%0 Journal Article %T Contribution of Stress Testing to the Management of Ischemic Heart Disease in Mali %A Youssouf Camara %A Hamidou Oumar Ba %A Ibrahima Sangar¨¦ %A Boubacar Sonfo %A Coumba Adiaratou Thiam %A Mahamadou S¨¦kou Diakit¨¦ %A Koniba Diarra %A Karamba Tour¨¦ %A Massama Konat¨¦ %A Ichaka Menta %J World Journal of Cardiovascular Diseases %P 77-87 %@ 2164-5337 %D 2024 %I Scientific Research Publishing %R 10.4236/wjcd.2024.142007 %X Introduction: Exercise stress testing (on a treadmill or ergometer bicycle) is an important test in cardiology for diagnosing myocardial ischemia. This test in Mali is still in its beginning compared to other countries in the sub-region. The lack of data in Mali prompted this study, which aimed to evaluate the indications of this activity and its diagnostic contribution to cardiology in Mali. Materials and Methods: This was a retrospective, descriptive study. The study was conducted at the ˇ°TOUCAMˇ± medical clinic in Kati based on the analysis of stress test reports between January 2016 and August 2022. Result: During the study period, we documented 73 patients who underwent exercise testing on a bicycle ergometer for suspected coronary heart disease. The mean age of our patients was 47.5 ˇŔ 13.8 years (14 and 79 years). Males accounted for the majority (78.1%). The sex ratio is 3.5. More than half of our patients were overweight or obese (77.1%). Hypertension and diabetes affected 52.1% and 25.8% of patients, respectively. 20.8% of patients had coronary artery disease. renin-angiotensin-aldosterone system blockers (56.8%) and beta-blockers (51.3%). The main indications were chest pain (63.0%) and ischemia detection (15.1%). A modified STEEP protocol was used. The majority of our patients (71.2%) achieved at least 85% of their maximum theoretical heart rate. The main reason for the termination of the study was fatigue (57.3%). The average duration was 11.3 ˇŔ 4.2 minutes. 24.7% thought the stress tests were positive and 17.8% thought they were controversial. Conclusion: This study demonstrates the importance of stress testing in the diagnosis and treatment of ischemic heart disease, especially in settings where we have very limited access to coronary angiography. %K Stress Test %K Ischemic Heart Disease %K Mali %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=131499