Abstract

Karha, J., Gibson, C. M., Murphy, S. A., Dibattiste, P. M., Cannon, C. P. Safety of stress testing during the evolution of unstable angina pectoris or non-ST-elevation myocardial infarction Am J Cardiol. 2004;94(12):1537-9.

Patients (n = 1,106) were chosen from the conservative arm of the Treat Angina with aggrastat and determine Cost of Therapy with an Invasive or Conservative Strategy-Thrombolysis In Myocardial Infarction (TACTICS-TIMI) 18 trial. Only 1 patient had a myocardial infarction and another died on the day of stress testing (mortality 0.12%). In patients with unstable angina pectoris or non-ST-elevation myocardial infarction treated with aspirin, heparin, and tirofiban, performance of an exercise or a pharmacologic stress test in selected patients within 48 to 72 hours after admission appears to be associated with a low risk of complications.

Trial: TACTICS-TIMI 18