This is an automatically translated article.
The article was professionally consulted by Doctor General Internal Medicine Doctor - Department of Medical Examination & Internal Medicine - Vinmec Hai Phong International General Hospital.
Stress electrocardiogram is used by Vinmec for the purpose of diagnosing heart disease, ischemia or assessing cardiopulmonary reserve. The following article will analyze this test in detail.
1. What is stress electrocardiogram?
This is a technique that was born before, Vinmec is a hospital that always applies it as a routine. This is a special non-bleeding probing method commonly used to detect cases of myocardial blood supply deficiency when perfusion requirements have increased by means of increased energy consumption. standardization, specificizing the expression of clinical symptoms, changes in electrocardiogram, ultrasound, radioisotopes.
2. Stress test helps detect many dangerous diseases
Coronary artery disease Cardiac abnormalities, but in patients without clinical symptoms. There is also chest pain that is atypical and strongly associated with exertion. It is often found in people with high risk factors for coronary artery disease.
Hypertension: will evaluate the abnormalities of blood pressure indicators during exercise. And also discovered cases of patients with atypical hypertension. Patients with syncope, palpitations, and palpitations Patients with valvular heart disease and heart failure
For arrhythmias, exercise progression of the excitability disturbances to the extrasystoles is assessed The ventricles and atria have had time to rest. In addition, there is also a case in mitral stenosis where the symptoms are not obvious or mild heart failure is noticed.
Coronary insufficiency
After treatment with drugs or interventions for reperfusion.
Hypertension
In addition, it is also used to assess exercise capacity and consider the blood pressure index chart during exercise of sports borderline athletes.
3. Steps to perform exercise electrocardiogram at Vinmec
Step 1: Preparation
The technical staff will include a cardiologist, and a medical technician or nurse.
Tools include:
A running mat that is powered by electricity, at Vinmec will often use a treadmill. Usually, on the machine, there will be a dedicated part that controls the speed, slope and estimated running time, distance the runner can run.
Electric bicycle odometer, egometer type. On the machine, there is a part to control the speed, the estimated time for the user to participate in the test, the distance that person can make. A Cardifax ECG recorder records 6 leads. On the machine will be installed a liquid crystal screen to allow continuous monitoring of the electrocardiogram in the three main leads. In addition, the machine also has a built-in computer program to automatically record and calculate the level of ST segment difference, the change of waves and automatically record on paper all the above expressions.
Sublingual glycerin nitrate spray (Nitromint, nati spray) Monitoring electrodes High-pressure oxygen tank Emergency medicine cabinet Electric shock machine outside 1 hospital bed For the patient: need to explain in detail to the patient the purpose of the treatment. testing and the patient must agree to the test. Note to patients not to eat or drink two hours before the test. Especially do not use stimulants such as alcohol, beer, coffee,... Patients can still use medicine to treat the disease and can only stop when requested by the doctor. Step 2:
Perform a stress test by gradually increasing the level of exertion. At that time, the patient will be warmed up on the running mat, then start at a speed of 2.72 km/h, the slope is 0%, every 3 minutes increase a level of exertion by increasing the incline of the mat. Run, increase your running speed until your heart rate is reached or if you notice signs of stopping the exercise test.
Conducting stress testing at Vinmec International General Hospital is being trusted and chosen by customers by a team of experienced doctors, modern equipment with very good stress ECG machine, connected pedals. car with modern electrocardiogram analysis unit at each time of exertion, giving accurate results to customers.
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