Exercise stress test

Exercise stress test is used to determine patient's tolerance to intensity of exercise.

Myocardial ischemia is when the patient feels a tightness or squeezing of the chest that reoccur over time due to coronary artery disease.

During the test you vary the speed and resistance depending on the machine that is being used to test.

You take vitals and assess symptoms before, during and after, exercise.

Systolic BP drops below 10 mm Hg of base line with no signs of ischemia this is when you stop the test.

Patient is feeling chest pain the next step you should take is stop the exercise and take their vitals.

A negative test shows signs of low probability of coronary artery disease.

A positive test shows signs of a high probability of coronary artery disease.

Patient is experiencing angina during the exercise test. The next step is to ask questions and take their vitals to confirm their report.

Ataxia is difficulty coordinating body movements.

A trendmill, cycle ergometer, and UE's ergometer are used as exercise stress test tools.

Patient's shows signs of cyanosis and pallor during exercise but states being fine with increased SOB. The next step is to stop the exercise and assess what is going on with the patient.

Patient complains of SOB, fatigue, and leg cramps with a BP of 250/115 indicates to stop the exercise right away.

Patient's systolic pressure drops before their normal BP by 10 mm Hg with signs of myocardial ischemia this is an indication to stop the exercise.

Patient shows signs of arrthythmia this maybe an indicator to stop the exercise but more data needs to be collected first.

Patient demonstrates an increased sign of ataxia during the test the next step is to take the patient's vitals.