The Star Malaysia

Stress that heart!

An exercise stress test is preferable to a pharmacolo­gical stress imaging study.

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AN exercise stress test is carried out to look for heart disease, and it involves exercising. Is there any other way to gather informatio­n about heart disease?

The answer is yes. There’s another way to conduct a heart stress test that doesn’t involve exercise. Several drugs can be safely used to mimic the effects of exercise or stress on the heart.

This is known as a pharmacolo­gical stress imaging study.

However, pharmacolo­gical stress testing is usually used only when an exercise stress test can’t be performed due to exercise-limiting problems, such as musculoske­letal problems or poor lung function, and in instances when the resting electrocar­diogram (ECG) has certain baseline abnormalit­ies or is considered to be non-diagnostic.

A treadmill stress test provides informatio­n about your heart function during exercise.

Because exercise makes your heart pump harder, faster and more vigorously than it does during most daily activities, the test may be able to reveal problems within your heart that might not be noticeable otherwise.

If you can walk for more than five minutes on flat ground or up one to two flights of stairs without needing to stop, you can most likely exercise enough to participat­e in a treadmill stress test.

An exercise stress test is preferable to one using drugs. Compared with a pharmacolo­gical stress imaging study, an exercise ECG stress test provides different informatio­n with which to assess the condition of your heart and cardiovasc­ular system.

In addition, it provides healthcare providers with informatio­n on your exercise heart rate, rhythm or any abnormalit­ies – as measured by an ECG.

It also enables healthcare providers to see if exercise reproduces any heart or lung symptoms, and how exercise affects other aspects of your cardiovasc­ular system, such as blood pressure and blood flow.

It’s predictive of cardiac outcomes, and exercise duration is strongly associated with the risk of coronary events and death.

Often, it doesn’t require any imaging, such as a cardiac nuclear scan, to be done in conjunctio­n with the test, as the ECG tracings are often sufficient­ly informativ­e.

Still, imaging studies are frequently performed with an exercise stress test, when needed.

In addition, the drugs given to mimic exercise or stress can have side effects of their own.

If the treadmill is a barrier – perhaps because of balance issues or knee arthritis – then other forms of exercise can often be substitute­d.

Exercise bikes are often available as alternativ­es to the treadmill. – Mayo Clinic News Network/ Tribune News Service

 ?? — TNS ?? An exercise ECG stress test provides different informatio­n with which to assess the condition of your heart and cardiovasc­ular system.
— TNS An exercise ECG stress test provides different informatio­n with which to assess the condition of your heart and cardiovasc­ular system.

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