Abstract: Chapter 4 Contraindications to Stress Testing Bryon A. Gentile, Bryon A. GentileSearch for more papers by this author Bryon A. Gentile, Bryon A. GentileSearch for more papers by this author Book Editor(s):Dennis A. Tighe MD, FACP, FACC, FASE, Dennis A. Tighe MD, FACP, FACC, FASE Associate Director, Noninvasive Cardiology Director, Adult Congenital Heart Disease Clinic Professor of Medicine Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA, USASearch for more papers by this authorBryon A. Gentile II MD, FACC, Bryon A. Gentile II MD, FACC Assistant Professor of Medicine Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA, USASearch for more papers by this author First published: 04 October 2019 https://doi.org/10.1002/9781119481737.ch4 AboutPDFPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShareShare a linkShare onFacebookTwitterLinked InRedditWechat Summary Exercise stress testing is safe and associated with low morbidity and mortality when performed in appropriate clinical situations. This chapter summarizes the absolute and relative contraindications to exercise stress testing. After reviewing the indications and contraindications to exercise testing it is essential to review a patient's ancillary testing to identify conditions that are likely to yield false positive results or would benefit from the concurrent imaging. Acute myocardial infarction, within the first 48 hours, is an absolute contraindication to exercise ECG testing due to the risk of life-threating ventricular arrhythmias and worsening infarction. Pre-existing systemic hypertension will likely be exaggerated during exercise testing and therefore significant resting hypertension is a relative contraindication to exercise testing. Patient who are unable to cooperate with testing instructions are at risk of injury during exercise stress testing and therefore risks and benefits should carefully be considered. Pocket Guide to Stress Testing, Second Edition RelatedInformation
Publication Year: 2019
Publication Date: 2019-10-04
Language: en
Type: other
Indexed In: ['crossref']
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Cited By Count: 4
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