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[citation needed] The heart rate formula most often used for the Bruce is the Karvonen formula (below). A more accurate formula, offered in a study published in the journal, Medicine & Science in Sports & Exercise, is 206.9 - (0.67 x age) which can also be used to more accurately determine VO2 Max, but may produce significantly different results.
A cardiac stress test is a cardiological examination that evaluates the cardiovascular system's response to external stress within a controlled clinical setting. This stress response can be induced through physical exercise (usually a treadmill) or intravenous pharmacological stimulation of heart rate. [1]
The underlying principle is, under conditions of stress, diseased myocardium receives less blood flow than normal myocardium. MPI is one of several types of cardiac stress test. As a nuclear stress test, the average radiation exposure is 9.4 mSv, which when compared with a typical 2 view chest X-ray (.1 mSv) is equivalent to 94 Chest X-rays. [83]
Duke treadmill scores typically range from –25 (highest risk) to +15 (lowest risk). One-year mortality and five-year survival rates respectively for the results of the Duke treadmill score have been reported as follows: [4] [5] [6] less than or equal to –11: 5.25%, 65% –10 to 4: 1.25%, 90% greater than or equal to 5: 0.25%, 97%
The Framingham Risk Score is a sex-specific algorithm used to estimate the 10-year cardiovascular risk of an individual. The Framingham Risk Score was first developed based on data obtained from the Framingham Heart Study, to estimate the 10-year risk of developing coronary heart disease. [1]
The test subject repeatedly steps onto and off of a platform every two seconds. [2] The height of the platform is 20 inches or 51 centimetres for men and 16 inches or 41 centimetres for women. The rate of 30 steps per minute must be sustained for five minutes or until exhaustion. To ensure the right speed, a metronome is used.
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The Massardo method can be used to calculate ventricle volumes. This nuclear medicine scan yields an accurate, inexpensive and easily reproducible means of measuring and monitoring the ejection and injection fractions of the ventricles, which are one of many of the important clinical metrics in assessing global heart performance. [citation needed]