In comparison to the myocardial perfusion scintigraphy, a treadmill stress test is a viable, efficient and cost effective option to predict cardiovascular events in elderly patients.

Objective: To define the prognostic value and cost-effectiveness of the treadmill stress test (TST) in comparison to the dipyridamole myocardial perfusion scintigraphy (DIP), in individuals > or = 75 years of age.

Methods: Consecutive and prospective assessment of 66 patients (40% male) aged 81 +/- 5 years of which 57% were hypertensive, 38% had dyslipidemia and 28% were diabetics. The Bruce protocol was adapted for a tilt treadmill and the TST prognostic value was obtained using the Duke treadmill score.

[Age and psychologic disorders. Variables associated to post-infarction sexual dysfunction].

Objective: Data on sexual disfunction (SD) after myocardial infarction (MI) are sketchy, especially in our community and in regard to predictors. Both males and females, with active sexual life and no sexual dysfunction prior to MI were evaluated in order to investigate SD incidence after MI, as well as to identify the possible variables associated.

Methods: Forty-three patients were studied consecutively, through structured questionnaires for SD and psychological disorders (PD) diagnosis.

Exercise stress testing is useful, safe, and efficient even in patients aged 75 years or older.

Objective: To describe the clinical and hemodynamic variables obtained with exercise testing in elderly patients SW >75 years.

Methods: This study assessed 100 patients aged 75-94 years (80+/-4 years) undergoing symptom-limited exercise testing, 65% of whom were asymptomatic, 25% had nonanginal chest pain, and 10% had typical precordialgia. Of the 100 patients, 32% were males, 50% were hypertensive, 36% were dyslipidemic, 14% were diabetic, and 9% had had previous coronary artery disease.