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Flashcards in Exercise (stress) ECG test protocols Deck (41)
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1

absolute indication to terminate a stress test

when the patient requires the premature termination of the exercise test 

or 

patient request

1

how many stages does bruce protocol have 

2
Determine if it is an absolute or relative indication to terminate a stress test

EKG strongly suggests acute MI

absolute

2

the meaning of a negative test 

patient is safe to be discharged 

2

3

who has trouble walking at 3.4 mph

short people :( 

3

ventricular ectopy following MI

marker of underlying myocardial ischemia and left ventricular function 

4

a milder protocol is adequate for

patients with known heart disease

5

patients with recurrent myocardial ischemia,

uncontrolled CHFD

or electrical instability

absolute

7
Determine if it is an absolute or relative indication to terminate a stress test

abnormally high hypertensive responses are observed

absolute indication

8
Determine if it is an absolute or relative indication to terminate a stress test

Patient develops significant symptoms or signs

absolute

10
Determine if it is an absolute or relative indication to terminate a stress test

development of systolic BP of 220 mmHg 

relative

11

disadvantages to Bruce protocol

vigourous exercise work loads

more anaerobic designs

12

before the stress test you should set up

guidelines for when to stop the test

12

a vigorous protocol are suitable for

screening healthy individuals

12

15-40% of patients who come in for post MI stress test have this 

limiting angina

13

>1mm of ST depression have a risk up to

1 year of cardiac death

14
Determine if it is an absolute or relative indication to terminate a stress test

malfunctioning of equipment

aboslute

15
Determine if it is an absolute or relative indication to terminate a stress test

diastolic reaches 110mmHg

absolute

16

 primary goal of a stress test after an MI

further diagnostic evaluation and therepy 

18

exercise induces supraventricular tachyarrythmias

relative

18

30% of patient who have a recent MI experience

ST segment depression and PVCs

20

sub maximal heart rate of 85%

220 - (age) x .85

22
Determine if it is an absolute or relative indication to terminate a stress test

systolic BP reses less than 20 mmHg in the first three stages

relative

23

significant ST abnormalities

2 mm or more of horizontal or down slopping depression

23

equation for max heart rate

220 - (age)

25

advantage of Bruce protocol

relatively short in duration 

26

post MI exercise EKG sub maximal post 

70%

27

Post MI max METS

5-7

29
Determine if it is an absolute or relative indication to terminate a stress test

development of unifocal PVCs 

relative