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Stress testing > Exercise (stress) ECG test protocols > Flashcards

Exercise (stress) ECG test protocols Flashcards

1
Q

absolute indication to terminate a stress test

A

when the patient requires the premature termination of the exercise test

or

patient request

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1
Q

how many stages does bruce protocol have

A

7

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2
Q

Determine if it is an absolute or relative indication to terminate a stress test

EKG strongly suggests acute MI

A

absolute

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2
Q

the meaning of a negative test

A

patient is safe to be discharged

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2
Q
A
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3
Q

who has trouble walking at 3.4 mph

A

short people :(

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3
Q

ventricular ectopy following MI

A

marker of underlying myocardial ischemia and left ventricular function

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4
Q

a milder protocol is adequate for

A

patients with known heart disease

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5
Q

patients with recurrent myocardial ischemia,

uncontrolled CHFD

or electrical instability

A

absolute

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7
Q

Determine if it is an absolute or relative indication to terminate a stress test

abnormally high hypertensive responses are observed

A

absolute indication

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8
Q

Determine if it is an absolute or relative indication to terminate a stress test

Patient develops significant symptoms or signs

A

absolute

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10
Q

Determine if it is an absolute or relative indication to terminate a stress test

development of systolic BP of 220 mmHg

A

relative

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11
Q

disadvantages to Bruce protocol

A

vigourous exercise work loads

more anaerobic designs

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12
Q

before the stress test you should set up

A

guidelines for when to stop the test

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12
Q

a vigorous protocol are suitable for

A

screening healthy individuals

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12
Q

15-40% of patients who come in for post MI stress test have this

A

limiting angina

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13
Q

>1mm of ST depression have a risk up to

A

1 year of cardiac death

14
Q

Determine if it is an absolute or relative indication to terminate a stress test

malfunctioning of equipment

A

aboslute

15
Q

Determine if it is an absolute or relative indication to terminate a stress test

diastolic reaches 110mmHg

A

absolute

16
Q

primary goal of a stress test after an MI

A

further diagnostic evaluation and therepy

18
Q

exercise induces supraventricular tachyarrythmias

A

relative

18
Q

30% of patient who have a recent MI experience

A

ST segment depression and PVCs

20
Q

sub maximal heart rate of 85%

A

220 - (age) x .85

22
Q

Determine if it is an absolute or relative indication to terminate a stress test

systolic BP reses less than 20 mmHg in the first three stages

A

relative

23
Q

significant ST abnormalities

A

2 mm or more of horizontal or down slopping depression

23
Q

equation for max heart rate

A

220 - (age)

25
Q

advantage of Bruce protocol

A

relatively short in duration

26
Q

post MI exercise EKG sub maximal post

A

70%

27
Q

Post MI max METS

A

5-7

29
Q

Determine if it is an absolute or relative indication to terminate a stress test

development of unifocal PVCs

A

relative

30
Q

proper selection of the mode of Stress Testing

A
  1. goal
  2. the potential contraindications of method
  3. results
  4. influence of conflicting results
31
Q

significant symptoms which would stop the test

A

chest pain SOB feeling of syncope hypertensive response ST abnormalities 3 consecutive PVCs

32
Q

modified light workload protocol

A

used for patients who have recently had an MI

34
Q

patients who can’t perform a stress test after 3 weeks of MI are

A

3-6 times higher mortality rate

35
Q

ST sement elevation following MI

A

nonspecific sign

36
Q

Determine if it is an absolute or relative indication to terminate a stress test

during exercise atrial tachycardia, flutter, Fib with RVR

A

absolute

37
Q

how long is each stage in Naughton Protocol

A

2 mins

38
Q

in bruce protocol how long is each stage

A

3 mins

39
Q

absolute contraindications for post MI stress testing

A

recurrent myocardial ischemia

uncontrolled congestive heart failure

complex ventricular arrythmias

uncontrolled hypertension

severe aortic stenosis

acute pericarditis or myocarditis

acute pulmonary embolism/infarction

40
Q

Determine if it is an absolute or relative indication to terminate a stress test

development of serious cardiac arrythmias

(PVC’s, VT/VF)

A

absolute

41
Q

recent MI, while exercising to 120 bpm

A

absolute

Stress testing (6 decks)

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