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Table 4-6

Exercise Stress Testing: Duke Treadmill Score11

Duke Treadmill Score (DTS) = Minutes exercised – [5 × maximum ST-segment deviation] – [4 × angina score]. Angina score: 0 = none, 1 = not test limiting, 2 = test limiting
DTS
5Annual mortality 0.25%Low-risk study
10 to 4Annual mortality 1.25%Intermediate-risk study
<–10Annual mortality >5%High-risk study

In general, β-blockers, other nodal blocking agents, and nitrates should be discontinued prior to stress testing.11