Stress Test Selection

Thomas G. Allison

in Mayo Clinic Cardiology

Fourth edition

Published on behalf of © Mayo Foundation for Medical Education and Research

Published in print November 2012 | ISBN: 9780199915712
Published online May 2013 | e-ISBN: 9780199322824 | DOI:

Series: Mayo Clinic Scientific Press

Stress Test Selection

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Cardiac stress testing is an integral part of clinical cardiology. This chapter focuses on the relative advantages and limitations of each technique to ensure that the appropriate test is performed on the appropriate patient. This chapter addresses stress testing from the standpoint of making a diagnosis or establishing prognosis in patients with suspected or known CAD. Exercise ECG testing can ultimately provide adequate detection of CAD and risk stratification in the majority of patients. In those who require further assessment with imaging, the choice of stress imaging technique requires careful consideration of the individual patient characteristics. In many cases, either stress echocardiography or myocardial perfusion imaging may be appropriate; the preferred test often depends on local expertise, available facilities, and considerations of cost-effectiveness.

Chapter.  3919 words.  Illustrated.

Subjects: Cardiovascular Medicine

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