Stress ecg positive for ischemia
[DOC File]Ambulatory Practice - University of Iowa
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Criteria that further increase probability of ischemia: number of leads, workload at which changes occur, angle of ST slope, time to ST recovery, ventricular ectopy during recovery. Location of ECG changes does not localize area of ischemia. Age-predicted maximum heart rate (220 ( age): if 85% is not reached, test is non-diagnostic
[DOC File]Cardiology - Stanford University
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His ECG is showing no acute ischemic changes; does show “R” wave in leads V1-V2 greater than 0.04 seconds and positive “T” wave without conduction defect, however, cardiac biomarkers are within normal limits, with BNP of 12,279.
Ordering and Understanding the Exercise Stress Test - American Fa…
The test is considered less diagnostic for ischemia after two minutes and if the images are obtained after this point, it should be documented and inform the stress echo reader by sonographer. If the patient has symptoms, positive ECG change or new regional wall motion abnormality post exercise, additional echo image should be obtained during ...
[DOC File]NORTH CAROLINA BAPTIST HOSPITAL
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Ischemic chest pain produced by the exercise stress test is strongly predictive of CAD, and is even more predictive with ECG changes. A trial of nitroglycerin can be a useful diagnostic challenge. Patients with exercise induced angina, even in the absence of ECG changes, should be managed as though they have CAD, pending further evaluation.
[DOC File]M29-1, Part 5, E
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Stress testing - Stress EKG (exercise or pharmacologic) - Thallium (Mi perfusion) - stress echo - angiogram. Response to therapy – nitroglycerin can improve pain in cardiac ischemia or esophageal spasm, antacids help in GI causes. Question 7: How might women present differently than men?
[DOC File]USAFP
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Cardiovascular history including: Indication for the examination, medications, symptoms, cardiac risk factors, and prior diagnostic or therapeutic procedures should be reviewed by the stress physician. 12-lead ECG for evidence of acute ischemia, arrhythmia or conduction disturbances . Cardio-respiratory auscultation for wheezing, rales, murmur ...
[DOC File]Rationale: - Intersocietal
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History or development of typical angina coincident with ischemic ECG changes. Unusual or severe shortness of breath. Any of above Add +50 to mild or moderate rating Other factors may indicate that a mild or moderately positive test is a false positive. Young, …
[DOC File]Ohio Chapter, American College of Cardiology
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Criteria (c) is defined as JT segment depression with positive low-voltage isoelectric or diphasic T waves. This feature which evokes subepicardial ischemia is a questionable physiological adaptation and must be assessed carefully because it disappears inconsistently during stress testing or after a long period of deconditioning.
[DOC File]Word count: 4367 - Sportsci
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The testers administering the stress test watch the screen and check for chest pain. An answer of yes will stop the test. An inverted T-wave on the ECG indicating ischemia can also stop the test. Sometimes during a stress test an elevation of the ST segment can occur (this would be a depolarization problem). The heart will take longer to ...
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