What are relative contraindications for treadmill stress testing?

Updated: Nov 21, 2018
  • Author: David Akinpelu, MD, FACP; Chief Editor: Eric H Yang, MD  more...
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Answer

Relative contraindications can be superseded if the benefits of exercise outweigh the risks. They include the following:

  • Left main coronary stenosis

  • Moderate stenotic valvular heart disease

  • Electrolyte abnormalities

  • Severe arterial hypertension – In the absence of definite evidence, the committee suggests an SBP higher than 200 mm Hg, a DBP higher than 110 mm Hg, or both

  • Tachyarrhythmias or bradyarrhythmias

  • Hypertrophic cardiomyopathy and any other forms of outflow tract obstruction

  • Mental or physical impairment leading to an inability to exercise adequately


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