Overview
What is pharmacologic stress testing?
Which pharmacologic agents are used in stress testing?
What is the role of adenosine in pharmacologic stress testing?
What is the role of dipyridamole in pharmacologic stress testing?
What is the role of dobutamine in pharmacologic stress testing?
What is the role of regadenoson in pharmacologic stress testing?
What are limitations in the use of dobutamine for pharmacologic stress testing?
What is the role of enoximone in pharmacologic stress testing?
What are potential alternatives to pharmacologic stress testing?
What are the ACCF appropriateness utilization criteria (AUC) for pharmacologic stress testing?
When is adenosine indicated for pharmacologic stress testing?
When is dipyridamole indicated for pharmacologic stress testing?
When is dobutamine indicated for pharmacologic stress testing?
When is regadenoson indicated for pharmacologic stress testing?
When is adenosine contraindicated in pharmacologic stress testing?
When is dipyridamole contraindicated in pharmacologic stress testing?
When is dobutamine contraindicated in pharmacologic stress testing?
When is regadenoson contraindicated in pharmacologic stress testing?
What are best practices in pharmacologic stress testing?
What are the ACC-AHA guidelines for complication prevention in pharmacologic stress testing?
What are the possible results of pharmacologic stress testing?
What are the potential ECG findings in pharmacologic stress testing?
Periprocedural Care
What instructions should be given to patients undergoing pharmacologic stress testing?
What are elements of informed consent in patients undergoing pharmacologic stress testing?
What equipment is used in pharmacologic stress testing?
What is the role of anesthesia in pharmacologic stress testing?
How is the patient positioned for pharmacologic stress testing?
How long should patients be monitored following pharmacologic stress testing?
What are the possible complications of adenosine in pharmacologic stress testing?
What are the possible complications of dipyridamole in pharmacologic stress testing?
What are the possible complications of dobutamine in pharmacologic stress testing?
What are the possible complications of regadenoson in pharmacologic stress testing?
Technique
How is pharmacologic stress testing performed?
What is the adenosine technique for pharmacologic stress testing?
What are indications for early termination of pharmacologic stress testing?
What is the adenosine-walk protocol in pharmacologic stress testing?
What is the dipyridamole technique for pharmacologic stress testing?
What is the dipyridamole-walk protocol in pharmacologic stress testing?
What is the dobutamine technique in pharmacologic stress testing?
What are hemodynamic effects of dobutamine in pharmacologic stress testing?
What is the regadenoson technique in pharmacologic stress testing?
What are the hemodynamic effects of regadenoson in pharmacologic stress testing?
What is the role of lab tests in pharmacologic stress testing?
What is the role of clinical chemistry studies in pharmacologic stress testing?
What is the role of metabolic and endocrine tests in pharmacologic stress testing?
What therapeutic-drug monitoring and toxicology is performed during pharmacologic stress testing?
What is the role of urine analysis in pharmacologic stress testing?
Medications
Which pharmacologic agents are used in stress testing?
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Normal radionuclide uptake (dipyridamole-Cardiolite).
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ECGs show a normal sinus rhythm and a sinus rhythm with a left bundle branch block.
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ECG depicts electrophysiologic events of left bundle branch block.