Table 6. Contraindications to Exercise Stress Testing

Contraindications
Absolute (Testing should not be performed.)• Acute myocardial infarction (within 48 hours or without acute management)• Untreated unstable angina• Uncontrolled cardiac arrhythmias causing symptoms of hemodynamic compromise• Acute or non-compensated congestive heart failure• Severe aortic stenosis, acute aortic dissection, myocarditis or pericarditis• Acute pulmonary embolism or pulmonary infarction• Mental or physical impairment leading to inability to exercise adequately
Relative (Testing can be performed by the physician’s decision with a lot of attention.)• Left main coronary artery disease without recannalization• Moderate stenotic valvular heart disease• Electrolyte abnormalities• Severe arterial hypertension (>220mmHg systolic blood pressure and/or >110mmHg diastolic blood pressure)• Tachyarrhythmia or bradyarrhythmias• Hypertrophic cardiomyopathy and other forms of left ventricular outflow tract obstruction• High-degree atrioventricular block