Biography
Biography: Dr. Todd Miller
Abstract
Stress testing with or without imaging in women can serve as a useful diagnostic and prognostic tool for women undergoing evaluation of coronary artery disease (CAD). Studies have shown that stress testing for diagnostic purposes in women compared to men is modestly less accurate. The reasons for this observation are not entirely clear. Stress testing for risk stratification is accurate in women. The same variables, especially exercise duration, that predict outcome in men are also useful to assess risk stratification in women. In selected subsets of women, the standard exercise treadmill test is as accurate for risk stratification as stress imaging. The ACC/AHA recommendations that standard treadmill testing be utilized as the initial stress testing modality in low to intermediate risk patients who are capable of adequate exercise and have an interpretable electrocardiogram applies equally to both genders