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Questions and Answers
Which of the following is an absolute contraindication to cardiac stress testing?
Which of the following is an absolute contraindication to cardiac stress testing?
- High-grade AV blocks
- Mental or physical impairment
- Moderate stenotic valvular heart disease
- Acute myocardial infarction (correct)
Which of the following is a relative contraindication to cardiac stress testing?
Which of the following is a relative contraindication to cardiac stress testing?
- Acute pulmonary embolus
- Left main coronary stenosis (correct)
- Uncontrolled arrhythmias
- Severe aortic stenosis
Under what circumstances may the benefits of treadmill stress testing outweigh the risks for some relative contraindications?
Under what circumstances may the benefits of treadmill stress testing outweigh the risks for some relative contraindications?
- When the patient has severe hypertension
- When the patient has electrolyte abnormalities
- When the patient has moderate stenotic valvular heart disease (correct)
- When the patient has left main coronary stenosis
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Study Notes
- Absolute contraindications to cardiac stress testing include acute myocardial infarction, unstable angina, severe aortic stenosis, uncontrolled arrhythmias, unstable heart failure, acute pulmonary embolus, and acute aortic dissection.
- Relative contraindications include high-grade AV blocks, severe hypertension, inability to exercise, left main coronary stenosis, moderate stenotic valvular heart disease, electrolyte abnormalities, tachyarrhythmias or bradyarrhythmias, hypertrophic cardiomyopathy, and mental or physical impairment.
- Benefits of treadmill stress testing may outweigh the risks for some relative contraindications.
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