Exercise Test Results Analysis
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Questions and Answers

What is the peak systolic blood pressure recorded during the treadmill exercise test?

  • 200 mm Hg (correct)
  • 180 mm Hg
  • 145 mm Hg
  • 152 mm Hg
  • What occurred to the diastolic blood pressure during the exercise?

  • Declined by 5 mm Hg (correct)
  • Increased by 5 mm Hg
  • Remained unchanged
  • Decreased by 10 mm Hg
  • Which of the following statements about the ECG findings is true?

  • Ischemic changes were present only during exercise.
  • Significant ischemic changes were observed.
  • No ischemic changes were detected during or after exercise. (correct)
  • The ECG showed elevated ST segments.
  • What does a post-exercise reduction in systolic blood pressure suggest?

    <p>Low risk of coronary events</p> Signup and view all the answers

    What does the peak heart rate of 152 beats/min indicate about the exercise test?

    <p>It is inadequate to diagnose significant coronary artery disease.</p> Signup and view all the answers

    What does the peak systolic blood pressure of 200 mm Hg during exercise indicate about the individual's cardiovascular response?

    <p>It suggests excessive response to physical exertion.</p> Signup and view all the answers

    What can be inferred about the diastolic blood pressure change during the exercise?

    <p>A decrease of 5 mm Hg is typical during exercise.</p> Signup and view all the answers

    Why might the exercise test be considered nondiagnostic in this case?

    <p>The individual did not reach their peak heart rate.</p> Signup and view all the answers

    Which of the following statements is true regarding the individual's risk for coronary events based on test results?

    <p>Results align with a low prognostic risk of a coronary event.</p> Signup and view all the answers

    How does the absence of ischemic changes on the ECG during recovery influence the interpretation of the results?

    <p>It supports a conclusion of normal cardiac function.</p> Signup and view all the answers

    Study Notes

    Exercise Test Results Analysis

    • A 54-year-old African-American male with hypertension and hypercholesterolemia underwent a treadmill exercise test using the standard Bruce protocol.
    • The test stopped at 11 minutes and 14 seconds due to fatigue.
    • Peak heart rate reached 152 beats/minute.
    • Peak systolic blood pressure reached 200 mmHg, exceeding normal values.
    • Diastolic blood pressure decreased by 5 mmHg during exercise. This is not unusual.
    • Post-exercise, systolic blood pressure decreased to 150 mmHg, below pre-exercise levels. This is a normal physiological response.
    • No ischemic ECG changes were observed during or after exercise.

    Interpretation of Results

    • High peak systolic blood pressure during exercise (200 mmHg) exceeds normal values, but this doesn't necessarily indicate significant coronary artery disease.
    • A decrease in diastolic blood pressure during exercise is not unusual and does not suggest severe coronary artery disease.
    • An inadequate peak heart rate (152 bpm) isn't a factor for diagnosis. The rate is within the expected range for the age group but doesn't exclude coronary artery disease.
    • The results, in totality, suggest a low prognostic risk of a coronary event, but further evaluation is necessary.
    • The significant drop in systolic blood pressure after exercise is not suggestive of severe coronary artery disease; it's a normal physiological response.
    • The test results are consistent with a low prognostic risk of a coronary event.

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    Description

    This quiz focuses on analyzing the cardiovascular response of a 54-year-old male during a treadmill exercise test. It examines peak heart rate, blood pressure responses, and the implications of these results in the context of potential coronary artery disease. Participants will interpret the significance of test outcomes and understand normal versus abnormal responses.

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