Treatment Based off Stress Tests
Management and treatment in regard to stress testing is determined according to the type of patient being considered for it:
- If the patient is unable to exercise: An adrenergic challenge (dobutamine) can stimulate stress on the myocardium.
- If the patient is unable to undergo an adrenergic challenge with dobutamine: Due to hypertension, etc., and exercise is contraindicated, other diagnostic approaches should be considered, such as advanced cardiac imaging, such as CMR (cardiac magnetic resonance).
- If the resting ECG prior to the test is abnormal: The provider should consider aborting the test for management of the heart disease specifically indicated on the resting ECG and perhaps re-testing if a normal resting ECG can be achieved.
- If ST changes during the test indicate ischemia: Management of the causes of ischemia can follow.