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CARDIAC STRESS TESTS-GUIDE

Cardiology

CARDIAC STRESS TESTS-GUIDE

1. An exercise stress test (ETT, exercise echo, exercise MPI) is always preferred if the patient has no limitations.

2. If the resting ECG is abnormal (with exception of LBBB and paced rhythm), perform exercise testing with echo or MPI.

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.

4. Do not use adenosine or dipyridamole in someone with asthma or severe carotid stenosis and do not use dobutamine in someone with a history of VT, uncontrolled HTN, or a paced ventricular rhythm.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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