Dobutamine stress echo is superior to exercise stress testing in achieving target heart rate among patients on beta blockers

Adam Sabbath, Michael Pack, Richard Markiewicz, Jooby John, Mohamed Gaballa, Steven Goldman, Hoang Thai

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Published guidelines recommend continuing β-adrenergic receptor blockade in patients undergoing stress testing. We evaluated the role of pharmacological versus exercise stress testing in achieving target heart rate (THR) among patients on β-adrenergic blockade. We compared data from 140 patients who underwent dobutamine stress echo (DSE) and 143 patients who underwent exercise treadmill testing (ETT). In both groups, β-adrenergic blocker was continued at the time of stress testing. Overall, patients undergoing DSE achieved THR more frequently than ETT. With β-adrenergic blockade, DSE patients met THR more frequently than ETT patients (p < 0.001). Without β-adrenergic blockade, there was no difference between either modality in achieving THR. In both DSE and ETT patients, absence of β-adrenergic blockade increased the odds of achieving THR [odds ratio (OR): 2.46, p = 0.042 and OR: 7.44, p < 0.001, respectively]. Atropine use with DSE increased the odds of achieving THR (OR: 3.76, p = 0.006). In conclusion, pharmacological stress testing appears to be superior to exercise stress testing in achieving THR among patients on β-adrenergic blockade.

Original languageEnglish (US)
Pages (from-to)138-142
Number of pages5
JournalCardiology
Volume104
Issue number3
DOIs
StatePublished - Sep 2005

Fingerprint

Dobutamine
Heart Rate
Exercise
Adrenergic Agents
Odds Ratio
Pharmacology
Adrenergic Antagonists
Atropine
Adrenergic Receptors
Guidelines

Keywords

  • Beta-blocker
  • Dobutamine
  • Echo
  • Target
  • Treadmill

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Dobutamine stress echo is superior to exercise stress testing in achieving target heart rate among patients on beta blockers. / Sabbath, Adam; Pack, Michael; Markiewicz, Richard; John, Jooby; Gaballa, Mohamed; Goldman, Steven; Thai, Hoang.

In: Cardiology, Vol. 104, No. 3, 09.2005, p. 138-142.

Research output: Contribution to journalArticle

Sabbath, Adam ; Pack, Michael ; Markiewicz, Richard ; John, Jooby ; Gaballa, Mohamed ; Goldman, Steven ; Thai, Hoang. / Dobutamine stress echo is superior to exercise stress testing in achieving target heart rate among patients on beta blockers. In: Cardiology. 2005 ; Vol. 104, No. 3. pp. 138-142.
@article{45a0641ba9af426a82ac98bbb712f84e,
title = "Dobutamine stress echo is superior to exercise stress testing in achieving target heart rate among patients on beta blockers",
abstract = "Published guidelines recommend continuing β-adrenergic receptor blockade in patients undergoing stress testing. We evaluated the role of pharmacological versus exercise stress testing in achieving target heart rate (THR) among patients on β-adrenergic blockade. We compared data from 140 patients who underwent dobutamine stress echo (DSE) and 143 patients who underwent exercise treadmill testing (ETT). In both groups, β-adrenergic blocker was continued at the time of stress testing. Overall, patients undergoing DSE achieved THR more frequently than ETT. With β-adrenergic blockade, DSE patients met THR more frequently than ETT patients (p < 0.001). Without β-adrenergic blockade, there was no difference between either modality in achieving THR. In both DSE and ETT patients, absence of β-adrenergic blockade increased the odds of achieving THR [odds ratio (OR): 2.46, p = 0.042 and OR: 7.44, p < 0.001, respectively]. Atropine use with DSE increased the odds of achieving THR (OR: 3.76, p = 0.006). In conclusion, pharmacological stress testing appears to be superior to exercise stress testing in achieving THR among patients on β-adrenergic blockade.",
keywords = "Beta-blocker, Dobutamine, Echo, Target, Treadmill",
author = "Adam Sabbath and Michael Pack and Richard Markiewicz and Jooby John and Mohamed Gaballa and Steven Goldman and Hoang Thai",
year = "2005",
month = "9",
doi = "10.1159/000087634",
language = "English (US)",
volume = "104",
pages = "138--142",
journal = "Cardiology",
issn = "0008-6312",
publisher = "S. Karger AG",
number = "3",

}

TY - JOUR

T1 - Dobutamine stress echo is superior to exercise stress testing in achieving target heart rate among patients on beta blockers

AU - Sabbath, Adam

AU - Pack, Michael

AU - Markiewicz, Richard

AU - John, Jooby

AU - Gaballa, Mohamed

AU - Goldman, Steven

AU - Thai, Hoang

PY - 2005/9

Y1 - 2005/9

N2 - Published guidelines recommend continuing β-adrenergic receptor blockade in patients undergoing stress testing. We evaluated the role of pharmacological versus exercise stress testing in achieving target heart rate (THR) among patients on β-adrenergic blockade. We compared data from 140 patients who underwent dobutamine stress echo (DSE) and 143 patients who underwent exercise treadmill testing (ETT). In both groups, β-adrenergic blocker was continued at the time of stress testing. Overall, patients undergoing DSE achieved THR more frequently than ETT. With β-adrenergic blockade, DSE patients met THR more frequently than ETT patients (p < 0.001). Without β-adrenergic blockade, there was no difference between either modality in achieving THR. In both DSE and ETT patients, absence of β-adrenergic blockade increased the odds of achieving THR [odds ratio (OR): 2.46, p = 0.042 and OR: 7.44, p < 0.001, respectively]. Atropine use with DSE increased the odds of achieving THR (OR: 3.76, p = 0.006). In conclusion, pharmacological stress testing appears to be superior to exercise stress testing in achieving THR among patients on β-adrenergic blockade.

AB - Published guidelines recommend continuing β-adrenergic receptor blockade in patients undergoing stress testing. We evaluated the role of pharmacological versus exercise stress testing in achieving target heart rate (THR) among patients on β-adrenergic blockade. We compared data from 140 patients who underwent dobutamine stress echo (DSE) and 143 patients who underwent exercise treadmill testing (ETT). In both groups, β-adrenergic blocker was continued at the time of stress testing. Overall, patients undergoing DSE achieved THR more frequently than ETT. With β-adrenergic blockade, DSE patients met THR more frequently than ETT patients (p < 0.001). Without β-adrenergic blockade, there was no difference between either modality in achieving THR. In both DSE and ETT patients, absence of β-adrenergic blockade increased the odds of achieving THR [odds ratio (OR): 2.46, p = 0.042 and OR: 7.44, p < 0.001, respectively]. Atropine use with DSE increased the odds of achieving THR (OR: 3.76, p = 0.006). In conclusion, pharmacological stress testing appears to be superior to exercise stress testing in achieving THR among patients on β-adrenergic blockade.

KW - Beta-blocker

KW - Dobutamine

KW - Echo

KW - Target

KW - Treadmill

UR - http://www.scopus.com/inward/record.url?scp=24744445333&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=24744445333&partnerID=8YFLogxK

U2 - 10.1159/000087634

DO - 10.1159/000087634

M3 - Article

C2 - 16118492

AN - SCOPUS:24744445333

VL - 104

SP - 138

EP - 142

JO - Cardiology

JF - Cardiology

SN - 0008-6312

IS - 3

ER -