Echo stress test bruce protocol

Common Questions and Answers about Echo stress test bruce protocol

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I had an echo stress test where the treadmill speed and incline followed standard Bruce protocol, but each stage lasted only 2 minutes instead of 3. The person who administered the test seemed very knowledgeable, so I assume the shortened stages were intentional. Are the results as valid as they would have been with standard 3 minute stages? I completed stage 4 and was told everything looked good.
a standardized test that serves as a basis for evaluation or comparison. That would be the Bruce protocol or some other stress test protocol. I'm sure you recognize that, and I am surprised a tech lacks the knowledge or understanding. May be a communication problem as you state.
I took an echo stress today and completed 17 minutes. According to the technician running the test, the Met level for 17 minutes is 16.2. The literature I have read indicates a Met level of 17.9. Which is correct?
old female who recently went to the ER with chest pressure, shortness of breath and tachycardia . All lab tests were normal, including troponin. I was told that the stress echo was normal, but reading the results, I have 2 areas that concern me: 1) "The patient had 1-2mm ST segment depression, upsloping in inferior leads 2, 3 and AVF. Resolution in less than one minute and 2) The pt. has evidence of deconditioning with heart rate of close to 130 within 40 sec.
Bruce protocol Result/Symptoms: The patient exercised for 9 minutes, achieving 10 MET. The test was terminated due to dyspnea and fatique. No chest pain symptoms. Reached a peak hr of 166, which is 91% of her age predicted max, peak bp of 154/88 with double product 25.5. EKG. There is no ischemic ECG changes. No complex tachy or bradyarrhythmias. However, there were occasional to frequent PVC near peak excercise.
(4) Is a Stress Echo as good as a nuclear stress test? It depends. There are factors that can cause problems with interpreting the images in each one. However, if they are able to get good quality images in both studies then they are essentially equivalent.
i did my stress test a week ago due to tightness in the chest. onece i started the test after few minutes on the treadmill the tightness went away with excercise. [i also have cronic gastric problem for couple of years and i am takig periat for that ]. my stress test results are bit confusing and it got me worried.
45 year old male excellent health planning on training for a marathon so I asked my Family Physician if I could have a Stress Test. He felt it was not necessary because I had no risk factors. He then decided to have me undergo a cadriolite stress test (against his advice). My history - 45 year old male - Physical Education teacher...very active - Non-smoker - 1 glass of red wine a day - one 81 mg aspirin/day. Multiple Vitamin and omega 3's - jogging 3-5/week 40minutes for the past 20 years.
I am a 55 year old post CAB 8 years ago. Recently had annual stress test. Completed Bruce Protocol....level 7 .... max heart rate achieved 105%. One finding puzzles me .... notation as follows: Resting EKG Abnormal .... "Poor R wave progression V1 to V3". This is the first time I have seen this notation made on the report - is there something that needs to be examined closer? ... or could it be attributed to a loose lead? Thank you.
The cardiologist completed an echo stress test in which I was allowed to reach 100% of my target heart rate and complete stage 4 (12 minutes) of the Bruce Protocol. The echo stress test showed excessive ST segment depression, which was gone within one minute into the rest period, and abnormal heart wall movement. The cardiologist recommended cardiac catheterization, which was completed on 08/25/08. Well, the cath was normal. No evidence of coronary artery disease.
i had a reg stress test this am and i was able to get to level 3-3 raises of the incline and speed- and finally reached my target of 185 bpm,, but about 3 mins before that was reached i wanted to stop!!! was feeling short of breath mostly slight lung burning feeling and a tad light headed is that normal???my heart rate seemed to come down to normal in about 7 or 8 minutes and they let me go-- if they saw something dangerous would they have told me??
Bruce, METS: 13 - Duration 11:00 - Peak B/P 160/100 - End point: 96%MPHR- Auscultation: No gallops - Maximum Heart Rate 173 - ST changes: 1.5m Upsloping. Test was terminated because of fatigue. no chest pain. Patient develped 1 to 1.5mm ST segment depression, upsloping, but without symptoms. These EKG changes resolved promptly in the immediate post-exercise period. No arrhytmias.
Cholesterol has always been under 200, however in a recent test done a month ago, the total was 214 so slightly above normal range My question is how to interpret the two results; echo and stress echo. The echo that was done a month before stress echo says there’s mild concentric left ventricular hypertrophy and does not mention anything about aortic valve sclerosis, infact says normal aortic valve.
Im a 24 year old male that has hypertension since 21 and recently began having shortness of breath and chest pain which my doctor determined were panic attacks, however I was concerned whaf I suffered from was angina or coronary artery disease.
on a bruce protocol treadmill test standard ( no dyes ) do you get results for Ejection fraction ?
Im a 24 year old male that has hypertension since 21 and recently began having shortness of breath and chest pain which my doctor determined were panic attacks, however I was concerned whaf I suffered from was angina or coronary artery disease.
Needless to say, I am looking to change cardiologists, which brings me here to ask the following question. They had me do a nuclear stress test and told me it came back fine. Yet when reading it I noticed that my blood pressure actually DROPPED during the test. Here is what it says: The patient exercised onthe treadmill for a total of 6 minutes, reaching stage 2 of the bruce protocol. HR was 72 beats a minute at baseline and increased to 164 bpm at peak, representing 91% of age predicted HR.
30 in a Bruce protocol to a peak heart rate of 173. Test terminated due to fatigue. Normal blood pressure repsonse. Good exercise tolerance. 1. ECG reveals 2mm inferolateral ST depression in stage I to 7 minutes post. 2. Maximal exercise treadmill is positive for ischemia. 3. Triplex, two dimensional, color and spectral Doppler reveals trace degree of pulmonic insufficiency. 4. The mitral valve Doppler inflow profile suggests left ventricular diastolic dysfunction. 5.
No symptoms to date It was conducted using modified bruce protocol. My initial ECG at rest was fine. The test lasted 10 minutes until 95% MHR was achieved. I was exercising at this rate for 1 minute without an increase in heart rate. The MP reviewed the traces and was a little confused . All traces were good up to 8minutes, some minor deviations but one offs (not three in a row etc.) Between 8 and 9 minutes (HR=172, 16.
test was negative, and I worked up to 10.1 METS on the Bruce protocol.....I understand that stress tests can determine blockages of 70 % and higher, but I was told by the tech. that I worked hard enough to determine that there was not even a 50 % blockage.....Does that sound correct? 4) I am on Toprol XL 25 mgs a day.....will I be instructed to stop it before testing?
Then in Cleveland...., 2weeks later a stage 3 Bruce protocol stress EKG in cleveland , was called normal, with 91% of predicted max HR, univocal pac's& pvc's during test. Function capacity at 9 METS. Ejection faction 60%. am on no meds. To cath or not to cath? What am I to think? What am I to conclude?
EF%: 70-75 Rest: EF%: 60-65 Stress Echo Conclusions: Normal Study. No evidence of ischemia or infarction Resting Echocardiogram findings: 1. Normal resting left ventricular size, estimated EF 60-65%. No resting regional wall motion abnormalities noted. 2. Aortic valve sclerosis. No evidence of aortic stenosis or insufficiency. 3. Thickened mitral leaflets. 4. Structurally and functionally unremarkable tricuspid and pulmonic valves. My question is how is aortic sclerosis diagnosed?
21% of ventricular ectopic beasts noted. 2 ventricular couplets were noted. 01/15/02 Stress Echo Test - result not obtained yet. 02/14/02 Scheduled for Cardiolite stress test.
I had a exercise test last week, 10.5 min Bruce Protocol THR achieved. The exercise test showed no changes and the summary was Negative for Reversible Ischemic DIsease. The Stress Echo also was Negative for Heart disease. I did have a MI 10 years ago and a stent in the LAD at the time. No angina since. Recently though (about 3 months ago) while travelling in Vietnam I started to experience some discomfort occaisonally while scuba diving and walking.
Published values of "normal ranges" for aortic sizes. Sinus of valsalva: 29-45mm Mid ascending aorta:: 22-36mm Descending aorta: 20-30mm Abdominal aorta: 15-29mm Common Ileac: 10-12mm There is no "normal value for BP response to exercise." We define exertional hypertension as a systolic blood pressure greater than or equal to 210 mmHg.
Cholesterol is excellent, no family history. 2 years ago I started getting chest and back pains. Stress test came out positive with 1.5mm S-T depression, (onset @120BPM) - this was a submaximal test; Modified Bruce, max HR of 165 BPM, max exercise T=7min. Given the protocol, I think this is about 5 METS (?) Since, I have exercise-phobia… A follow-on nuclear perfusion stress test was done - S-T depression of 1.5mm, T=8min, 165 BPM, sub-maximal modified Bruce. Resting Echo OK.
Resting echo EF is estimated at 60%.Post Stress Echo: Post exercise echo EF is estimated at 75%." Also on the report is written that I exercised for 14 minutes on Bruce protocol and achieved Double Product of 28.58. 1. What would my true EF be if my resting echo EF is estimated at 60% and post exercise echo EF is estimated at 75% 2. What would post exercise echo EF normal ranges be and is the above EF difference normal? 3.
I ran for 18.5 minutes on a bruce protocol and hit100 % of my max HR as part o a stress echo. My understanding is the a SE is only about 88% as good as an angiogram for picking up a significant bleockage (70% blockage in someone who can last 18.5 mins on a stress test different than someone who can last say 9 mins on a stress test? If so how different?
30 on Bruce Protocol with a max HR of 194 (I am 33 yrs old) but 10 minutes post recovery I was still 140bpm. How alarmed should I be and what can I do to fix or improve. I have already started a low carb low fat diet and started an aerobic exercise program. I am on 5mg of lisinpril for hypertensionl; my BP is now 120/77.
stage 4, ; 11 min,25 sec ; 12.9 METS , 100% target heart rate. No arrythmia, or high bp. Resting heart rate 73 ; Resting bp 124/80 ; Resting EKG: Normal sinus rythm ; left ventricular hypertophy. Exercise factor: ---------------------- I think this LVH/ST depression was due to my 2-year intensive work out on elliptical -- "atheletic LVH" Workout: 60 to 65 min on elliptical, 5--6 times/week ; 3 mile jogging if I miss elliptical, sometimes. 6.
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