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Indications for Stress

Terms in this set (8)

Sx suggesting angina
Intermediate/high pre-test likelihood

Exception: Ongoing or unstable symptoms - Test should not be performed prior to relief of Sx
Patient with recent ACS
If treated conservatively without coronary angiography, can use to risk assess within 3 month, assuming patient is stable
Patients with known CHD and change in clinical status
indicated for patients with known CHD if there has been a clinical change (New or worsening Sx)
Patients with prior coronary revascularization
In the absence of new or changing symptoms, stress radionuclide myocardial perfusion imaging is also considered appropriate on a one-time basis for the asymptomatic patient at least five years following coronary artery bypass grafting surgery
Classic angina
Substernal chest discomfort characterized by all of the following characteristics:
1. a typical quality and duration
2. provocation by exertion or emotional stress
3. relief by rest or nitroglycerin
Probable or atypical angina
Chest pain with 2 of 3 of the following characteristics:
1. a typical quality and duration
2. provocation by exertion or emotional stress
3. relief by rest or nitroglycerin
Nonanginal or nonischemic chest pain
Chest pain with 1 or none of the following characteristics:
1. a typical quality and duration
2. provocation by exertion or emotional stress
3. relief by rest or nitroglycerin
Intermediate pretest probability
variably defined as between 25 and 75 percent or between 10 and 90 percent
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