013; 27: 95-100
    PubMedSearch in Google Scholar
  • 18 Messika-Zeitoun D, Johnson B, Nkomo V et al. Cardiopulmonary exercise testing determination of functional capacity in mitral regurgitation. J Am Coll Cardiol 2006; 47: 2521-7
    CrossrefPubMedSearch in Google Scholar
  • 19 Meyer T. Belastungsuntersuchungen: Praktische Durchführung und Interpretation. In: Kindermann W, Dickhuth HH, Niess A, Urhausen A, Hrsg. Sportkardiologie. Vol. 2. Darmstadt: Steinkopff ; 2007: 39-66
    CrossrefSearch in Google Scholar
  • 20 Meyer T, Scharhag J, Kindermann W. Peak oxygen uptake – myth and truth about an internationally accepted reference value. Z Kardiol 2005; 94: 255-264
    CrossrefPubMedSearch in Google Scholar
  • 21 Middeke M. Arterielle Hypertonie. Stuttgart: Thieme ; 2005
    Thieme ConnectSearch in Google Scholar
  • 22 Midgley AW, McNaughton LR, Wilkinson M. Is there an optimal training intensity for enhancing the maximal oxygen uptake of distance runners? Empirical research findings, current opinions, physiological rationale and practical recommendations. Sports Med 2006; 36: 117-132
    CrossrefPubMedSearch in Google Scholar
  • 23 Miyai N, Shiozaki M, Yabu M et al. Increased mean arterial pressure response to dynamic exercise in normotensive subjects with multiple metabolic risk factors. Hypertens Res 2013; 36: 534-39
    CrossrefPubMedSearch in Google Scholar
  • 24 Morise AP. Exercise testing in nonatherosclerotic heart disease. Circulation 2011; 123: 216-25
    CrossrefPubMedSearch in Google Scholar
  • 25 Mundal R, Kjeldsen E, Sandvik L et al. Exercise blood pressure predicts cardiovascular mortality in middle aged men. Hypertension 1994; 24: 56-62
    CrossrefPubMedSearch in Google Scholar
  • 26 Myers J, Prakash M, Froelicher V et al. Exercise capacity and mortality among men referred for exercise testing. N Engl J Med 2002; 346: 793-801
    CrossrefPubMedSearch in Google Scholar
  • 27 Patyna WD. Belastungsblutdruck und Prognose nach Myokardinfarkt. In: Franz IW, Hrsg. Belastungsblutdruck bei Hochdruckkranken. Diagnostische, prognostische und therapeutische Aspekte. Berlin: Springer; 1993: 171-182
    CrossrefSearch in Google Scholar
  • 28 Pikano E, Pibarot P, Lancellotti P et al. The emerging role of exercise testing and stress echocardiography in valvular heart disease. J Am Coll Cardiol 2009; 54: 2251-2260
    CrossrefPubMedSearch in Google Scholar
  • 29 Rafique AM, Biner S, Ray I et al. Meta-analysis of prognostic value of exercise testing in patients with asymptomatic severe aortic stenosis. Am J Cardiol 2009; 104: 972-977
    CrossrefPubMedSearch in Google Scholar
  • 30 Rost R, Hollmann W. Belastungsuntersuchung in der Praxis. Stuttgart: Thieme; 1982
    Search in Google Scholar
  • 31 Scharhag-Rosenberger F, Meyer T, Gässler N et al. Exercise at given percentages of VO2max: heterogeneous metabolic responses between individuals. J Sci Med Sport 2009; 13: 74-79
    PubMedSearch in Google Scholar
  • 32 Scharhag-Rosenberger F, Meyer T, Walitzek S et al. Time course of changes in endurance capacity: a one-year training study?. Med Sci Sports Exerc 2009; 41: 1130-1137
    CrossrefPubMedSearch in Google Scholar
  • 33 Scharhag-Rosenberger F, Walitzek S, Kindermann W et al. Differences in adaptations to one year of aerobic endurance training: Individual patterns of nonresponse. Scand J Med Sci Sports 2012; 22: 113-118
    CrossrefPubMedSearch in Google Scholar
  • 34 Sedgwick AW, Thomas DW, Davies M. Relationships between change in aerobic fitness and changes in blood pressure and plasma lipids in men and women: the "Adelaide 1000" 4-year follow up. J Clin Epidemiol 1993; 46: 141-151
    CrossrefPubMedSearch in Google Scholar
  • 35 Schultz MG, Otahal P, Cleland VJ et al. Exercise-induced hypertension, cardiovascular events, and mortality in patients undergoing exercise stress testing. Am J Hypertens 2013; 26: 357-366
    CrossrefPubMedSearch in Google Scholar
  • 36 Singh JP, Larson MG, Manolio TA et al. Blood pressure response during treadmill testing as a risk factor for new-onset hypertension. The Framingham Heart Study. Circulation 1999; 99: 1831-1836
    CrossrefPubMedSearch in Google Scholar
  • 37 Szymanski C, Levine RA, Tribouilloy C et al. Impact of mitral regurgitation on exercise capacity and clinical outcomes in patients with ischemic left ventricular dysfunction. Am C Cardiol 2011; 108: 1714-1720
    PubMedSearch in Google Scholar
  • 38 Vahanian A, Alfieri O, Andreotti F et al. ESC and EACTS guidelines on the management of valvular heart disease (version 2012). Eur Heart J 2012; 33: 2451-2496
    CrossrefPubMedSearch in Google Scholar
  • 39 Vanhees L, Fagard R, Thijs L et al. Prognostic value of training-induced change in peak exercise capacity in patients with myocardial infarcts and patients with coronary bypass surgery. Am J Cardiol 1995; 76: 1014-1019
    CrossrefPubMedSearch in Google Scholar
  • 40 Williams PT. Physical fitness and activity as separate heart disease risk factors: a meta-analysis. Med Sci Sports Exerc 2001; 33: 754-761
    PubMedSearch in Google Scholar