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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.
Master's two-step test [7] was often used, but it was too strenuous for many patients, and inadequate for the assessment of respiratory and circulatory function during varying amounts of exercise. To address these problems, Bruce and his colleagues began to develop a cardiac stress test.
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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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)]
He established guidelines in 1956 for the grouping of patients into New York Heart Association Functional Classification I through IV. [4] Bruce's early use of the treadmill for stress testing was a single-stage test at a fixed rate and fixed grade. [ 5 ]
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