View source for CARDIAC STRESS TESTS-CONTRAINDICATIONS TO STRESS TESTS

===== [[Summary Article|'''SUMMARY''']] =====
1. Patients unable to exercise sufficiently (must achieve 85% of age-predicted maximum HR)
<br/>2. Baseline ECG abnormalities that can interfere with interpretation (LVH, LBBB, WPW, ST depression, ventricular pacing), or taking digoxin
<br/>
<br/><i>RECENT EVENTS</i>
<br/>3. Acute MI within 2 days
<br/>4. Acute pulmonary embolus or infarction
<br/>5. Acute myocarditis or pericarditis
<br/>6. Acute aortic dissection
<br/>
<br/><i>UNCONTROLLED CONDITIONS</i>
<br/>7. Unstable angina not previously stabilized by medical therapy
<br/>8. Uncontrolled arrhythmias, 3<sup>rd</sup> degree heart block causing symptoms or hemodynamic compromise
<br/>9. Symptomatic severe aortic stenosis
<br/>10. Uncontrolled symptomatic heart failure


==Reference(s)==
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. [https://amzn.to/3YHrI6K Get it on Amazon.]
<br/>Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. [https://amzn.to/3k7WSW0 Get it on Amazon.]
<br/>Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
<br/>Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].

[[Category:Cardiac Stress Tests]]
[[Category:Cardiology]]
[[Category:Medicine]]