Appropriateness of Exercise Stress Test in an Asymptomatic Individual

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Class IIa

  • Evaluation of asymptomatic persons with diabetes mellitus who plan to start vigorous exercise

Class IIb

  • Evaluation of persons with multiple risk factors as a guide to risk-reduction therapy.
  • Evaluation of asymptomatic men older than 45 years and women older than 55 years:
    • Who plan to start vigorous exercise (especially if sedentary) or
    • Who are involved in occupations in which impairment might impact public safety or
    • Who are at high risk for CAD due to other diseases (e.g., peripheral vascular disease and chronic renal failure)

Class III

  • Routine screening of asymptomatic men or women.

References

Cardiac Radionuclide Imaging: ACC/AHA/ASNC 2003 Guideline Update for the Clinical Use of Cardiac Radionuclide Imaging

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