ISSN: 2578-4633
Authors: Mittal SR* and Mittal G
There is lack of consensus regarding regression equation to be used for calculation of age predicted maximal heart rate for evaluation of exercise stress test. We evaluated stage wise increase in heart rate during treadmill stress testing using Bruce protocol in seventy normal individual after excluding various confounding factors. We analyzed the data in two genders of different age groups and calculated the statistical significance of difference between different groups. Formula of 220-age was used for calculation of age predicted maximal heart rate. Females older than fifty years could not reach fourth stage. Total increase in heart rate and percentage of age predicted maximal heart rate were also lower in females older than fifty years. Our study shows that 80% of age predicted maximal heart rate is normal for females older than fifty years and should not be ‘considered as chronotropic incompetence.’ There is need for developing a different regression equation for calculation of age predicted maximal heart rate for females older than fifty years.
Keywords: Age Predicted Maximal Heart Rate; Chronotropic Incompetence; Coronary Artery Disease; Exercise Electrocardiography; Treadmill Stress Testing
