July 31, 2010      


Cardiac Stress Test



A cardiac stress test is a clinical test that is done to evaluate the flow of blood to the heart muscle (myocardium) through arteries at time of physical exercise. It measures the flow of blood to the myocardium during physical workout in comparison to that during the hours of rest. The test also evaluates the overall fitness and health of the body and measures the amount of oxygen that is supplied to the heart muscle during exercise.

Cardiac stress abnormalities indicate imbalance in the flow of blood to the left ventricular muscle tissue. The most important utility of the test is to detect stress abnormalities. It is the left ventricle of the heart that pumps the blood to different parts of the body. Imbalances in the blood flow to the other chambers of the heart are not detected by stress testing.

Cardiac stresses that are detected by cardiac stress test

High-grade stenoses that is the severe narrowing of the larger coronary arteries
Advanced atherosclerosis that is arterial disease or the hardening of the arteries
Angina that is an exercise-related chest pain
Vasodilation that is the relaxing or widening of the ventricular arterioles

Exercise Electrocardiogram

Exercise electrocardiogram is a sort of cardiac stress test. This test detects the changes that take place in the heart during exercise hours. You can undergo the test while walking on a motor-driven treadmill or pedaling a fixed bicycle. It also detects abnormalities of the heart and symptoms of any cardiac complication.

Exercise electrocardiogram translates the electrical activity of the heart during exercise hours into line tracings on a piece of paper. The dips and spikes in the tracings of the line are called waves. This cardiac stress test is also done before or after an exercise.

Recovery after the test

Once the phase of exercise is over the patient, can sit down or lie on bed. This is followed by blood pressure and EKG checks that would take 5 to 10 minutes. After which the electrodes are removed from the patient’s chest and he can to return to his daily course of activities.

Purpose

Purposes of an exercise electrocardiogram are varied, like:

It detects the factors responsible for chest pain
It detects the types of some heart diseases
It evaluates the tolerance power of people who have undergone a heart surgery or suffered a heart attack.
It also detects fainting, dizziness, irregular or rapid heartbeats during an activity or exercise.
It detects the symptoms in case an artery is blocked after a medical treatment like coronary artery bypass surgery or angioplasty.
It also evaluates the functioning of a medicine or treatment for an irregular heartbeat or chest pain.

The Situations in which Exercise Electrocardiogram May Prove Fatal

Heart attack
Unstable angina that is severe chest pain
High blood pressure
Arrhythmias that is life-taking irregular heartbeats
Myocarditis that is an infection in the heart muscle
Anemia that is reduced amount of hemoglobin in the red blood corpuscles
Severe lung disease
A bulging and stretched portion in the large artery wall (aortic aneurysm) or in any of the heart chambers (ventricular aneurysm)




   


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