Editing Cardiac stress test (section)

== Recommended utility of this procedure ==
[[Image:StressECG STDepression.jpg|thumb|300px|Stress-ECG of a patient with coronary heart disease: ST-segment depression (arrow) at 100 watts of exercise. A: at rest, B: at 75 watts, C: at 100 watts, D: at 125 watts.]]
The American Heart Association recommends ECG treadmill testing as the first choice for patients with medium risk of coronary heart disease according to risk factors of smoking, family history of coronary artery stenosis, hypertension, diabetes and high cholesterol. In 2013, in its "Exercise Standards for Testing and Training", the AHA indicated that [[High Frequency QRS|high frequency QRS]] analysis during ECG treadmill test have useful test performance for detection of coronary heart disease.<ref name=":0">Gerald F., Philip A., Kligfield P., et al., Exercise Standards for Testing and Training A Scientific Statement From the American Heart Association. Circulation. 2013; 128: 873-934</ref>
* [[Perfusion]] stress test (with 99mTc labelled sestamibi<ref>{{Citation |last1=Rizk |first1=Tony H. |title=Technetium 99m Sestamibi |date=2023 |url=http://www.ncbi.nlm.nih.gov/books/NBK553148/ |work=StatPearls |access-date=2023-11-10 |place=Treasure Island (FL) |publisher=StatPearls Publishing |pmid=31985941 |last2=Nagalli |first2=Shivaraj}}</ref>) is appropriate for select patients, especially those with an abnormal resting electrocardiogram.
* Intracoronary ultrasound or angiogram can provide more information but is invasive and carries the risk of complications associated with [[cardiac catheterization]] procedures.<ref>{{Cite web |date=2021-08-08 |title=Cardiac Catheterization |url=https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/cardiac-catheterization |access-date=2023-11-10 |website=www.hopkinsmedicine.org |language=en}}</ref>