Exercise testing for the prediction of cardiac events in patients with diabetes : HTA full report

This report on Exercise Testing for the Prediction of Cardiac Events in Patients with Diabetes examines the clinical research evidence on the prognostic value of exercise testing (including electrocardiogram exercise testing and cardiopulmonary exercise testing) for the prediction of cardiac events in patients with diabetes. [...] Moreover, no conclusion could be drawn in terms of the prognostic value of exercise testing in patients with COPD or arthritis because of the lack of sufficient published evidence. [...] Exercise Testing for the Prediction of Cardiac Events in Patients with Diabetes 13 Overview of Technology – Exercise Testing n Description of exercise testing Exercise testing is a controlled physical activity, usually performed on a treadmill or stationary bicycle, that is used to assess how well the heart and the body deal with exercise or stress.23 It is designed to increase total body and myoc [...] Exercise capacity is measured by metabolic equivalents, using the formula: (1.44 × [maximal minutes on treadmill] + 14.99)/3.5 Cardiopulmonary exercise testing (CPET) CPET combines the routine measurements of the ECG, blood pressure, and work output with the analysis of exhaled gases, which allows the simultaneous assessment of the cardiovascular and respiratory systems along with the assessment o [...] Lack of availability of exercise ECG testing in local communities, the cost of the test, and lack of human resources present significant barriers to accessing the community-based exercise programs.