II. Indications
- See Exercise Stress Test
- See Cardiac Stress Imaging Indications
- Cardiac Screening in patients unable to Exercise 5 Mets
- Intermediate pretest risk of CAD
III. Contraindications
IV. Imaging
-
Dobutamine Echocardiogram
- No Beta Blockers for 24 hours before test
- Avoid if very large body habitus (poor echo window)
- Definity or optison contrast can be used to increase accuracy
-
Myocardial Perfusion Imaging with Adenosine (or Regadenoson/Lexiscan)
- Avoid in severe COPD, Asthma, Carotid Stenosis
- No nitrates on day of test
- No Methylxanthines (e.g. Caffeine) for 24 hours prior
-
Myocardial Perfusion Imaging with Dipyridamole
- Uses Dipyridamole (Persantine) instead of Adenosine
- Determine Cardiac Risk pre-major non-cardiac surgery
- May also help with prognosis after major surgery
V. References
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Related Studies
Concepts | Diagnostic Procedure (T060) |
Italian | Prova cardiologica da sforzo farmacologico |
Japanese | 薬理学的心負荷試験, ヤクリガクテキシンフカシケン |
Czech | Srdeční farmakologický zátěžový test |
Hungarian | Kardiális farmakológiai terhelési vizsgálat |
English | Cardiac pharmacologic stress test |
Portuguese | Teste de stress cardíaco farmacológico |
Spanish | Prueba de sobrecarga farmacológica cardiaca |
Dutch | hart farmacologische stresstest |
French | Test de stimulation pharmacologique cardiaque |
German | Herzbelastungstest unter Pharmaka |
Ontology: Cardiovascular stress test using pharmacologic stress agent (C1827946)
Concepts | Diagnostic Procedure (T060) |
SnomedCT | 424064009 |
English | Cardiovascular stress test using pharmacologic stress agent (procedure), Cardiovascular stress test using pharmacologic stress agent, Stress testing using pharmacologic-induced stress |
Spanish | prueba de estrés cardiovascular con utilización de agente farmacológico, prueba de estrés cardiovascular con utilización de agente farmacológico (procedimiento) |