DATE OF STUDY: MM/DD/YYYY
REFERRING PHYSICIAN: John Doe, MD
REASON FOR EXAMINATION: Chest pain, shortness of breath and cardiomyopathy.
DESCRIPTION OF PROCEDURE:
The patient exercised on Bruce protocol for 8 minutes and 4 seconds, achieving a heart rate of 142, which is 81% of his age-predicted maximum heart rate. Resting heart rate was 80 with resting blood pressure of 134/92. With exercise, the blood pressure increased to 169/94 and the heart rate increased to 142. Electrocardiogram at rest revealed sinus rhythm with voltage criteria for left ventricular hypertrophy with repolarization changes. With exercise, no significant electrocardiographic changes were noted. The patient stopped due to fatigue and shortness of breath and did not have exercise-induced chest pain.
IMPRESSION:
1. Average exercise capacity.
2. Somewhat blunted heart rate response secondary to beta-blocker use.
3. Normal blood pressure response.
4. No clinical or electrocardiographic changes consistent with myocardial ischemia noted during this exercise stress test.
5. Sestamibi imaging results will be reported separately.
Thank you for this kind referral.
Exercise Stress Test Sample #2
DATE OF STUDY: MM/DD/YYYY
REFERRING PHYSICIAN: John Doe, MD
REASON FOR EXAMINATION: Chest pain.
DESCRIPTION OF PROCEDURE: Cardiolite stress testing was performed for evaluation of chest pain. Informed consent was obtained from the patient. First, the patient had resting perfusion images with Cardiolite. The patient was brought to the stress test laboratory and was exercised on regular Bruce protocol. Resting EKG showed normal sinus rhythm, rightward axis. There was also poor R-wave progression noted over the precordial lead. The EKG was also of low voltage, especially in chest leads. The patient exercised on regular Bruce protocol for 4 minutes and 6 seconds. He achieved a heart rate of 126 beats per minute, which is 81% of the maximal predicted heart rate. Maximum blood pressure response was 192/106. Maximum workload attained was 5.5 METS. Reason for termination of stress testing was shortness of breath, tiredness and especially leg fatigue. One minute before termination of stress testing, Cardiolite was reinjected per protocol. Review of the stress EKG and recovery EKG did not demonstrate ischemic ST depression or elevation.
CONCLUSION:
Negative exercise electrocardiogram for ischemia at a workload of 5.5 METS.
Thank you for this kind referral.
