Society guideline links: Stress testing and cardiopulmonary exercise testing

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Pulmonary function testing" and "Society guideline links: Lifestyle management and cardiac rehabilitation" and "Society guideline links: Chronic coronary syndrome".)

Canada

●Choosing Wisely Canada: Don't perform stress cardiac imaging or coronary angiography in patients without cardiac symptoms unless high-risk markers are present (2021)

●Choosing Wisely Canada: Don't routinely perform preoperative testing (such as chest X-rays, echocardiograms, or cardiac stress tests) for patients undergoing low risk surgeries (2021)

●Choosing Wisely Canada: Don't perform cardiac stress testing for asymptomatic patients undergoing low to intermediate risk non-cardiac surgery (2020)

●European Association for Cardiovascular Prevention and Rehabilitation (EACPR), American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), and Canadian Association of Cardiac Rehabilitation (CACR): A joint position statement on aerobic exercise intensity assessment and prescription in cardiac rehabilitation (2012)

United States

●American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR): An official statement on progression of exercise testing in early outpatient cardiac rehabilitation (2018)

●European Association for Cardiovascular Prevention and Rehabilitation (EACPR)/American Heart Association (AHA): Scientific statement – Focused update: Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations (2016)

•EACPR/AHA: Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations (2012)

●AHA: Scientific statement on supervision of exercise testing by nonphysicians (2014)

●AHA: Scientific statement on exercise standards for testing and training (2013)

●EACPR, AACVPR, and Canadian Association of Cardiac Rehabilitation (CACR): A joint position statement on aerobic exercise intensity assessment and prescription in cardiac rehabilitation (2012)

●AHA:Scientific statement – Clinician's guide to cardiopulmonary exercise testing in adults (2010)

●AHA: Statement on clinical stress testing in the pediatric age group (2006)

●AHA: Statement for professionals on exercise testing in asymptomatic adults (2005)

Europe

●European Association of Preventive Cardiology (EAPC): Position statement on exercise intensity assessment and prescription in cardiovascular rehabilitation and beyond – Why and how (2021)

●European Respiratory Society (ERS): Statement on exercise training and rehabilitation in patients with severe chronic pulmonary hypertension (2019)

●ERS: Official statement on pulmonary haemodynamics during exercise (2017)

●European Society of Cardiology (ESC): Position paper on the role of cardiopulmonary exercise testing in clinical stratification in heart failure (2017)

●European Association for Cardiovascular Prevention and Rehabilitation (EACPR)/American Heart Association (AHA): Scientific statement – Focused update: Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations (2016)

•EACPR/AHA: Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations (2012)

●EACPR, American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), and Canadian Association of Cardiac Rehabilitation (CACR): A joint position statement on aerobic exercise intensity assessment and prescription in cardiac rehabilitation (2012)

●EACPR: A report on standards for the use of cardiopulmonary exercise testing for the functional evaluation of cardiac patients (2009)

Australia–New Zealand

●Cardiac Society of Australia and New Zealand (CSANZ): Position statement – Clinical exercise stress testing in adults (2014)