Podcast
Questions and Answers
What is the peak systolic blood pressure recorded during the treadmill exercise test?
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?
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?
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?
What does a post-exercise reduction in systolic blood pressure suggest?
What does the peak heart rate of 152 beats/min indicate about the exercise test?
What does the peak heart rate of 152 beats/min indicate about the exercise test?
What does the peak systolic blood pressure of 200 mm Hg during exercise indicate about the individual's cardiovascular response?
What does the peak systolic blood pressure of 200 mm Hg during exercise indicate about the individual's cardiovascular response?
What can be inferred about the diastolic blood pressure change during the exercise?
What can be inferred about the diastolic blood pressure change during the exercise?
Why might the exercise test be considered nondiagnostic in this case?
Why might the exercise test be considered nondiagnostic in this case?
Which of the following statements is true regarding the individual's risk for coronary events based on test results?
Which of the following statements is true regarding the individual's risk for coronary events based on test results?
How does the absence of ischemic changes on the ECG during recovery influence the interpretation of the results?
How does the absence of ischemic changes on the ECG during recovery influence the interpretation of the results?
Flashcards
Peak Systolic Blood Pressure
Peak Systolic Blood Pressure
The highest blood pressure achieved during the exercise test.
Diastolic Blood Pressure Change
Diastolic Blood Pressure Change
A decrease in diastolic blood pressure during exercise is not necessarily indicative of coronary artery disease.
Bruce Protocol Treadmill Test
Bruce Protocol Treadmill Test
Bruce protocol treadmill test is a graded exercise test used to evaluate cardiovascular function.
Peak Heart Rate
Peak Heart Rate
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Post-exercise Blood Pressure Recovery
Post-exercise Blood Pressure Recovery
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Is the patient's peak systolic blood pressure normal?
Is the patient's peak systolic blood pressure normal?
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Does the patient's change in diastolic blood pressure indicate coronary artery disease?
Does the patient's change in diastolic blood pressure indicate coronary artery disease?
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What is the Bruce protocol treadmill test?
What is the Bruce protocol treadmill test?
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Is the patient's peak heart rate inadequate?
Is the patient's peak heart rate inadequate?
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What is the patient's risk of a coronary event?
What is the patient's risk of a coronary event?
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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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