Mecânica Ventricular Esquerda: Desvendando as Vias da Resposta Cardiovascular ao Exercício

Vilela, Eduardo; Fontes‐Carvalho, Ricardo

doi:10.36660/abc.20230181

Cited by 1 publication

(1 citation statement)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3,6,7 While, as stated above, the contribution from diverse fields should be highlighted as being central to current concepts regarding CVD (across its various presentations), the advent of different diagnostic modalities has been instrumental for both enhancements on the understanding of its physiopathology and in overall improvements in patient care. [7][8][9][10] A major milestone in cardiovascular medicine pertains to the introduction of the electrocardiogram (ECG). 3,11,12 Building on previous studies, this technology, providing a graphical representation of cardiac electrical activity, was first introduced more than a century ago.…”

Section: Introductionmentioning

confidence: 99%

Sixty years of the Bruce protocol: reappraising the contemporary role of exercise stress testing with electrocardiographic monitoring

Vilela,

Oliveira,

Oliveira

et al. 2023

Porto Biomedical Journal

Self Cite

View full text Add to dashboard Cite

The cardiovascular response to exercise has long been a focus of interest. Over a century ago, the first descriptions of electrocardiographic changes occurring during exercise highlighted the possible relevance of this dynamic assessment. In this background, the inception of the Bruce protocol circa 60 years ago allowed for a major leap in this field by providing a standardized framework with which to address this issue, by means of an integrated and structured methodology. Since then, exercise stress testing with electrocardiographic monitoring (ExECG) has become one of the most widely appraised tests in cardiovascular medicine. Notably, past few decades have been profoundly marked by substantial advances in the approach to cardiovascular disease, challenging prior notions concerning both its physiopathology and overall management. Among these, the ever-evolving presentations of cardiovascular disease coupled with the development and implementation of several novel diagnostic modalities (both invasive and noninvasive) has led to a shifting paradigm in the application of ExECG. This technique, however, has continuously shown to be of added value across various momentums of the cardiovascular continuum, as depicted in several contemporary guidelines. This review provides a pragmatical reflexion on the development of ExECG, presenting a comprehensive overview concerning the current role of this modality, its challenges, and its future perspectives.

show abstract