Role of stress testing after coronary revascularization
- Warren J Manning, MD
Warren J Manning, MD
- Section Editor — Noninvasive Cardiac Imaging and Stress Testing
- Professor of Medicine and Radiology
- Harvard Medical School
- Section Editors
- Patricia A Pellikka, MD, FACC, FAHA, FASE
Patricia A Pellikka, MD, FACC, FAHA, FASE
- Section Editor — Noninvasive Cardiac Imaging and Stress Testing
- Professor of Medicine
- Mayo Clinic College of Medicine
- Gary V Heller, MD, PhD, FACC, MASNC
Gary V Heller, MD, PhD, FACC, MASNC
- Section Editor — Noninvasive Cardiac Imaging
- Division of Cardiovascular Medicine Morristown Medical Center
Non-invasive cardiac stress testing is an important tool in the evaluation and assessment of patients with symptoms suggestive of coronary heart disease (CHD) prior to coronary revascularization. Non-invasive cardiac stress testing also plays a valuable role following cardiac procedures such as percutaneous coronary intervention (PCI) and coronary artery bypass graft surgery (CABG) in assessing:
●The potential ischemic etiology of recurrent or new symptoms suggestive of myocardial ischemia
●The presence and significance of incomplete revascularization
●The occurrence of restenosis
●The development of new stenoses in bypass grafts, and the progression of native CHD following either procedure
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- STRESS IMAGING AFTER CORONARY REVASCULARIZATION
- Choice of stress test
- Role of exercise ECG testing without imaging
- Prognostic value of post revascularization stress testing
- Evaluation of symptomatic patients
- - Patients with symptoms hours to days post-revascularization
- - Patients with symptoms months to years post-revascularization
- Symptomatic patients following complete revascularization
- Symptomatic patients following incomplete revascularization
- Asymptomatic patients
- Society guidelines and recommendations of others
- Our approach to stress testing in patients post-revascularization
- SUMMARY AND RECOMMENDATIONS