exercise tests Flashcards
what are Exercise Tests needed for diagnosing?
– Myocardial ischemia, coronary atherosclerosis
– Individuals in asymptomatic middle-aged strong risk group
– Distinction of chest discomfort
– Asymptomatic post MI patients
– Syncope assessment
what are the 2 types of exercise tests?
field test
CPET
give examples for field test
and CPET
field, 6 minute walk test (6MWT)-Shuttle walk test-3 minute step test
CPEET, Treadmill Cycle ergometer-Maximal-Submaximal
what are the contraindication of exercise testing?
- Acute MI (within 2 days)
- High-risk unstable angina
- Uncontrollable arrhythmia
- Decompensated symptomatic heart failure
- Acute pulmonary embolism or infarction
(renal insufficiency)
- To evaluate the specific symptoms / findings of
exercise - To determine abnormal responses to exercise in
cardiac, pulmonary / other organ disorders - To evaluate the effect of treatment & surgery
- To evaluate the functional capacity
- To evaluate the prognosis
- Planning a cardiac, pulmonary, musculoskeletal
rehabilitation program
are?
are all aims of CPET
when we should terminate the test?
- Ischemic chest pain
- Ischemic changes in ECG (> 2 mm ST elevation)
- Complex ectopia (ventricular tachycardia)
- 2-3. degree heart block
- Decrease of sistolic BP more than 20 mmHg ’
- Hypertension
- Severe desaturation (SpO2 less than 80% + signs and symptoms of
severe hypoxemia - Sudden pallor
- Loss of coordination
- Mental confusion
- Dizziness, syncope
- Respiratory failure findings (cyanosis, severe shortness of breath)
Systolic pressure decrease more than 20mmHg
is a sign to stop CPET
true or false?
false, decrease more than 10mmHg
- Increase in chest pain
- Fatigue, shortness of breath, wheezing, muscle cramps
- Less severe arrhythmia such as supraventricular tachycardia
- Excessive increase in the peak value of heart rate according to
pre-performed exercise tests - Significant ECG changes (2mm ST segment depression,
elevation)
are relative terminate criteria to which test?
CPET
what are the equipment of exercise testing?
- Treadmill
- Cycle ergometer
- Oxygen consumption
meter - Spirometry
- 12-lead ECG
- Pulse oximeter
- Anaroid
sphygmomanometer - Polar heart rate
monitor - Chronometer
- Modified Borg scale
- Visual analogue scale
- Patient bed
what can we use for safety during testing?
- 2 agonist inhaler
- Adrenalin
- ET intubation,
Assisted ventilation
devices - Defibrillator
- Oxygen supply
Treadmill are cheaper, takes up less space, makes little noise and is portable
true or false?
false, ergometer
for CPET progressive protocol is like?
- 8-12 min
- Multi-step: every 2-3
minutes - Progressively increasing
every 1 min - Constantly increasing:
Ramp
for Bruce protocol CPET treadmill
the speed and incline are increased every 5 mi
true or false?
false, every 3 min
in Balke protocol which one is constant and the other is increased?
the speed is constant= 3.5 mph
Incline increased (% 2)
which protocol is a
submaximal study which is used for
high-risk patients?
The Naughton