Exercise (stress) ECG test protocols

Question 1

absolute indication to terminate a stress test

Answer 1

when the patient requires the premature termination of the exercise test

or

patient request

Question 1

how many stages does bruce protocol have

Answer 1

7

Question 2

Determine if it is an absolute or relative indication to terminate a stress test

EKG strongly suggests acute MI

Answer 2

absolute

Question 2

the meaning of a negative test

Answer 2

patient is safe to be discharged

Question 3

who has trouble walking at 3.4 mph

Answer 3

short people :(

Question 3

ventricular ectopy following MI

Answer 3

marker of underlying myocardial ischemia and left ventricular function

Question 4

a milder protocol is adequate for

Answer 4

patients with known heart disease

Question 5

patients with recurrent myocardial ischemia,

uncontrolled CHFD

or electrical instability

Answer 5

absolute

Question 7

Determine if it is an absolute or relative indication to terminate a stress test

abnormally high hypertensive responses are observed

Answer 7

absolute indication

Question 8

Determine if it is an absolute or relative indication to terminate a stress test

Patient develops significant symptoms or signs

Answer 8

absolute

Question 10

Determine if it is an absolute or relative indication to terminate a stress test

development of systolic BP of 220 mmHg

Answer 10

relative

Question 11

disadvantages to Bruce protocol

Answer 11

vigourous exercise work loads

more anaerobic designs

Question 12

before the stress test you should set up

Answer 12

guidelines for when to stop the test

Question 12

a vigorous protocol are suitable for

Answer 12

screening healthy individuals

Question 12

15-40% of patients who come in for post MI stress test have this

Answer 12

limiting angina

Question 13

>1mm of ST depression have a risk up to

Answer 13

1 year of cardiac death

Question 14

Determine if it is an absolute or relative indication to terminate a stress test

malfunctioning of equipment

Answer 14

aboslute

Question 15

Determine if it is an absolute or relative indication to terminate a stress test

diastolic reaches 110mmHg

Answer 15

absolute

Question 16

primary goal of a stress test after an MI

Answer 16

further diagnostic evaluation and therepy

Question 18

exercise induces supraventricular tachyarrythmias

Answer 18

relative

Question 18

30% of patient who have a recent MI experience

Answer 18

ST segment depression and PVCs

Question 20

sub maximal heart rate of 85%

Answer 20

220 - (age) x .85

Question 22

Determine if it is an absolute or relative indication to terminate a stress test

systolic BP reses less than 20 mmHg in the first three stages

Answer 22

relative

Question 23

significant ST abnormalities

Answer 23

2 mm or more of horizontal or down slopping depression

Question 23

equation for max heart rate

Answer 23

220 - (age)

Question 25

advantage of Bruce protocol

Answer 25

relatively short in duration

Question 26

post MI exercise EKG sub maximal post

Answer 26

70%

Question 27

Post MI max METS

Answer 27

5-7

Question 29

# Determine if it is an absolute or relative indication to terminate a stress test development of unifocal PVCs

Answer 29

relative

Question 30

proper selection of the mode of Stress Testing

Answer 30

1. goal 2. the potential contraindications of method 3. results 4. influence of conflicting results

Question 31

significant symptoms which would stop the test

Answer 31

chest pain SOB feeling of syncope hypertensive response ST abnormalities 3 consecutive PVCs

Question 32

modified light workload protocol

Answer 32

used for patients who have recently had an MI

Question 34

patients who can't perform a stress test after 3 weeks of MI are

Answer 34

3-6 times higher mortality rate

Question 35

ST sement elevation following MI

Answer 35

nonspecific sign

Question 36

# Determine if it is an absolute or relative indication to terminate a stress test during exercise atrial tachycardia, flutter, Fib with RVR

Answer 36

absolute

Question 37

how long is each stage in Naughton Protocol

Answer 37

2 mins

Question 38

in bruce protocol how long is each stage

Answer 38

3 mins

Question 39

absolute contraindications for post MI stress testing

Answer 39

recurrent myocardial ischemia uncontrolled congestive heart failure complex ventricular arrythmias uncontrolled hypertension severe aortic stenosis acute pericarditis or myocarditis acute pulmonary embolism/infarction

Question 40

# Determine if it is an absolute or relative indication to terminate a stress test development of serious cardiac arrythmias | (PVC's, VT/VF)

Answer 40

absolute

Question 41

recent MI, while exercising to 120 bpm

Answer 41

absolute