Stress Echo Flashcards
stress echo indications
abnormal ekg
athletes heart
chest pain
congenital heart disease
eval cardiac function
heartfailure/transplan
SOB
CAD
pre op clearance
stress echo contradictions
combative patient
myocardial infarct
pericarditis
myocarditis
pregnancy
mobile thrombus
severe CAD
AO aneurysm
LVOT obstruction
how to determine someonesmax HR
220-patients age
how to determine target HR
MHR x .090
LV normal response to stress/exercise
increase wall contractility and decreased volume and size
wall motion index scores
normal= 1
hypokinetic= 2
akinetic=3
dyskinetic=4
aneurysmal=5
most common stress echo views
PLAX, SAX, apical 4,2
most common stress test utilized
bruce protocol
most common medication used for pharmacological stress echo
dobutamine
how does dobutamine effect the heart
increases HR and contractility
impost images should be taken
within 1 minute patient is off treadmill