Exercise stress test

EBM Guidelines
Feb 16, 2023 • Latest change Aug 25, 2023
Jari Laukkanen

Table of contents

Extract

  • Exercise stress testing can be used for investigating cardiorespiratory performance. The test is most commonly done with a bicycle ergometer, and it can well be done in primary care.
  • Exercise stress testing can be used for the diagnosis of coronary heart disease (CHD) or arrhythmia and for assessing treatment response, functional capacity and prognosis.
    • In the diagnosis of CHD, in particular, the pretest probability of the disease is highly significant for interpreting the results of the exercise stress test. Therefore, when assessing the indications for the test, it is essential to review symptoms and risk factors.
  • The exercise ECG provides an assessment of ischaemia and, additionally, important information on
    • the association between symptoms and stress
    • exercise capacity
    • the response of blood pressure to exercise
    • pulse behaviour
    • any arrhythmia
    • prognosis.

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Angina pectoris, Angina, unstable, Arrhythmia, Atrial fibrillation, Bundle-branch block, CAD, CHD, Cardiac function tests, Cardiac stress test, Cardiology, Cardiovascular diseases, Chest pain, Coronary disease, Coronary heart disease, ETT, Electrocardiography, Ergometry, Exercise stress test, Exercise test, Exercise tolerance, Exercise tolerance test, Exertion, Heart failure, congestive, Heart rate, Hypertension, Internal medicine, LBBB, MET, Metabolic equivalent, R94.3, ST-depression, ST-segment changes, W4, WPW, Wmax, Wolff-Parkinson-White syndrome, Workload