NSG 6001 - ANP 1 – Study Guide for MIDTERM (2020) Johns Hopkins University ETT – Exercise Tolerance Testing – Stress Test

3. Can ETT results correlate with the artery or arteries with CAD Recent American College of Cardiology (ACC) guidelines give some guidance about noninvasive testing and markers for asymptomatic CAD based on an individual patient’s risk for CAD. ACC guidelines have as a class I recommendation (suggested) based on class B evidence (limited populations studied) that health care providers ascertain risk for cardiovascular disease in asymptomatic individuals by use of a global assessment such as the Framingham score. The ACC guidelines use the level of risk determined by these scores to evaluate the evidence and to classify recommendations for the use of various testing modalities in the investigation and determination of subclinical cardiovascular disease. For example, the ACC guidelines suggest that C-reactive protein can be used in asymptomatic men older than 50 years and women older than 60 years with low-density lipoprotein cholesterol 160 mg/dL to determine if statin therapy is indicated and in asymptomatic intermediate-risk men older than 50 years and women older than 60 years to assess risk of cardiovascular disease. Anklebrachial index assessment is acceptable for intermediate-risk individuals to determine their risk for subclinical cardiovascular disease. And with risk factors of DM and HTN.