Stress echocardiography is a test that makes use of ultrasound imaging to show how well your heart muscle mass is functioning to pump blood to your body. It is usually utilized to discover a reduction in blood flow to the heart from narrowing in the coronary arteries.
How the Test is Done
This test is done at a clinical facility or healthcare provider’s workplace.
A relaxing echocardiogram will be done initially. While you lie on your left side with your left arm out, a small device called a transducer is held versus your chest. An unique gel is utilized to assist the ultrasound waves get to your heart.
Many people will certainly stroll on a treadmill (or pedal on an exercise bike). Gradually (regarding every 3 mins), you will be asked to stroll (or pedal) much faster and also on an incline. It is like being asked to stroll quick or run up a hillside.
In most cases, you will certainly require to stroll or pedal for around 5 to 15 mins, depending upon your degree of health and fitness as well as your age. Your company will certainly ask you to stop:
When your heart is beating at the target rate
When you are too worn out to proceed
If you are having chest discomfort or a change in your blood pressure that worries the provider administering the test
If you are unable to exercise, you will certainly obtain a medicine, such as dobutamine, via a vein (intravenous line). This medication will make your heart beat faster as well as harder, comparable to when you work out.
Your blood pressure and also heart rhythm (ECG) will certainly be checked throughout the treatment.
More echocardiogram pictures will certainly be taken while your heart rate is boosting, or when it reaches its top. The pictures will show whether any kind of parts of the heart muscle do not work too when your heart rate increases. This is a sign that part of the heart may not be getting enough blood or oxygen because of narrowed or obstructed arteries.
How to Get ready for the Test
Ask your provider if you must take any one of your regular medicines on the day of the test. Some medicines might hinder examination results. Never stop taking any kind of medication without initial speaking with your physician.
It is very important to tell your doctor if you have actually taken any one of the adhering to medications within the past 24-hour (1 day):.
Sildenafil citrate (Viagra).
DO NOT eat or consume alcohol for a minimum of 3 hrs before the examination.
Wear loose, comfy clothes. You will certainly be asked to sign an approval type prior to the examination.
Exactly how the Examination will Really feel.
Electrodes (conductive spots) will be positioned on your breast, arms, and also legs to videotape the heart’s activity.
The high blood pressure cuff on your arm will certainly be blown up every couple of minutes, creating a squeezing feeling that might feel tight.
Seldom, people really feel breast discomfort, additional or skipped heartbeats, wooziness, frustration, queasiness, or shortness of breath during the test.
Why the Examination is Performed.
The test is performed to see whether your heart muscular tissue is obtaining sufficient blood circulation and oxygen when it is working hard (under anxiety).
Your doctor might purchase this examination if you:.
Have brand-new signs of angina or upper body pain.
Have angina that is worsening.
Have lately had a cardiovascular disease.
Are going to have surgical procedure or begin an exercise program, if you are at high danger for heart disease.
Have heart valve problems.
The outcomes of this stress test can help your supplier:.
Identify just how well a heart therapy is functioning as well as transform your therapy, if required.
Identify just how well your heart is pumping.
Detect coronary artery condition.
See whether your heart is also large.
A regular examination will most often mean that you had the ability to work out as long as or longer than the majority of people of your age and sex. You additionally did not have signs or worrying modifications in high blood pressure and your ECG. Your heart pictures show that all parts of your heart respond to enhanced stress by pumping harder.
A typical result indicates that blood circulation with the coronary arteries is most likely normal.
The significance of your examination results depends on the factor for the test, your age, as well as your background of heart and also other clinical issues.
What Unusual Outcomes Mean.
Uncommon outcomes may be due to:.
Minimized blood circulation to a part of the heart. The most likely cause is a narrowing or obstruction of the arteries that supply your heart muscle mass.
Scarring of the heart muscular tissue as a result of a past cardiovascular disease.
Developing process of atherosclerosis.
After the test you may require:.
Angioplasty and also stent placement.
Modifications in your heart medicines.
Heart bypass surgery.
The threats are extremely low. Health care professionals will monitor you during the whole procedure.
Rare problems include:.
Irregular heart rhythm.
Echocardiography stress test; Cardiovascular test – echocardiography; CAD – tension echocardiography; Coronary artery disease – tension echocardiography; Chest discomfort – stress echocardiography; Angina – stress echocardiography; Heart disease – tension echocardiography.