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The Bruce protocol is a standardized diagnostic test used in the evaluation of cardiac function and physical fitness, developed by American cardiologist Robert A. Bruce. [1] According to the original Bruce protocol the patient walks on an uphill treadmill in a graded exercise test with electrodes on the chest to monitor.
Before the development of the Bruce Protocol, there was no safe, standardized protocol that could be used to monitor cardiac function in exercising patients.Master's Two-Step Test was sometimes used, but it was too strenuous for many patients and inadequate for the assessment of respiratory and circulatory function during varying amounts of exercise.
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.
Treadmill stress tests generally consist of a patient walking on a treadmill and gradually increasing speed and incline. The test normally runs until the patient is exhausted or has met a ...
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)]
Cardiac stress testing is used to determine to assess cardiac function and to disclose evidence of exertion-related cardiac hypoxia. Radionuclide testing using thallium or technetium can be used to demonstrate areas of perfusion abnormalities. With a maximal stress test the level of exercise is increased until the person's heart rate will not ...
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