Exercise Testing

  • Abhay Atul Laddu
  • Lisa Alderson
  • Bernard R. Chaitman
Part of the Cardiovascular Medicine book series (CVM)


Patients with known or suspected coronary artery disease often undergo exercise stress testing to either diagnose coronary artery disease or to determine functional status or prognosis. Frequently, though, more advanced imaging techniques are combined with the exercise ECG portion and the information obtained from the exercise ECG test is underappreciated. In this chapter, we review the current indications and contraindications of exercise ECG testing, as well as interpretations of exercise ECG testing. We also review how the exercise ECG can aid in the diagnosis of coronary artery disease, and the prognostic implications of a normal or abnormal test result. Finally, as the economic landscape of medicine rapidly changes and more emphasis is being placed on cost-saving, we discuss the cost-effectiveness of exercise ECG testing compared to more advanced stress imaging protocols.


Coronary disease Cost-benefit analysis, diagnosis Electrocardiography Exercise Ischemia 



Asymptomatic Cardiac Ischemia Pilot


Advanced cardiac life support


Bypass Angioplasty Revascularization Investigation


Coronary artery bypass grafting


Coronary artery disease


Cardiac care unit


Cardiopulmonary exercise testing


Duke treadmill score




Exercise treadmill testing


Heart-rate recovery


Left anterior descending


Metabolic equivalents


Myocardial infarction


Myocardial perfusion imaging


National Institutes of Health


Percutaneous coronary intervention


Percutaneous transluminal coronary angioplasty


Society of Thoracic Surgeons


What Is the Optimal Method for Ischemia Evaluation in Women Trial


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Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  • Abhay Atul Laddu
    • 1
  • Lisa Alderson
    • 1
  • Bernard R. Chaitman
    • 1
  1. 1.Center for Comprehensive Cardiovascular Care, Department of Internal MedicineSaint Louis University School of MedicineSt. LouisUSA

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