II. Indications: Symptomatic Patients
- Intermediate to high risk for Coronary Artery Disease OR
- Known Coronary Artery Disease with prior revascularization OR
- High risk of False Positive testing or uninterpretable EKG (see below)
III. Indications: False Positive likely on Exercise Stress Test
- Medication Use
- Digoxin
- Type I Antiarrhythmic
- WPW Syndrome
-
Left Ventricular Hypertrophy
- Especially with "strain" pattern
- Significant valvular disease
- Severe Hypertension
- Hypertrophic Cardiomyopathy
- Mitral Valve Prolapse
- Baseline ST-T Wave abnormality
- Female gender
- Exercise Stress Test is now recommended as first-line test instead
IV. Indications: Stress EKG not interpretable
- Left Bundle Branch Block (including rate dependent blocks)
- Pacemaker dependency
- Baseline ST abnormality (>1 mm)
- Baseline T Wave abnormalities
V. Indications: Precise anatomic information desired
- Correlation with catheterization findings
- Follow-up revascularization procedures