Guidelines for Performance, Interpretation, and ...
dial effusion, hypertrophic cardiomyopathy, active myocardial ischemia, aortic dissection, or takotsubo/stress cardiomyopathy, and may occasionally obviate the need for stress testing. The presence of any condition that may make stress unsafe (e.g., severe valvular heart disease in a symptomatic patient) should be noted. In such cir-
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