A nomogram of exercise capacity for age predicted mortality in women with cardiovascular symptoms: COMMENTARY

Granger, Christopher
January 2006
ACP Journal Club;Jan/Feb2006, Vol. 144 Issue 1, p25
Academic Journal
The article presents comments on a clinical study which provides a nomogram of exercise capacity for age predicted mortality in women with cardiovascular symptoms. Moreover, it reemphasizes the prognostic importance of functional status, specifically the percentage of predicted exercise capacity. Beyond these results, the implications are less clear. The study further calls into question the increasing infatuation, especially in the U.S., with pharmacologic stress testing, even in patients who can exercise. While it is tempting to use this study to underscore the clinical importance of encouraging physical fitness, the study simply reports an association and does not address causality or the effect of interventions to improve exercise capacity.


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