• See Also
  1. Stress Imaging
  2. Exercise Stress Test
  3. Pharmacologic Stress Test
  • Indications
  • Symptomatic Patients
  1. See Exercise Stress Test
  2. Intermediate to high risk for Coronary Artery Disease OR
  3. Known Coronary Artery Disease with prior revascularization OR
  4. High risk of False Positive testing or uninterpretable EKG (see below)
  1. See Exercise Stress Test
  2. Medication Use
    1. Digoxin
    2. Type I Antiarrhythmic
  3. WPW Syndrome
  4. Left Ventricular Hypertrophy
    1. Especially with "strain" pattern
  5. Significant valvular disease
  6. Severe Hypertension
  7. Hypertrophic Cardiomyopathy
  8. Mitral Valve Prolapse
  9. Baseline ST-T Wave abnormality
  10. Female gender
    1. Exercise Stress Test is now recommended as first-line test instead
  • Indications
  • Stress EKG not interpretable
  1. See Exercise Stress Test
  2. Left Bundle Branch Block (including rate dependent blocks)
  3. Pacemaker dependency
  4. Baseline ST abnormality (>1 mm)
  5. Baseline T Wave abnormalities
  • Indications
  • Precise anatomic information desired
  1. Correlation with catheterization findings
  2. Follow-up revascularization procedures
  • Contraindications
  1. See Exercise Stress Test
  • References
  1. Garner (2017) Am Fam Physician 96(5): 293-9 [PubMed]