Exercise testing is absolutely contraindicated in which one of the following:
Correct Answer: Aoic stenosis
Description: Answer is C (Aoic stenosis) "Many of the traditional contraindications such as recent myocardial infarction or congestive hea failure are no longer considered if the patient is stable and ambulatory but Aoic Stenosis remains a contraindication" Contraindications to exercise stress testing: Acute myocardial infarction (< 4 - 5 days) Rest angina < 48 hours Unstable rhythm Severe Aoic Stenosis Acute Myocarditis Uncontrolled hea failure Active infective endocarditis Exercise testing should also not be done during an episode of unstable angina and its presence in the options confuses the issue. However, going with what CMDT has to say, aoic stenosis remains the answer of choice. Exercise testing in unstable angina : Unstable angina is a term used to describe patients who present with rapidly worsening angina, severe angina at rest or prolonged or ischaemia chest pain without ECG or enzyme evidence of MI. Unstable angina episode Admit, Bed Rest, Aspirin, p blockers Exercise Tolerance test Exercise testing is indicated in unstable angina once the plaque has stabilized and is arranged later, in order to assess the patients need for coronary angiography if the test is positive at low work load.
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