Jam with Confidence: Rock Your Certified Rhythm Analysis Technician Exam 2026!

Question: 1 / 400

Which of the following is a valid indication for stress testing?

Acute MI

Severe hypertension

Angina at rest

Evaluation of chest pain in a patient with a normal baseline EKG

Stress testing is typically indicated for assessing cardiovascular function under physical strain, evaluating how the heart responds to increased workload, or determining the presence of significant coronary artery disease.

The selection of the answer highlights a scenario where the baseline electrocardiogram (EKG) shows normal results. In this context, stress testing can be particularly useful. If a patient presents with chest pain but has a normal baseline EKG, a stress test can help evaluate the function of the heart under stress and can reveal any underlying issues that may not be present at rest. It helps to distinguish between various causes of chest pain, some of which may not manifest during a resting state.

In contrast, acute myocardial infarction (MI) is a critical condition requiring immediate attention and intervention, making stress testing contraindicated. Likewise, severe hypertension can pose a risk during stress testing, as it may lead to cardiovascular complications. Angina at rest indicates ongoing cardiac distress, suggesting that stress testing could exacerbate the patient's condition and is therefore not appropriate. Thus, the scenario of evaluating chest pain with a normal baseline EKG is the only valid and safe context for performing a stress test among the options provided.

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