DATE OF STUDY: MM/DD/YYYY
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REFERRING PHYSICIAN: John Doe , MD
REASON FOR EXAMINATION:
Chest pain, shortness of breath and cardiomyopathy.
DESCRIPTION OF PROCEDURE:
The patient exercised on Bruce protocol for 8 minutes and 4
seconds, achieving a heart rate of 142, which is 81% of his age-predicted
maximum heart rate. Resting heart rate was 80 with resting blood pressure of 134/92.
With exercise, the blood pressure increased to 169/94 and the heart rate
increased to 142. Electrocardiogram at rest revealed sinus rhythm with voltage
criteria for left ventricular hypertrophy with repolarization changes. With
exercise, no significant electrocardiographic changes were noted. The patient
stopped due to fatigue and shortness of breath and did not have exercise-induced
chest pain.
IMPRESSION:
1. Average exercise
capacity.
2. Somewhat blunted
heart rate response secondary to beta-blocker use.
3. Normal blood
pressure response.
4. No clinical or electrocardiographic changes consistent with myocardial ischemia noted during
this exercise stress test.
5. Sestamibi imaging
results will be reported separately.
Thank you for this kind referral.
DATE OF STUDY: MM/DD/YYYY
REFERRING PHYSICIAN: John Doe , MD
REASON FOR EXAMINATION: Chest pain.
DESCRIPTION OF PROCEDURE: Cardiolite stress testing was performed for evaluation of
chest pain. Informed consent was obtained from the patient. First, the patient had resting perfusion
images with Cardiolite. The patient was
brought to the stress test laboratory and was exercised on regular Bruce
protocol. Resting EKG showed normal sinus rhythm, rightward axis. There was also poor R-wave progression noted
over the precordial lead. The EKG was
also of low voltage, especially in chest leads. The patient exercised on
regular Bruce protocol for 4 minutes and 6 seconds. He achieved a heart rate of 126 beats per
minute, which is 81% of the maximal predicted heart rate. Maximum blood pressure response was
192/106. Maximum workload attained was
5.5 METS. Reason for termination of
stress testing was shortness of breath, tiredness and especially leg
fatigue. One minute before termination
of stress testing, Cardiolite was reinjected per protocol. Review of the stress
EKG and recovery EKG did not demonstrate ischemic ST depression or elevation.
CONCLUSION:
Negative exercise electrocardiogram for ischemia at a
workload of 5.5 METS.
Thank you for this kind referral.
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