NEWS IN THIS ISSUE ❙ New Insights into the Clinical Exercise

The use of exercise to stress the cardiovascular system has a long history in medicine, dating back to the early 1900s1. Historically, the diagnostic and prognostic applications of the exercise test have focused on ST segment changes, and with the ST segment response as the cornerstone, the exercise test remains the modality of choice for the initial evaluation of coronary artery disease (CAD)2. However, much has been written about the limitations of the ST segment. For example, test accuracy is lower in women, those with resting ECG abnormalities, and in populations with