Stress Testing

Question 1

DSE doses (3)

Answer 1

-inotropy increased with doses to 20ug/kg/min
-chronotropy prominent >20ug/kg/min
-max 40 ug/kg/min

Question 2

Why raise leg in DSE

Answer 2

-alternative option to reaching target heart rate
– hip disease limits 

Question 3

DSE BP limits

Answer 3

SBP >220
DBP >120

Question 4

Stop DSE (3)

Answer 4

-NSVT
-frequent PMVT
-ST segment elevation

Question 5

DSE with heart transplant 2

Answer 5

– for detection of graft CAD.
– atropine may not increase heart rate because of cardiac denervation.