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Exercise ECG testing

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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This is use for the diagnosis of ischaemic heart disease, assessment of exercise tolerance, response to treatment, and as a prognostic indicator. The use of exercise testing ECGs is also useful in testing for, and assessing, exercise-related arrhythmias.

There is a 1 in 10,000 mortality in exercise tests.

NICE suggest that an exercise ECG should only be used as a diagnostic test in patients with known coronary artery disease (CAD) with new onset possible cardiac chest pain:

  • do not use exercise ECG to diagnose or exclude stable angina for people without known CAD (1)


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