Exercise stress testing in clinical practice

Francesco Giallauria, Alessandra Grieco, Angelo Russo, Luigi Maresca, Maria Mancini, Alessandra Vitelli, Sara Aurino, Carlo Vigorito

DOI: https://doi.org/10.7175/rhc.v2i3.30


Exercise stress testing is an important diagnostic tool for evaluating patient’s cardiovascular performance. The present review describes the accuracy and the value of exercise stress testing in different settings: after an acute coronary event, after percutaneous coronary intervention or coronary artery bypass graft; in patients risk assessment before non-cardiac surgery; in diabetic population; in patients with baseline electrocardiographic abnormalities. Moreover, this review provides insights relating to test accuracy in women and geriatric patients. Finally, this review explores new variables/parameters (dyspnea, chronotropic incompentence, heart rate recovery, functional capacity, integrated scores) that in the last few years added an incremental value to conventional analysis of exercise-induced angina or electrocardiographic changes.


Exercise stress testing; Acute coronary event; Percutaneous coronary intervention; Coronary artery bypass graft; Dyspnea; Chronotropic incompentence; Heart rate recovery; Functional capacity; Women; Elderly

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