Cardiopulmonary Stress Testing Flashcards
CPST serves 3 roles
Diagnosis of physical disorders.
Quantification of impairment.
Evaluation of therapy
__________________over a period of time can be helpful in evaluating the _response/ of COPD patients to reconditioning programs and the use of oxygen therapy.
Serial Stress Testing
Evaluation of the response of an interstitial lung disorder to the use of anti-inflammatory medications can also be aided by serial stress tests.
Response of ILD in the use of Anti-inflammatory medications
is aided by Serial stress testing
General Indications
- Assessment of general physical fitness
- Evaluation of dyspnea (w/ or w/out chest pain and fatigue
Evaluation of certain Pulmonary diseases
- COPD, including exercise-induced asthma
- interstitial lung disease
Evaluation of certain cardiovascular disease
*Pulmonary vascular disorders
*Coronary Artery disease
*other vascular disorders
Other general disorders
*Neuromuscular disorders
*Obesity
*Anxiety-induced hyperventilation
General contraindications
Limiting neurologic disorders
Limiting neuromuscular disorders
Limiting orthopedic disorders
Pulmonary contraindications
*FEV1 of <30% of predicted value
*Pa02 of <40mmHg in R.A
*PaC02 of >70mmHg
*Severe pulmonary hypertension
Cardiopulmonary contraindications
*Acute pericarditis
*Congestive heart failure
*Recent myocardial infarction (last 4 week)
*2nd/3rd degree Heart Block
*Significant artial/ventricular tachyarrythmias
*uncontrolled hypertension
*Unstable angina
*Recent systemic/pulmonary embolism
*Severe aortic stenosis
*Intracardiac thrombi
specialized form of cardiovascular stress testing that mimics the exercise conditions experienced by swimmers.
Swimming ergometry
This method is particularly beneficial for athletes and individuals who engage in swimming as their primary form of exercise, providing a more specific assessment of cardiovascular function compared to traditional land-based exercise tests like treadmill or bicycle ergometry.
Swimming ergometry
cardiovascular stress testing as alternative forms of exercise to the more traditional treadmill or cycle ergometer tests.
Paddling/rowing exercises
These activities provide a comprehensive cardiovascular workout and can be particularly useful in assessing heart function in specific populations or those with preferences or conditions that make traditional forms of exercise testing less suitable.
rowing/paddling exercise
similar to treadmill testing, but using a stationary bicycle.
Cycle ergometer
This method assesses cardiovascular function and fitness, and it has certain advantages and specific uses
Cycle ergometer
a common procedure used to assess the cardiovascular response to physical stress.
Treadmill stress teting/treadmill exercise testing
The test is designed to evaluate how well the heart functions under increased workload, which can help diagnose various heart conditions, guide treatment plans, and assess the effectiveness of interventions
Treadmill stress testing
To identify blockages in the coronary arteries that may not be evident when the heart is at rest.
To evaluate symptoms such as chest pain or shortness of breath
Diagnosing Coronary Artery diseases in treadmill Stress Testing
To determine the patient’s functional capacity and how well their heart handles exercise.
To assess exercise-related symptoms and establish safe levels of exercise for rehabilitation.
Assessment of exercise tolerance
To predict the risk of future cardiac events in patients with known heart disease.
To monitor the effectiveness of treatments such as medications or revascularization procedures
Prognosis in known heart disease
To identify arrhythmias that may occur or worsen with exercise.
Evaluation of Heart rythm disorders
To assess the risk of heart-related complications before major surgeries.
Preoperative evaluation
requires a greater control over the subject’s exercise workload and a much greater degree of physiologic monitoring.
Test for Evaluating Exercise tolerance
what equipments are used in the test for evaluation of exercise tolerance
Treadmill and ergometer
Measurements that should be monitored in test for evaluation of exercise tolerance
HR, BP, RR, ECG, SpO2.
Measurement of breathing volumes and exhaled gas analysis - used to make VO2 and VCO2 determinations.
goal of this test is to exercise the subject at a level of exertion that is performed by the subject during daily activities.
TESTING FOR EVALUATING THE EFFECTS OF EXERCISE ON OXYHEMOGLOBIN DESATURATION.
