Tension echocardiography is an examination that makes use of ultrasound imaging to show how well your heart muscle is working to pump blood to your body. It is most often utilized to detect a reduction in blood flow to the heart from narrowing in the coronary arteries.
Just how the Examination is Performed
This examination is done at a medical center or healthcare provider’s office.
A relaxing echocardiogram will certainly be done first. While you push your left side with your left arm out, a little tool called a transducer is held against your upper body. A special gel is made use of to aid the ultrasound waves reach your heart.
The majority of people will walk on a treadmill (or pedal on a workout bicycle). Gradually (regarding every 3 minutes), you will be asked to walk (or pedal) faster and also on an incline. It is like being asked to walk quickly or jog up a hill.
In most cases, you will require to walk or pedal for around 5 to 15 minutes, relying on your level of fitness and also your age. Your provider will ask you to quit:
When your heart is defeating at the target rate
When you are as well tired to proceed
If you are having breast discomfort or an adjustment in your blood pressure that frets the carrier administering the examination
If you are unable to exercise, you will certainly obtain a medicine, such as dobutamine, via a capillary (intravenous line). This medicine will make your heart beat quicker and harder, similar to when you work out.
Your blood pressure and also heart rhythm (ECG) will certainly be kept track of throughout the treatment.
More echocardiogram images will certainly be taken while your heart price is boosting, or when it reaches its peak. The photos will certainly show whether any type of parts of the heart muscle mass do not function also when your heart price boosts. This is an indicator that part of the heart might not be obtaining adequate blood or oxygen as a result of tightened or obstructed arteries.
Just how to Get ready for the Test
Ask your company if you must take any one of your regular medicines on the day of the test. Some medications may disrupt test outcomes. Never stop taking any type of medication without initial speaking to your doctor.
It is very important to inform your medical professional if you have taken any one of the following medications within the past 24 hr (1 day):.
Sildenafil citrate (Viagra).
DO NOT eat or drink for at least 3 hours prior to the test.
Use loose, comfortable apparel. You will be asked to authorize a permission form before the examination.
How the Examination will certainly Feel.
Electrodes (conductive spots) will certainly be put on your breast, arms, and also legs to tape-record the heart’s activity.
The high blood pressure cuff on your arm will certainly be pumped up every couple of mins, producing a pressing feeling that may feel tight.
Rarely, people feel breast discomfort, added or avoided heart beats, wooziness, headache, nausea or vomiting, or shortness of breath throughout the test.
Why the Examination is Done.
The examination is executed to see whether your heart muscle mass is getting enough blood flow as well as oxygen when it is working hard (under stress).
Your medical professional might get this examination if you:.
Have brand-new symptoms of angina or breast pain.
Have angina that is worsening.
Have just recently had a cardiovascular disease.
Are mosting likely to have surgical treatment or start an exercise program, if you go to high threat for heart disease.
Have heart valve problems.
The results of this cardiovascular test can assist your carrier:.
Establish how well a heart treatment is functioning and also alter your treatment, if needed.
Determine just how well your heart is pumping.
Identify coronary artery condition.
See whether your heart is also big.
A typical examination will usually imply that you were able to exercise as long as or longer than most people of your age and also sex. You likewise did not have signs and symptoms or worrying adjustments in blood pressure and your ECG. Your heart pictures show that all parts of your heart react to increased stress by pumping harder.
A typical result means that blood flow through the coronary arteries is probably regular.
The definition of your examination results depends on the reason for the test, your age, and your history of heart as well as various other clinical problems.
What Abnormal Results Mean.
Irregular outcomes might be due to:.
Lowered blood circulation to a part of the heart. One of the most likely reason is a constricting or obstruction of the arteries that provide your heart muscle mass.
Scarring of the heart muscle mass due to a previous heart attack.
Developmental procedure of atherosclerosis.
After the examination you might need:.
Angioplasty and stent placement.
Adjustments in your heart medicines.
Heart bypass surgery.
The threats are very reduced. Healthcare experts will certainly monitor you during the entire procedure.
Uncommon complications include:.
Unusual heart rhythm.
Echocardiography stress test; Cardiovascular test – echocardiography; CAD – tension echocardiography; Coronary artery condition – tension echocardiography; Breast discomfort – stress and anxiety echocardiography; Angina – tension echocardiography; Heart disease – stress echocardiography.