exercise tests Flashcards

1
Q

what are Exercise Tests needed for diagnosing?

A

– Myocardial ischemia, coronary atherosclerosis
– Individuals in asymptomatic middle-aged strong risk group
– Distinction of chest discomfort
– Asymptomatic post MI patients
– Syncope assessment

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2
Q

what are the 2 types of exercise tests?

A

field test
CPET

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3
Q

give examples for field test
and CPET

A

field, 6 minute walk test (6MWT)-Shuttle walk test-3 minute step test

CPEET, Treadmill Cycle ergometer-Maximal-Submaximal

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4
Q

what are the contraindication of exercise testing?

A
  • Acute MI (within 2 days)
  • High-risk unstable angina
  • Uncontrollable arrhythmia
  • Decompensated symptomatic heart failure
  • Acute pulmonary embolism or infarction
    (renal insufficiency)
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5
Q
  • 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?

A

are all aims of CPET

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6
Q

when we should terminate the test?

A
  • 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)
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7
Q

Systolic pressure decrease more than 20mmHg
is a sign to stop CPET
true or false?

A

false, decrease more than 10mmHg

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8
Q
  • 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?

A

CPET

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9
Q

what are the equipment of exercise testing?

A
  • 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
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10
Q

what can we use for safety during testing?

A
  •  2 agonist inhaler
  • Adrenalin
  • ET intubation,
    Assisted ventilation
    devices
  • Defibrillator
  • Oxygen supply
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11
Q

Treadmill are cheaper, takes up less space, makes little noise and is portable

true or false?

A

false, ergometer

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12
Q

for CPET progressive protocol is like?

A
  • 8-12 min
  • Multi-step: every 2-3
    minutes
  • Progressively increasing
    every 1 min
  • Constantly increasing:
    Ramp
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13
Q

for Bruce protocol CPET treadmill
the speed and incline are increased every 5 mi
true or false?

A

false, every 3 min

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14
Q

in Balke protocol which one is constant and the other is increased?

A

the speed is constant= 3.5 mph
Incline increased (% 2)

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15
Q

which protocol is a
submaximal study which is used for
high-risk patients?

A

The Naughton

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16
Q

which protocol may require high levels of
running?

A

Ellestad protocol

17
Q

The pedal frequency should be how much for cycle ergometer CPET?

A

50-60 rpm

18
Q

person is selected to bring the
maximal effort to 8-12min in CPET: Cycle ergometer
true or false?

A

true

19
Q

12-lead ECG recording every 3 min
* Blood pressure measurement at the last minute of each test step
* Use of scales for symptoms (dyspnoea and angina scales
are ?

A

Measurements During Test

20
Q

Minimum 6 min sitting, lying in supine position or waiting until you reach initial values
* 12-lead ECG recording every minute after testing
* Blood pressure measurement every minute until it reaches the normal value after the test ends

are measured during cooling or warming period true or false?

A

true

21
Q

Peak VO2
Ventilator anaerobic threshold
Blood pressure
Oxygen pulse
Breathing frequency
what are the predicted values for these parameters?

A

Peak VO2, >% 84
Ventilator anaerobic threshold, >% 40
Blood pressure, <220/90
Oxygen pulse, >% 80
Breathing frequency,<60 breath/min

22
Q

Maximal HR is equal to?

A

220-age

23
Q

Cardiovascular diseases
or Anemia, arterial hypoxemia, metabolic
can be seen with O2 pulse less than 80%
true or false?

A

true

24
Q

what is the normal for Anaerobic threshold?

A

% 40-50 VO2max

25
Q

Beginning of metabolic
acidosis is?

A

Anaerobic threshold

26
Q

what is he good indicator of stroke
volume?

A

HR Slope = HR/VO2

27
Q

V slope is the direct measurement for the anaerobic threshold
true or false?

A

false, it is indirect.

correct: the blood lactate measurement is direct

28
Q

decrease of PaCO2 is hyperventilation
increase of PAO2 is alveolar hypoventilation
true or false?

A

true

29
Q

before exercise test we use?

A

spirometry

30
Q

VAS and borg scale are used to test?

A

shortness of breath

31
Q

External stimuli (tempo)
Every 1min: speed increased
both are done with 6-minute walk test
true or false?

A

false, with shuttle walk test

32
Q

Step height : 15 cm in 3 minute step test
true or false?

A

true

33
Q

Localized muscle fatigue
Mild patients
It is affected by the leg height
are disadvantages of?

A

3 minute step test

34
Q

which test is frequently used?

A

6 min walk test

35
Q

standardization exists in
Summit performance
Reproducible
Gradual physiological response
are ?

A

advantages of shuttle walk test

36
Q

list the anaerobic tests

A
  • Vertical jumping
  • Anaerobic step test
  • Wingate test
37
Q

what are the characteristics of wingate test?

A

Cycle ergometer test
* Maximal anaerobic
capacity
* 30 seconds of very
intense effort
(speed)
* Peak power
* Average power
* Fatigue index