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Pharmacologic Stress TestAka: Stress Imaging with Pharmacologic Provocation

See Also
Indications
1. Cardiac Screening in patients unable to Exercise 5 Mets
2. Intermediate pretest risk of CAD
Tests
1. Dobutamine Echocardiogram
  1. No Beta Blockers for 24 hours before test
  2. Avoid if very large body habitus (poor echo window)
    1. Optison contrast can be used to increase accuracy
2. Myocardial Perfusion Imaging with Adenosine
  1. Avoid in severe COPD, Asthma, Carotid Stenosis
  2. No nitrates on day of test
  3. No methylxanthines (e.g. caffeine) for 24 hours prior
3. Myocardial Perfusion Imaging with Dipyridamole
  1. Uses Dipyridamole (Persantine) instead of Adenosine
  2. Determine Cardiac Risk pre-major non-cardiac surgery
  3. May also help with prognosis after major surgery

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.