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The exercise ECG can be optimized by including exercise capacity, heart rate recovery, hemodynamic response, and the presence or absence of chest pain. Heart Asia. 2016; 8(2): 1�7.    (retrieved Jul, 2016). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.