Stress echocardiography is an examination that utilizes ultrasound imaging to show how well your heart muscle is functioning to pump blood to your body. It is most often used to detect a decrease in blood flow to the heart from narrowing in the coronary arteries.
Exactly how the Test is Performed
This test is done at a clinical facility or healthcare supplier’s workplace.
A resting echocardiogram will be done initially. While you push your left side with your left arm out, a little tool called a transducer is held against your chest. An unique gel is made use of to assist the ultrasound waves reach your heart.
Lots of people will stroll on a treadmill (or pedal on an exercise bicycle). Slowly (regarding every 3 minutes), you will be asked to stroll (or pedal) quicker and on an incline. It is like being asked to walk quickly or run up a hill.
In most cases, you will require to walk or pedal for around 5 to 15 minutes, depending on your degree of health and fitness as well as your age. Your provider will certainly ask you to stop:
When your heart is defeating at the target rate
When you are also tired to proceed
If you are having chest pain or a modification in your blood pressure that worries the carrier providing the examination
If you are unable to work out, you will certainly get a drug, such as dobutamine, through a blood vessel (intravenous line). This medicine will certainly make your heart beat much faster as well as harder, similar to when you work out.
Your high blood pressure as well as heart rhythm (ECG) will certainly be monitored throughout the treatment.
Extra echocardiogram images will be taken while your heart rate is raising, or when it reaches its optimal. The images will reveal whether any type of parts of the heart muscle do not function too when your heart rate boosts. This is an indicator that part of the heart may not be getting adequate blood or oxygen because of tightened or obstructed arteries.
Just how to Plan for the Examination
Ask your company if you must take any of your routine medications on the day of the test. Some medications may hinder test outcomes. Never stop taking any kind of medication without initial speaking with your doctor.
It is necessary to inform your physician if you have actually taken any of the following medications within the past 24 hr (1 day):.
Sildenafil citrate (Viagra).
DO NOT eat or drink for at the very least 3 hrs prior to the examination.
Wear loose, comfortable apparel. You will be asked to authorize an authorization type prior to the examination.
Exactly how the Examination will Really feel.
Electrodes (conductive spots) will certainly be put on your chest, arms, and also legs to tape the heart’s activity.
The blood pressure cuff on your arm will be inflated every couple of minutes, creating a pressing sensation that may really feel tight.
Hardly ever, individuals really feel upper body pain, extra or avoided heart beats, dizziness, headache, nausea, or shortness of breath throughout the test.
Why the Examination is Performed.
The test is done to see whether your heart muscular tissue is getting enough blood circulation as well as oxygen when it is working hard (under anxiety).
Your medical professional might order this examination if you:.
Have brand-new signs and symptoms of angina or upper body pain.
Have angina that is worsening.
Have just recently had a cardiac arrest.
Are going to have surgery or begin a workout program, if you are at high threat for cardiovascular disease.
Have heart shutoff problems.
The outcomes of this cardiovascular test can assist your company:.
Figure out how well a heart treatment is functioning and also change your treatment, if required.
Establish exactly how well your heart is pumping.
Identify coronary artery disease.
See whether your heart is also large.
A normal test will frequently imply that you had the ability to exercise as long as or longer than most people of your age and also sex. You also did not have symptoms or worrying adjustments in blood pressure and also your ECG. Your heart pictures show that all parts of your heart respond to raised tension by pumping harder.
A regular outcome implies that blood circulation through the coronary arteries is probably normal.
The definition of your test results depends on the factor for the test, your age, and also your history of heart and also other clinical issues.
What Uncommon Results Mean.
Uncommon outcomes might result from:.
Lowered blood circulation to a part of the heart. The most likely reason is a constricting or obstruction of the arteries that provide your heart muscular tissue.
Scarring of the heart muscle mass as a result of a previous heart attack.
Developing procedure of atherosclerosis.
After the test you might require:.
Angioplasty and also stent placement.
Adjustments in your heart medications.
Heart coronary bypass.
The risks are very reduced. Health care experts will certainly check you throughout the entire treatment.
Unusual issues include:.
Unusual heart rhythm.
Echocardiography stress test; Stress test – echocardiography; CAD – stress and anxiety echocardiography; Coronary artery disease – tension echocardiography; Chest discomfort – tension echocardiography; Angina – stress echocardiography; Heart problem – tension echocardiography.