Exercise testing in the new millennium.

In the changing economic times, internists and family physicians are becomi ng the main performers of the standard exercise test. The education of thos e noncardiologists who wish to perform exercise testing is quite important. In the new millennium, the American College of Cardiology/American Heart A ssociation evidence-based guidelines on exercise testing continue to have a large impact. Used for diagnosis or prognosis, exercise scores such as the Duke exercise score will be applied to each test. Increased computerizatio n and the internet will bring inexpensive web-enabled devices for sophistic ated exercise testing into the doctor's office and allow remote over-readin g services.