Cardiac Stress Testing
Exercise:
 • Everyone who can ...
73
Description

Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise their heartrate to 85% of predicted value.
Pharmacologics:
 • Vasodilators (Ex. Adenosine, Dipyridamole, Regadenoson)
    - ↑ cAMP production to cause vascular smooth muscle relaxation & coronary vasodilation
    - Contraindications: 
       - Bradycardia & hypotension. Avoid in pts w/ 2° or 3° heartblock w/o pacemaker.
       - Bronchoconstriction. Avoid in pts with severe COPD and asthma
 • Inotropes (Ex. Dobutamine)
    - Beta 1 and 2 agonist
    - Contraindications: Pts with ventricular arrythmias
Diagnostics: EKG ($), ECHO ($$), Nuclear SPECT ($$$), PET CT/MRI ($$$$)

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#Cardiac #Stress #Testing #cardiology #management #diagnosis
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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