Stress Testing Recommendations | |
| SUBGROUP | RECOMMENDED STUDY |
|---|---|
| Pt able to exercise | |
| If baseline ST-T on ECG is normal | Standard exercise test (treadmill, bicycle, or arm ergometry) |
| If baseline ST-T impairs test interpretation (e.g., LVH with strain, digoxin) | Standard exercise test (above) combined with either Perfusion scintigraphy (e.g., 99m Tc-sestamibi) or |
| Pt not able to exercise (regardless of baseline ST-T abnormality) | Pharmacologic stress test (IV adenosine, regadenoson, dipyridamole, dobutamine) combined with imaging: Perfusion scintigraphy (e.g., 99m Tc-sestamibi or PET [rubidium-82 or N-13 ammonia]) or Echocardiography or Cardiac MRI |
| LBBB on baseline ECG | Pharmacologic stress test with imaging |