{"id":5924,"date":"2015-10-18T19:51:37","date_gmt":"2015-10-19T00:51:37","guid":{"rendered":"http:\/\/www.teamcrossworld.com\/running\/?p=5924"},"modified":"2015-10-18T19:51:37","modified_gmt":"2015-10-19T00:51:37","slug":"exercise-stress-echo-report","status":"publish","type":"post","link":"https:\/\/www.teamcrossworld.com\/running\/2015\/exercise-stress-echo-report\/","title":{"rendered":"Exercise Stress Echo Report"},"content":{"rendered":"
\"20150916_152611\"<\/a>I think I’ve written before about how much I dislike treadmill running… Well taking a treadmill stress test is much worse! Not a casual walk in the park during the test you are essentially hooked up to a EKG monitor the whole time running on a treadmill and not being allowed to take your hands off the rail except to have your blood pressure and pulse oxygen taken every 3 minutes. \u00a0Try running all out uphill with one hand being held by a technician. And they are trying to get you to talk to them!<\/div>\n
<\/div>\n
During the setup time she told me that the maximum length the test would go for is 21 minutes. \u00a0Using the Bruce protocol<\/a>\u00a0at 21 minutes you are running at a 22% grade at 6 mph pace.\u00a0\u00a0The pace isn’t super intense but the hill is brutal. \u00a0I thought to myself that I’d like to hit the time limit, but didn’t make it. \u00a0I ran for 16 minutes which put me at 20% grade and 5.5 mph pace. \u00a0I think if I hadn’t done 5×5 squats that morning I could have lasted a little bit longer!<\/div>\n
<\/div>\n
\"20150916_154148\"<\/a>Oh yea, one last hard\u00a0thing – the second the test is over you have to turn around and lay down in the exact right location to get an ultrasound of your heart. While panting and out of breath, they ask you to hold your breath to get a quality image.<\/div>\n
<\/div>\n
All of that and I didn’t have any “episodes” during the test, though\u00a0there were some minor things but nothing that the cardiologist on duty was concerned about. \u00a0My pulse did hit 190+ for at least 4 minutes which is pretty high.<\/div>\n
<\/div>\n
<\/div>\n
<\/div>\n
<\/div>\n
<\/div>\n
<\/div>\n

——————————————————————————–<\/p>\n

EXERCISE STRESS ECHO REPORT<\/div>\n
——————————————————————————–<\/div>\n
Patient Name:\u00a0\u00a0 NICHOLAS H CROSS Date of Exam:\u00a0\u00a0 9\/16\/2015<\/div>\n
Type of Study: STRESS ECHO 2D Echo\/Doppler\/Color Doppler.<\/div>\n
Indications: Exertional palpitations<\/div>\n
\u00a0___________________________________________________________________<\/div>\n
Summary:<\/div>\n
\u00a01. Normal stress echocardiogram with no inducible wall motion abnormalities at stress.<\/div>\n
\u00a02. LV function is normal. The visually estimated ejection fraction is 60% at rest.<\/div>\n
\u00a03. Mildly elevated pulmonary pressure estimated at 25.6 mmHg plus right atrial pressure.<\/div>\n
\u00a04. PSVT in recovery at about 140-150 spontaneously resolved.<\/div>\n
\u00a05. No anginal symptoms with exercise.<\/div>\n
\u00a06. Dyspnea with exercise.<\/div>\n
\u00a07. Target heart rate achieved.<\/div>\n
\u00a08. Normal exercise capacity.<\/div>\n
____________________________________________________________________<\/div>\n
History: Patient with a history of No cardiovascular risk factors. Special Considerations: Lung CTA and No Murmur. Multivitamin daily.<\/div>\n
Exam Protocol: Bruce stress protocol. Predicted maximum heart rate is 186. 85% percent target heart rate is 158.<\/div>\n
Patient Performance: The patient exercised for 15 minutes and 35 seconds to stage VI of a Bruce protocol, achieving 15 METS. The patient developed dyspnea and leg fatigue during the test. The resting heart rate was 88 beats per minute. The resting blood pressure was 102\/78 mmHg. The peak heart rate achieved was 192 bpm, which was 103% of the predicted target heart rate. The peak blood pressure during stress was 158\/70 mmHg. The double product achieved was 30336. The stress test was terminated due to target Heart rate achieved and leg fatigue. O2 saturation at rest is 99% on room air. O2 saturation with stress is 92% on room air.<\/div>\n
<\/div>\n

EKG: Resting EKG showed sinus rhythm and freq premature atrial contractions at a rate of 88 beats per minute. The patient developed no ecg changes and PSVT > 6 beats during exercise.<\/p>\n

REST ECHO:<\/div>\n
Left Ventricle: The left ventricular size is normal. LV function is normal. The visually estimated ejection fraction is 60% at rest.<\/div>\n
Valve Findings: Mild aortic valve sclerosis. The aortic valve is trileaflet. Trace aortic valve regurgitation. No evidence of significant mitral valve regurgitation. Trace tricuspid regurgitation.<\/div>\n
Right Ventricular Systolic Pressure Estimate: The estimated pulmonary artery systolic pressure is mildly elevated at 25.6 mmHg plus right atrial pressure.<\/div>\n
<\/div>\n
Exercise Data:<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:Stage\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :HR :BP\u00a0\u00a0\u00a0 :Comments\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :Initial:<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:Supine\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :88 :102\/78:Stiff muscle in left shoulder and upper back :GD\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0 :at rest, frequent to bigeminal PAC’s,\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0 :occasional PVC’s at rest\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:I\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :106:122\/70:no symptoms and O2 sat 98%\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:II\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :124:136\/70:no symptoms and O2 sat 98%\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:III\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :145:144\/72:no symptoms and O2 sat 99%\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:IV\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :174:148\/70:Slight leg fatigue, O2 sat 95%.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:V\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :192:158\/70:Mild shortness of breath, O2 sat 92%, rare\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0 :PVC and leg fatique.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:VI\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :192:-\u00a0\u00a0\u00a0\u00a0 :Mild shortness of breath, leg fatique and\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0 :rare PVC.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:Post 1 min\u00a0\u00a0 :145:-\u00a0\u00a0\u00a0\u00a0 :Mild shortness of breath and rare PVC’s.\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:Post 3 min\u00a0\u00a0 :114:130\/70:O2 sat 98%, 2-3 beat bursts atrial tach-no\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0 :symptoms.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:Post 5 min\u00a0\u00a0 :111:120\/60:No symptoms and 2-3 beat bursts atrial tach, :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0 :frequent PAC’s.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:Post 7 min\u00a0\u00a0 :108:112\/70:Rarre PAC’s, waiting on heart rate to\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0 :decrease and no symptoms.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:Post 9 min\u00a0\u00a0 :102:-\u00a0\u00a0\u00a0\u00a0 :No ectopy and no symptoms.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n
:Post 9:39 min:99 :-\u00a0\u00a0\u00a0\u00a0 :Rare PAC and no symptoms.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :GD\u00a0\u00a0\u00a0\u00a0 :<\/div>\n
+————-+—+——+———————————————+——-+<\/div>\n","protected":false},"excerpt":{"rendered":"

I think I’ve written before about how much I dislike treadmill running… Well taking a treadmill stress test is much worse! Not a casual walk in the park during the test you are essentially hooked up to a EKG monitor the whole time running on a treadmill and not being allowed to take your hands […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[30,13],"tags":[],"class_list":["post-5924","post","type-post","status-publish","format-standard","hentry","category-health","category-my-running"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p4iaAv-1xy","jetpack_sharing_enabled":true,"jetpack-related-posts":[{"id":2447,"url":"https:\/\/www.teamcrossworld.com\/running\/2011\/beating-the-treadmill-in-5-minutes\/","url_meta":{"origin":5924,"position":0},"title":"Beating the Treadmill in 5 Minutes","author":"crossn81","date":"January 10, 2011","format":false,"excerpt":"I fought the treadmill and I won! A nice picture finish, but I pulled out the win. This past week we took Nadia to the YWCA for the first time. \u00a0I ran on the indoor track for 15 minutes and then stretched while Christy enjoyed\/endured the elliptical. \u00a0Then we switched\u2026","rel":"","context":"In "My Running"","block_context":{"text":"My Running","link":"https:\/\/www.teamcrossworld.com\/running\/category\/my-running\/"},"img":{"alt_text":"Hotel Palomar's fitness room","src":"https:\/\/i0.wp.com\/farm4.static.flickr.com\/3412\/4643577327_8f07fb0d90.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":275,"url":"https:\/\/www.teamcrossworld.com\/running\/2008\/another-treadmill-video\/","url_meta":{"origin":5924,"position":1},"title":"Another Treadmill Video","author":"crossn81","date":"July 10, 2008","format":false,"excerpt":"This is great! HT: Complete Running Network","rel":"","context":"In "Video"","block_context":{"text":"Video","link":"https:\/\/www.teamcrossworld.com\/running\/category\/video\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":6932,"url":"https:\/\/www.teamcrossworld.com\/running\/2019\/01302019-run\/","url_meta":{"origin":5924,"position":2},"title":"01302019 – Run","author":"crossn81","date":"January 30, 2019","format":false,"excerpt":"I'm not completely crazy... I do have limits.\u00a0 Like not running when the actual air temps are -34.\u00a0 I've run when the wind chill is -34 before.\u00a0 It was enough just to get bundled up for the quick drive to the gym!\u00a0 I can't actually remember the last time I\u2026","rel":"","context":"In "Bouldering"","block_context":{"text":"Bouldering","link":"https:\/\/www.teamcrossworld.com\/running\/category\/bouldering\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.teamcrossworld.com\/running\/wp-content\/uploads\/2019\/01\/IMG_20190130_065915_795.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":189,"url":"https:\/\/www.teamcrossworld.com\/running\/2008\/half-training-week-four\/","url_meta":{"origin":5924,"position":3},"title":"Half Training: Week Four","author":"crossn81","date":"February 25, 2008","format":false,"excerpt":"You know how I mentioned last week that the weather forecast looked pretty good for the upcoming week. Well it lied. This was one of the coldest weeks yet! It was sub-zero every morning reaching down into negative double digits actual temperatures and even colder wind chill. So I spent\u2026","rel":"","context":"In "Half Marathon"","block_context":{"text":"Half Marathon","link":"https:\/\/www.teamcrossworld.com\/running\/category\/half-marathon\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":2550,"url":"https:\/\/www.teamcrossworld.com\/running\/2011\/weekly-report-7\/","url_meta":{"origin":5924,"position":4},"title":"Weekly Report","author":"crossn81","date":"February 28, 2011","format":false,"excerpt":"Your Training for 02\/21\/2011 - 02\/27\/2011 Miles: 7.95 Comments: 3 Time: 01:13 Motivations: 0 Calories: 1065 Among Friends: 33 Workouts: 2 Overall Position: 17162 I'm a little disappointed that I only got 2 runs in this week. \u00a0Having Monday off, it should have been easy to get at least 3\u2026","rel":"","context":"In "My Running"","block_context":{"text":"My Running","link":"https:\/\/www.teamcrossworld.com\/running\/category\/my-running\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":178,"url":"https:\/\/www.teamcrossworld.com\/running\/2008\/half-training-week-two\/","url_meta":{"origin":5924,"position":5},"title":"Half Training: Week Two","author":"crossn81","date":"February 11, 2008","format":false,"excerpt":"Another week closer to the half-marathon! This was a rough week of training since I was in Chicago for 3 days of it and ran here in Minneapolis for 3. 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