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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 calculation formula is: Rate Pressure Product (RPP) = Heart Rate (HR) * Systolic Blood Pressure (SBP) The units for the Heart Rate are beats per minute and for the Blood Pressure mmHg . Rate pressure product is a measure of the stress put on the cardiac muscle based on the number of times it needs to beat per minute (HR) and the arterial ...
A cardiac stress test, puts stress on the heart through exercise. A series of exercises to measure the tolerance for stress on the heart will be carried out. This test uses an EKG to detect the electrical impulses of the heart during physical exertion. [29] A treadmill or exercise bike will be used.
With a maximal stress test the level of exercise is increased until the person's heart rate will not increase any higher, despite increased exercise. A fairly accurate estimate of the target heart rate, based on extensive clinical research, can be estimated by the formula 220 beats per minute minus patient's age.
Initial experiments involved a single-stage test, in which subjects walked for 10 minutes on the treadmill at a fixed workload. Bruce's first reports on treadmill exercise tests, published in 1949, analyzed minute-by-minute changes in respiratory and circulatory function of normal adults and patients with heart or lung disease. [8] [9]
Duke Treadmill Score is one of the tools for predicting the risk of ischemia or infarction in the heart muscle. [1] The calculation is done based on the information obtained from an exercise test by this formula: [citation needed] [exercise duration by Bruce protocol] - [ 5 × (maximal ST elevation or depression)] - [4 × (treadmill angina index)]
Coronary steal is also the mechanism in most drug-based cardiac stress tests; When a patient is incapable of doing physical activity they are given a vasodilator that produces a "cardiac steal syndrome" as a diagnostic procedure. The test result is positive if the patient's symptoms reappear or if ECG alterations are seen. [citation needed]
The Harvard step test, in scientific literature sometimes referred to as the Brouha Test, is a type of cardiac stress test for detecting and diagnosing cardiovascular disease. It is also a good measurement of fitness and a person's ability to recover after a strenuous exercise by checking the recovery rate.
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