Suggested Exclusion Criteria for Exercise Stress Testing in a Primary Care Setting
| 1. Contraindications (see Table 7) |
| 2. Patients who cannot walk ≥2 flights of stairs or 2 city blocks; refer for adenosine or dobutamine sestamibi study |
| 3. Patients with resting EKG abnormalities: right or left bundle branch block, ST segment depression at rest; refer for ESS |
| 4. Women with high pretest probability (see Table 4); refer for stress echocardiography |
| 5. Men with high pretest probability (see Table 4); refer for ESS |
| 6. Patients on digoxin; refer for ESS |
| 7. Patients with Wolf-Parkinson-White Syndrome; refer for ESS |
| 8. Patients with paced rhythm; refer for ESS |
| 9. In general, patients with known CAD should undergo ESS, although valuable information can be gained from exercise stress test |
Modified from refs. 10 and 28.
EKG, electrocardiogram; ESS, exercise sestamibi study; CAD, coronary artery disease.