Writing and Publishing Scientific Articles
5-28
In conclusion, frequent ventricular ectopy during recovery from exercise was found to be an important, independent predictor of an increased risk of death in a large clinical cohort. Frequent ventricular ectopy that occurred only during exercise did not independently predict an increased risk. In accordance with previous findings of a strong relationship between attenuated recovery of the heart rate after exercise and an elevated risk of death, these results support the central importance of vagal mediation in cardiac function. They also underscore the value of the exercise stress test as a tool for prognosis and risk stratification. [Conclusions are given and their clinical implication is discussed, but readers are not given the information to assess the conclusions for themselves (which would be the possible limitations of the study and its relationship to other studies).]
Adapted from the well-written Discussion in Frolkis JP et al. Frequent ventricular ectopy after exercise as a predictor of death. N Engl J Med 348:781 – 790, 2003.
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