Stress test

Question 1

What percentage must the heart rate reach for a stress test?

Answer 1

85% but based on age and gender

Question 2

post exercise images must be taken in …?

Answer 2

60-90 seconds after the patient came off the treadmill

Question 3

what can be seen immediately after the stress test?

Answer 3

wall abnormalities, CAD

Question 4

indications for a stress test

Answer 4

CAD
chest pain
nonischemic cardiomyopathy 
pre op clearance
SOB
abn EKG 
valve disease

Question 5

contradictions for a stress test

Answer 5

elevated cardiac enzymes
severe CAD
mobile thrombus 
acute MI
myo or pericarditis 
HTN
ventricular arryhthmia 
2nd or 3rd degree heart block 
pregnancy

Question 6

what are the goals of a stress test?

Answer 6

achieve THR
increase in LV wall contractility
detect CAD
identify WMA

Question 7

Negative stress echo

Answer 7

normal wall LV motion

Question 8

positive stress echo

Answer 8

fixed WMA
decrease in over EF from rest peak
increase in LV volume and size from rest to peak

Question 9

wall motion at rest may become …?

Answer 9

hypo kinetic
Akinetic
dyskinetic
aneurysmal

Question 10

lead place for stress test

Answer 10

Question 11

An ST depression means ?

Answer 11

myocardial ischemia

Question 12

ST elevation means what?

Answer 12

myocardial infarction

Question 13

Images need for stress echo

Answer 13

PLAX PSAX

A4C A2C

Question 14

tyes of stress echo test

Answer 14

treadmill
supine bicycle
pharmacological
dobutamine