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?
What occurred to the diastolic blood pressure during the exercise?
What occurred to the diastolic blood pressure during the exercise?
Which of the following statements about the ECG findings is true?
Which of the following statements about the ECG findings is true?
What does a post-exercise reduction in systolic blood pressure suggest?
What does a post-exercise reduction in systolic blood pressure suggest?
Signup and view all the answers
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?
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?
What does the peak systolic blood pressure of 200 mm Hg during exercise indicate about the individual's cardiovascular response?
Signup and view all the answers
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?
Signup and view all the answers
Why might the exercise test be considered nondiagnostic in this case?
Why might the exercise test be considered nondiagnostic in this case?
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?
Which of the following statements is true regarding the individual's risk for coronary events based on test results?
Signup and view all the answers
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?
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.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
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.