Tension echocardiography is an examination that utilizes ultrasound imaging to show how well your heart muscular tissue is functioning to pump blood to your body. It is usually made use of to discover a decline in blood flow to the heart from tightening in the coronary arteries.
How the Examination is Executed
This test is done at a clinical center or health care carrier’s workplace.
A resting echocardiogram will certainly be done first. While you rest on your left side with your left arm out, a little gadget called a transducer is held against your upper body. An unique gel is made use of to aid the ultrasound waves reach your heart.
Most people will certainly walk on a treadmill (or pedal on a workout bike). Gradually (about every 3 mins), you will be asked to stroll (or pedal) faster and on a slope. It is like being asked to stroll quick or jog up a hillside.
In many cases, you will need to walk or pedal for around 5 to 15 minutes, depending on your level of fitness and also your age. Your provider will certainly ask you to stop:
When your heart is defeating at the target price
When you are also worn out to proceed
If you are having chest pain or a modification in your blood pressure that worries the provider administering the examination
If you are not able to exercise, you will certainly get a drug, such as dobutamine, with a blood vessel (intravenous line). This medication will make your heart beat much faster and also harder, comparable to when you exercise.
Your blood pressure as well as heart rhythm (ECG) will be monitored throughout the procedure.
More echocardiogram photos will certainly be taken while your heart price is enhancing, or when it reaches its peak. The photos will reveal whether any type of parts of the heart muscular tissue do not work as well when your heart price rises. This is an indication that part of the heart might not be obtaining adequate blood or oxygen because of tightened or obstructed arteries.
Exactly how to Prepare for the Examination
Ask your provider if you should take any of your regular medications on the day of the examination. Some medicines may hinder examination results. Never quit taking any medicine without initial talking with your medical professional.
It is essential to inform your medical professional if you have actually taken any one of the complying with medicines within the past 24-hour (1 day):.
Sildenafil citrate (Viagra).
DO NOT eat or consume for at the very least 3 hours before the examination.
Put on loose, comfy garments. You will be asked to authorize an authorization form prior to the test.
How the Examination will certainly Feel.
Electrodes (conductive spots) will certainly be put on your chest, arms, and legs to record the heart’s activity.
The blood pressure cuff on your arm will certainly be inflated every couple of minutes, producing a squeezing feeling that may feel limited.
Rarely, people really feel chest pain, extra or skipped heartbeats, dizziness, frustration, queasiness, or shortness of breath during the examination.
Why the Test is Executed.
The test is performed to see whether your heart muscular tissue is obtaining sufficient blood flow as well as oxygen when it is striving (under tension).
Your medical professional might get this examination if you:.
Have new symptoms of angina or breast discomfort.
Have angina that is worsening.
Have lately had a heart attack.
Are going to have surgery or start a workout program, if you are at high threat for heart problem.
Have heart shutoff troubles.
The results of this cardiovascular test can help your carrier:.
Figure out exactly how well a heart treatment is working and also change your treatment, if required.
Figure out just how well your heart is pumping.
Diagnose coronary artery condition.
See whether your heart is also large.
A typical examination will certainly most often suggest that you were able to exercise as long as or longer than most people of your age and also sex. You additionally did not have symptoms or worrying changes in high blood pressure and also your ECG. Your heart pictures show that all parts of your heart react to increased anxiety by pumping harder.
A normal result indicates that blood circulation with the coronary arteries is possibly regular.
The definition of your examination results depends on the reason for the test, your age, and also your background of heart and other clinical issues.
What Irregular Results Mean.
Unusual outcomes might result from:.
Decreased blood flow to a part of the heart. One of the most likely reason is a constricting or blockage of the arteries that provide your heart muscular tissue.
Scarring of the heart muscular tissue because of a past heart attack.
Developing process of atherosclerosis.
After the examination you might require:.
Angioplasty and also stent placement.
Modifications in your heart medicines.
Heart coronary bypass.
The dangers are very low. Health care professionals will check you throughout the entire procedure.
Unusual problems consist of:.
Uncommon heart rhythm.
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