Cardiac Stress Testing

Question 1

Stress Echocardiography

Answer 1

ischemia indicated by new wall motion abnormalities

can use pharma stress w/ dobutamine and then atropine if needed

Question 2

Nuclear SPECT perfusion & Stress Testing

Answer 2

use w/ abnormal ECG,

good for when needing to look at a particular area of myocardium for perfusion

Question 3

Cardiac PET & Stress Testing

Answer 3

good in larger patients, known CAD

limited availability, requires pharmacologic stress

Question 4

Cardiac MR & Stress Testing

Answer 4

useful for wall abnormalities, anomalous coronary artery origin, inflammatory/infiltrative diseases
need sinus rhythm and slower HR
CI in kidney failure due to gadolinium; unable to use w/ pacemakers/devices

Question 5

Use of CTA and Stress Testing

Answer 5

for intermediate risk, those with possibility anomalous coronary arteries