Noninvasive stress testing for coronary artery disease

Todd D Miller; J Wells Askew; Nandan S Anavekar

doi:10.1016/j.ccl.2014.04.008

Noninvasive stress testing for coronary artery disease

Cardiol Clin. 2014 Aug;32(3):387-404. doi: 10.1016/j.ccl.2014.04.008.

Authors

Todd D Miller¹, J Wells Askew², Nandan S Anavekar²

Affiliations

¹ Division of Cardiovascular Diseases, Mayo Clinic, Gonda 6, 200 First Street, Southwest, Rochester, MN 55905, USA. Electronic address: miller.todd@mayo.edu.
² Division of Cardiovascular Diseases, Mayo Clinic, Gonda 6, 200 First Street, Southwest, Rochester, MN 55905, USA.

PMID: 25091965
DOI: 10.1016/j.ccl.2014.04.008

Abstract

Stress testing remains the cornerstone for noninvasive assessment of patients with possible or known coronary artery disease (CAD). The most important application of stress testing is risk stratification. Most patients who present for evaluation of stable CAD are categorized as low risk by stress testing. These low-risk patients have favorable clinical outcomes and generally do not require coronary angiography. Standard exercise treadmill testing is the initial procedure of choice in patients with a normal or near-normal resting electrocardiogram who are capable of adequate exercise. Stress imaging is recommended for patients with prior revascularization, uninterpretable electrocardiograms, or inability to adequately exercise.

Keywords: Dobutamine echocardiography; Exercise echocardiography; Exercise treadmill testing (ETT); Myocardial perfusion imaging (MPI); Positron emission tomography (PET); Single-photon emission computed tomography (SPECT); Stress testing.

Publication types

Review

MeSH terms

Coronary Artery Disease / diagnosis*
Electrocardiography / methods*
Exercise Test / methods*
Humans
Reproducibility of Results