What are AHA/ACC guidelines class III applications of post-myocardial infarction (MI) treadmill stress testing?

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

Class III applications are as follows:

  • In cases involving severe comorbidity likely to limit life expectancy, candidacy for revascularization, or both

  • At any time, to evaluate patients with acute MI who have uncompensated CHF, cardiac arrhythmia, or noncardiac conditions that severely limit their ability to exercise (level of evidence: C)

  • Before discharge, to evaluate patients who have already been selected for, or have undergone, cardiac catheterization; although a stress test may be useful before or after catheterization to evaluate or identify ischemia in the distribution of a coronary lesion of borderline severity, stress imaging tests are recommended (level of evidence: C)


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