cardiac stress testing

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Indications

* higher use of preoperative stress testing not associated with improved outcomes[7]

Contraindications

Procedure

* positive exercise stress test,

* "limited exercise ability" due to COPD[1]

* exercise myocardial perfusion may be preferable to dobutamine echcardiography when baseline ECG abnormalities preclude exercise ECG

*

Notes

More general terms

More specific terms

Additional terms

References

  1. 1.0 1.1 1.2 1.3 1.4 Medical Knowledge Self Assessment Program (MKSAP) 16, 17, 18, 19. American College of Physicians, Philadelphia 2012, 2015, 2018, 2022.
  2. 2.0 2.1 Ladapo JA et al. Physician decision making and trends in the use of cardiac stress testing in the United States: An analysis of repeated cross-sectional data. Ann Intern Med 2014 Oct 7; 161:482 PMID: https://www.ncbi.nlm.nih.gov/pubmed/25285541
  3. 3.0 3.1 Sharma A et al. Stress testing versus CT angiography in patients with diabetes and suspected coronary artery disease. J Am Coll Cardiol 2019 Mar 5; 73:893. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30819356 https://www.sciencedirect.com/science/article/pii/S0735109719300968
    Blaha MJ, Cainzos-Achirica M. Coronary CT angiography in new-onset stable chest pain: Time for U.S. guidelines to be NICEr. J Am Coll Cardiol 2019 Mar 5; 73:903 PMID: https://www.ncbi.nlm.nih.gov/pubmed/30819357 https://www.sciencedirect.com/science/article/pii/S073510971930097X
  4. 4.0 4.1 4.2 4.3 4.4 4.5 Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019
    Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
  5. 5.0 5.1 Daubert MA, Sivak J, Dunning A Implications of Abnormal Exercise Electrocardiography With Normal Stress Echocardiography. JAMA Intern Med. Published online January 27, 2020. PMID: https://www.ncbi.nlm.nih.gov/pubmed/31985749 https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2759744
  6. 6.0 6.1 6.2 6.3 NEJM Knowledge+ Complex Medical Care
  7. 7.0 7.1 Columbo JA et al. Increased preoperative stress test utilization is not associated with reduced adverse cardiac events in current US surgical practice. Ann Surg 2023 Oct 1; 278:621. PMID: https://www.ncbi.nlm.nih.gov/pubmed/37317868 https://journals.lww.com/annalsofsurgery/abstract/2023/10000/increased_preoperative_stress_test_utilization_is.16.aspx