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dc.contributor.authorSalokari, Esko
dc.contributor.authorLaukkanen, Jari
dc.contributor.authorLehtimäki, Terho
dc.contributor.authorKurl, Sudhir
dc.contributor.authorKunutsor, Setor
dc.contributor.authorZaccardi, Francesco
dc.contributor.authorViik, Jari
dc.contributor.authorLehtinen, Rami
dc.contributor.authorNikus, Kjell
dc.contributor.authorKööbi, Tiit
dc.contributor.authorTurjanmaa, Väinö
dc.contributor.authorKähönen, Mika
dc.contributor.authorNieminen, Tuomo
dc.date.accessioned2019-01-14T12:24:44Z
dc.date.available2019-01-14T12:24:44Z
dc.date.issued2019fi
dc.identifier.citationSalokari, E., Laukkanen, J., Lehtimäki, T., Kurl, S., Kunutsor, S., Zaccardi, F., . . . Nieminen, T. (2019). The Duke treadmill score with bicycle ergometer : Exercise capacity is the most important predictor of cardiovascular mortality. <em>European Journal of Preventive Cardiology</em>, 26 (2), 199-207. <a href="https://doi.org/10.1177/2047487318804618">doi:10.1177/2047487318804618</a>fi
dc.identifier.otherTUTKAID_79321
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/62477
dc.description.abstractBackground: The Duke treadmill score, a widely used treadmill testing tool, is a weighted index combining exercise time or capacity, maximum ST-segment deviation and exercise-induced angina. No previous studies have investigated whether the Duke treadmill score and its individual components based on bicycle exercise testing predict cardiovascular death. Design: Two populations with a standard bicycle testing were used: 3936 patients referred for exercise testing (2371 men, age 56 13 years) from the Finnish Cardiovascular Study (FINCAVAS) and a population-based sample of 2683 men (age 53 5.1 years) from the Kuopio Ischaemic Heart Disease study (KIHD). Methods: Cox regression was applied for risk prediction with cardiovascular mortality as the primary endpoint. Results: In FINCAVAS, during a median 6.3-year (interquartile range (IQR) 4.5–8.2) follow-up period, 180 patients (4.6%) experienced cardiovascular mortality. In KIHD, 562 patients (21.0%) died from cardiovascular causes during the median follow-up of 24.1 (IQR 18.0–26.2) years. The Duke treadmill score was associated with cardiovascular mortality in both populations (FINCAVAS, adjusted hazard ratio (HR) 3.15 for highest vs. lowest Duke treadmill score tertile, 95% confidence interval (CI) 1.83–5.42, P < 0.001; KIHD, adjusted HR 1.71, 95% CI 1.34–2.18, P < 0.001). However, after progressive adjustment for the Duke treadmill score components, the score was not associated with cardiovascular mortality in either study population, as exercise capacity in metabolic equivalents of task was the dominant harbinger of poor prognosis. Conclusions: The Duke treadmill score is associated with cardiovascular mortality among patients who have undergone bicycle exercise testing, but metabolic equivalents of task, a component of the Duke treadmill score, proved to be a superior predictor.fi
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherSage Publications Ltd.
dc.relation.ispartofseriesEuropean Journal of Preventive Cardiology
dc.rightsCC BY-NC 4.0
dc.subject.othersydän- ja verisuonitauditfi
dc.subject.otherkuolleisuusfi
dc.subject.otherennusteetfi
dc.subject.otherfyysinen kuntofi
dc.subject.otherkuntotestitfi
dc.subject.othercardiovascular mortalityfi
dc.subject.otherprognostic factorsfi
dc.subject.otherstress testfi
dc.titleThe Duke treadmill score with bicycle ergometer : Exercise capacity is the most important predictor of cardiovascular mortalityfi
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201901111163
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineLiikuntalääketiede
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2019-01-11T13:15:09Z
dc.description.reviewstatuspeerReviewed
dc.format.pagerange199-207
dc.relation.issn2047-4873
dc.relation.numberinseries2
dc.relation.volume26
dc.type.versionpublishedVersion
dc.rights.copyright© The European Society of Cardiology 2018.
dc.rights.accesslevelopenAccessfi
dc.format.contentfulltext
dc.rights.urlhttps://creativecommons.org/licenses/by-nc/4.0/
dc.relation.doi10.1177/2047487318804618


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