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Journal of Nuclear Medicine Technology

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Research ArticleIMAGING

Comparison of Bruce Treadmill Exercise Test Protocols: Is Ramped Bruce Equal or Superior to Standard Bruce in Producing Clinically Valid Studies for Patients Presenting for Evaluation of Cardiac Ischemia or Arrhythmia with Body Mass Index Equal to or Greater Than 30?

Angela Macci Bires, Dori Lawson, Thomas E. Wasser and Donna Raber-Baer
Journal of Nuclear Medicine Technology December 2013, 41 (4) 274-278; DOI: https://doi.org/10.2967/jnmt.113.124727
Angela Macci Bires
1Robert Morris University, Moon Township, Pennsylvania
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Dori Lawson
2Invasive and Non-Invasive Cardiology, Regional Heart Center, The Reading Hospital and Medical Center, West Reading, Pennsylvania
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Thomas E. Wasser
3Consult-Stat: Complete Statistical Services, Macungie, Pennsylvania; and
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Donna Raber-Baer
4Regional Heart Center, The Reading Hospital and Medical Center, West Reading, Pennsylvania
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Abstract

Clinically valid cardiac evaluation via treadmill stress testing requires patients to achieve specific target heart rates and to successfully complete the cardiac examination. Methods: A comparison of the standard Bruce protocol and the ramped Bruce protocol was performed using data collected over a 1-y period from a targeted patient population with a body mass index (BMI) equal to or greater than 30 to determine which treadmill protocol provided more successful examination results. Results: The functional capacity, metabolic equivalent units achieved, pressure rate product, and total time on the treadmill as measured for the obese patients were clinically valid and comparable to normal-weight and overweight patients (P < 0.001). Data gathered from each protocol demonstrated that the usage of the ramped Bruce protocol achieved more consistent results in comparison across all BMI groups in achieving 80%–85% of their age-predicted maximum heart rate. Conclusion: This study did not adequately establish that the ramped Bruce protocol was superior to the standard Bruce protocol for the examination of patients with a BMI equal to or greater than 30.

  • cardiac exercise stress testing protocols
  • cardiac assessment
  • Bruce protocol versus ramped Bruce protocol
  • body mass index (BMI)

Footnotes

  • Published online Nov. 12, 2013.

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Journal of Nuclear Medicine Technology: 41 (4)
Journal of Nuclear Medicine Technology
Vol. 41, Issue 4
December 1, 2013
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Comparison of Bruce Treadmill Exercise Test Protocols: Is Ramped Bruce Equal or Superior to Standard Bruce in Producing Clinically Valid Studies for Patients Presenting for Evaluation of Cardiac Ischemia or Arrhythmia with Body Mass Index Equal to or Greater Than 30?
Angela Macci Bires, Dori Lawson, Thomas E. Wasser, Donna Raber-Baer
Journal of Nuclear Medicine Technology Dec 2013, 41 (4) 274-278; DOI: 10.2967/jnmt.113.124727

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Comparison of Bruce Treadmill Exercise Test Protocols: Is Ramped Bruce Equal or Superior to Standard Bruce in Producing Clinically Valid Studies for Patients Presenting for Evaluation of Cardiac Ischemia or Arrhythmia with Body Mass Index Equal to or Greater Than 30?
Angela Macci Bires, Dori Lawson, Thomas E. Wasser, Donna Raber-Baer
Journal of Nuclear Medicine Technology Dec 2013, 41 (4) 274-278; DOI: 10.2967/jnmt.113.124727
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Keywords

  • cardiac exercise stress testing protocols
  • cardiac assessment
  • Bruce protocol versus ramped Bruce protocol
  • body mass index (BMI)
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