Diagnostic tests for coronary artery diseases resident survival guide

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief:; Priyamvada Singh, M.D. [2]

Management

Test	Indications	Advantages	Disadvantages
Exercise EKG	Initial test for suspected CAD	Information regarding functional capacity, and hemodynamic changes to exercise	Contraindicated with baseline EKG abnormalities i.e. LVH , LBBB, > 1mm ST depression, WPW, paced rhythm
Stress ECHO	a) With baseline EKG abnormality b) Information needed for an area of myocardium	a) Information regarding exercise data, wall motion abnormality, valvular defects, and pulmonary pressures b) portable, cheap, fast	Contraindicated with baseline EKG abnormalities i.e. LVH , LBBB, > 1mm ST depression, WPW, paced rhythm