exercise tolerance test


Also found in: Acronyms.

exercise tolerance test

A measure of cardiovascular or cardiopulmonary fitness, in which people exert themselves while having their heart rate, blood pressure, oxygen saturation, and electrocardiographic response monitored. Synonym: stress test

Patient care

A treadmill or ergometer is the typical testing device. The amount of exercise to be performed gradually increases over several minutesuntil the patient experiences excessive symptoms (e.g., fatigue, shortness of breath, chest pain, or claudication) or until objective findings of cardiopulmonary malfunction are demonstrated (e.g., arrhythmias, decreases in blood pressure, or ST-segment changes on the electrocardiogram).

Exercise tests are used most often to help diagnose symptoms or signs suggestive of coronary ischemia. They also are frequently used after patients have suffered a myocardial infarction or an exercise-induced arrhythmia. In these situations, the test may provide patients with important information about their likelihood of suffering further cardiac events or about the efficacy of their medical regimens in controlling their symptoms. When used in the evaluation of patients with cardiovascular disease, exercise testing is often combined with echocardiography or nuclear imaging of the heart to improve the predictive value, sensitivity, and specificity of the assessment.

In sports medicine, exercise testing can be used to help athletes train to achieve peak performance.

CAUTION!

Exercise testing is potentially hazardous to patients with unstable angina pectoris, myocardial infarction within the last 48 hours, uncontrolled heart failure, aortic dissection, pulmonary embolism, ataxia or severe arthritic disease. In patients with conditions such as these in which exercise testing could be dangerous, pharmacological stress testing may sometimes be considered instead of exercise testing.
References in periodicals archive ?
Our study results showed that exercise tolerance test has high positive predictive value.
There were no statistical significant differences between the groups for the primary endpoint, change in the bicycle exercise tolerance test, from baseline to 6 months follow-up.
Effect of exercise training supervised cardiac rehabilitation programs on prognostic variables from the exercise tolerance test. Am J Cardiol 2008;101:1403-7.
VO2 max (maximal oxygen consumption during maximal physical exercise and is measured by exercise tolerance test or Bruce test with walking on treadmill) and diastolic function of 8-scssion group.
Submaximal Clinical Exercise Tolerance Test - Case Example 1 (Jerry Mode: Schwinn AirDyne[TM] Cycle Ergometer Resting HR: 68 AAMHR: 162 * Resting BP: 136/76 85%AAMHR: 138 * Min Workload HR BP RPE 0-2 20 W 94 1 2-4 40 W 107 138/78 2 4-6 60 W 117 4 6-8 80 W 136 152/80 7 Test Interpretation: Moderate intensity arm/leg ergometry tolerated well.
Results of echocardiography parameters and exercise tolerance test and also myocardial perfusion scan were taken from the patients before EECP treatment and recorded in check list.
All patients underwent symptom-limited Exercise Tolerance Test (ETT) using the Bruce protocol according to standard guidelines.9
A 64-year-old woman has been recently referred to our emergency department due to chest pain and narrow complex tachycardia before performing exercise tolerance test (ETT).
Peak [VO.sub.2]: the highest amount of oxygen used as measured during an exercise tolerance test.
The diagnosis is made with the patient's history; ECG and sometimes an exercise tolerance test called an ETT.
You may have an exercise tolerance test. In this test you will be asked to ride a stationary bicycle or walk on a treadmill while a doctor takes an ECG.
Exercise tolerance test: the decision to refer [letter].

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