We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
You are on page 1/ 9
a =
st pe bre
o) ow Henin: ee
1 ae TESTING PROTOCOL FOR CARDIAC PATIENIS ~
ae Been testing is a non-invasive tool to evaluate the cardiovascular
Wx, system res)
cans response to exercise under carefully controlled conditions.
s
Ue GOALS oF ERCISE TESTING: -
YO” Yr To dewwei the presenee of ischemia.
gl. ~2°To determine the functional
N aerobic capacity of an individual
: Chet pucn, hzpeumnttin a Denauee
eS THE FACTORS TO BE CONSIDERED BEFORE EXERCISE
» TESTING AL
eer
we
. e of exercise & protocol: It can be estimated by the Karvonen's
rome or by the Borg's rating of perceived exertion scale: -
S FORMULA
FE R 7 HR - Rest.HR) 60-80%.+ Rest HR
aa alice Bn ics ccabe
BORG'S RATING SCALE (RPE Ge :
0 Nothing at all 2 NV tir
0.5 | - Verysvery slight Qe
1 - Very slight a
2 -Slight te tip
3 - Moderate nes gaily :
, 4 ~Somewhat severe ao
5. - Severe 19? oe had
Oa 14,
7 ~~ Very severe vee Hasd
ee ne Ve had
9 - Very- very severe (aliiost maximal)
10 - Maximal 147
mess ga viv ha
orresence or Absence of heart disease =. 2.0.
gree 0.8 OE OC O GEC ECT ee
Scanned with ComSconnerv REQUIREMENTS:- :
. |L.Continuous ECG monitoring.
2. A lype of activity that can be performed by the sedentary, poorly 1
Developed and under conditioned subjects as well as by the trained 4
Athlete, ce
3. A workload that can be varied according to the capacity of the |
Individual but is standardized enough to deliver reproducible o|
Results and allow comparison with other patients tested. ny
1, Repeated Lrequent blood pressure measurements before, during, c
x the aerobic requirements of individuals tested. co |
-ty and minimum discomfort for each individual c i
st possible specificity and sensitivity in the & |
mination between health and d i Cc
§. A sufficient body of information availabie as to the response of oe
Normal and cardiae patients f |
9. A first stage long enough fora warm-up to occur. bee
10. A procedure short enough to be practical. ; * Ge
| |
PREPARATION FOR THE TEST: - |
ce
1. Patient is advised to come in for their exercise test in the morning «
before cating and not to smoke at least 2-3 hours prior to the test. ¢ |
|
## Ut has been reported that food causes an increase in cardiac =)
output, oxygen consumption, minute ventilation, and total peripheral €~
vascular resistaace and thus would be expected to bring on angina |
and ST depression at a lower threshold.## . mae *
: csfort frequently.
Incentive spirometry is designed to mimic natural sighing by encouragin a, paets take slow, deep
breaths. on irom 15 VerormeT using devices which pro ‘hich provide visual eves tothe-patients that the
desived Now of volume tas ‘beemrachieved. The ori ginal typeof incentive spirometor had a variable preset
ingpiratory volumewith a Tight that tumed on ‘When that volume was reached by the patien inspiratory
effort. the light stayed on a long Tike Inspiratory flow rate was maintained, and the patient was a:
encouraged to iry keep the Fight on as long as possible
3) through the tube lifts
he devices used today have various mechanisms wher eh the flow
humm, and the ‘inspiratory flow is rewarded by Wie. goal and
vo
Jored ball up
jined.
tai
flich device has ‘simple method of increasing the flow cach the goal,
devices is that they are less cosily than the originals.
advantage of these newer
es of Incentive Spirometry
Advanta
ogv1972007 01:08 32)
vVyvy VND
ments%&20and%20Settingsinewdawneyber] ‘1IDesktop/New%..
filez/focalhosyC/Doew
Scanned with ComSconner
A Practical Guide to the Interpretation of Cardiopulmonary Exercise Tests (Oxford Respiratory Medicine Library) 2nd Edition Kinnear - Quickly download the ebook to read anytime, anywhere