The image is displayed on a screen and recorded on videotape. The Cardiologist will enter the room before you begin exercising. The exercise portion of the test is done on a treadmill.
While you are walking, the speed and the grade of the treadmill will increase every 3 minutes. Your blood pressure, EKG and heart rate will be monitored continuously throughout the test. The length of the test varies from patient to patient. However, most patients walk between minutes. The treadmill test will stop when:. After the exercise portion of the test, you will be helped to a stretcher.
It is important that you get onto the stretcher quickly. The Echo Tech needs to obtain the stress images of your heart while your heart rate is still high.
The Cardiologist and Echo Tech compare the two sets of images before and after exercise side by side to see how your heart responds to exercise. Your blood pressure and EKG will be monitored during the recovery period. The Cardiologist conducting the test may be able to give you preliminary test results before you leave the testing room.
A test report will be sent to your primary Physician in about business days. These test results can be discussed during a future office visit. If your test is positive abnormal , the Cardiologist conducting the test, along with your Physician, will help develop a treatment plan that is best for you.
The Cardiologist may recommend another stress test or more invasive testing such as a cardiac catheterization. If you have a negative test no abnormalities it is likely that your risk of coronary artery disease is low.
This means that, if you actually DO have heart disease, the test will accurately detect it seven out of ten times. Sometimes the results are "falsely positive" meaning that there is actually no risk of heart disease despite the test's positive results.
False positive results occur more frequently in women. Further testing will be necessary to determine whether you actually have heart disease. If you are concerned about the validity of the test, you may wish to discuss it with your doctor at greater length. Our team orders echocardiograms for a number of reasons, including:.
If you have an existing heart condition, echocardiograms may be part of your routine healthcare. They can be used to assess how well a specific treatment is working and monitor your heart health over time. When you come in for your test, the team may give you a gown to wear. You lie on your left side on a special exam table, your technician applies ultrasound gel to your chest.
The technician moves an ultrasound wand called a transducer over your chest, capturing images of your heart in action. Next, you go through the regular stress test by walking on the treadmill or riding the bike. At NJ Cardiovascular Institute, our team is equipped to diagnose and treat issues affecting heart health. Our cardiology services are available at two offices in Newark and Secaucus, New Jersey. Find out if you could benefit from heart testing by scheduling a consultation online or calling the office nearest you.
High cholesterol is a common chronic health issue in the United States. Learn the whole-body impacts of high cholesterol. Your heart is a complex organ that works hard to keep you alive. Now is the time to learn more about how your cardiovascular system works, the factors that could put you at risk for heart disease, and what you can do to improve your heart health. The cardiologist will analyse the pre- and post-images to assess for alterations in wall motion based on a standard wall segment model.
The report should include an indication for the test. The results should describe the exercise protocol used, the exercise capacity in terms of time and workload achieved protocol level, workload in watts or metabolic equivalent [METs] achieved , the haemodynamic response to stress baseline and maximum blood pressure , at what heart rate and at what percentage of maximum heart rate the test was ceased, for what reason the test was ceased, presence of left ventricular hypertrophy or inducible ischaemia in terms of ST segment shift or wall motion abnormalities on echocardiography , presence or absence of arrhythmia and heart rate response during recovery.
The report may also comment on chronotropic incompetence and oxygen saturation during the test. Metabolic equivalent is a multiple of basal oxygen consumption, which is 3. A stress echocardiogram report may additionally comment on the effect of exercise on valvular function eg. Depending on the clinical scenario, a positive EST or ESE may be an indication for cardiology referral to consider coronary angiography or optimise medical therapy for coronary artery disease.
All investigations, including stress tests and stress echocardiograms are bulk billed at all Peninsula Cardiology clinics. Stress Test vs Stress Echo.
December 01, Other indications include — the investigation of dyspnea can be an angina equivalent , pre-operative assessment, investigation of arrhythmias and syncope eg: chronotropic insufficiency Screening for CAD in high risk individuals assessment for ischaemia in patients with known CAD assessment of valvular dysfunction with exercise occupational reasons eg: pilots, truck drivers.
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