View source for CARDIAC STRESS TESTS-ETT, ECHO, MPI INDICATIONS

===== [[Summary Article|'''SUMMARY''']] =====
1. An exercise stress test (ETT, exercise echo, exercise MPI) is always preferred if the patient has no limitations.
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<br/>2. If the resting ECG is abnormal (with exception of LBBB and paced rhythm), shows WPW syndrome or on digoxin, perform exercise testing with echo or MPI.
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<br/>3. A pharmacologic stress test is done if the patient cannot do more than moderate exercise, is unable to increase the HR (pacemaker) or has LBBB.
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<br/>4. Do not use adenosine or dipyridamole in patients with asthma, severe carotid stenosis, VT, uncontrolled HTN, or paced ventricular rhythm.


==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]]