Abnormal Cardiac Exercise Stress Test C4477077
An exercise stress test showing the heart does not respond normally to physical exertion. Further testing is typically needed to determine the cause and guide treatment.
Key facts at a glance
- ICD-10
- I78.0
- ICD-11
- BA00.0
- Body system
- cardiovascular
- Severity
- moderate
- Chronic
- false
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Warning signs - seek immediate care
Chest discomfort
Pressure, tightness, or pain in the chest that may radiate to the arm, neck, or jaw during physical exertion.
Seek immediate medical attention if chest pain is severe, prolonged, or accompanied by shortness of breath, nausea, or sweating.
Arm or jaw pain
Pain, aching, or discomfort in the left arm, shoulder, neck, or jaw during physical stress.
Seek emergency care if arm or jaw pain occurs suddenly with chest discomfort or shortness of breath.
Shortness of breath
(cardiovascular)Difficulty breathing or feeling winded, especially during physical activity or exertion.
Frequency: 65-75% of patients
Exercise intolerance
(constitutional)Inability to complete usual physical activities or exercise due to fatigue, weakness, or discomfort.
Frequency: 60-70% of patients
Palpitations
(cardiovascular)Awareness of rapid, fluttering, or irregular heartbeat during or after exercise.
Frequency: 40-50% of patients
Dizziness
(neurologic)Feeling lightheaded, faint, or unsteady, particularly when standing up or after physical exertion.
Frequency: 30-40% of patients
Excessive fatigue
(constitutional)Unusual tiredness or lack of energy that persists after minimal physical activity.
Frequency: 40-50% of patients
Profuse sweating
(constitutional)Unusual or excessive sweating during physical exertion or at rest, often accompanying cardiac symptoms.
Frequency: 25-35% of patients
Nausea
(gastrointestinal)Feeling sick to the stomach, sometimes accompanied by vomiting, particularly during cardiac events.
Frequency: 15-25% of patients
Irregular heartbeat
(cardiovascular)Abnormal heart rhythm detected during the stress test, indicating possible arrhythmia or ischemia.
Frequency: 10-20% of patients
Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Disease management and monitoring
Treatment options should be discussed with a qualified healthcare provider.
When to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Abnormal Cardiac Exercise Stress Test C4477077?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Gibson CM, Chi J, Mark D, et al. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2021;143(4):e72-e227.
Knuuti J, Wijns W, Saraste A, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. European Heart Journal. 2020;41(3):407-477.
Thompson PD, Arena R, Riebe D, Pescatello LS. ACSM's Guidelines for Exercise Testing and Prescription. 10th ed. Lippincott Williams & Wilkins; 2017.
Fletcher GF, Ades PA, Kligfield P, et al. Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation. 2013;128(8):873-934.
Gianrossi R, Detrano R, Mulvihill D, et al. Exercise-induced ST depression in the diagnosis of coronary artery disease: a meta-analysis. Circulation. 1989;80(1):87-98.
Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes. Circulation. 2014;130(25):e344-e426.
Jeger RV, Zeman JM, Kaiser C, et al. Long-term outcomes and prognostic factors in patients with stable coronary artery disease. European Heart Journal. 2020;41(2):264-273.
Lancellotti P, Tribouilloy C, Hagendorff A, et al. Recommendations for the echocardiographic assessment of native valvular regurgitation: an executive summary from the European Association of Cardiovascular Imaging. European Heart Journal - Cardiovascular Imaging. 2013;14(7):611-644.
Hachamovitch G, Rozanski A, Shaw LJ, et al. Impact of ischaemia and scar on the prognostic benefit of type 2 diabetes mellitus in patients with suspected CAD. JACC: Cardiovascular Imaging. 2021;14(1):13-24.
Patel MR, Peterson ED, Dai D, et al. Low diagnostic yield of elective coronary angiography. New England Journal of Medicine. 2010;362(10):886-895.
Medication Comparisons
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This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy