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EXERCISE
TOLERANCE
TEST
DR Ganesh BR
1. Introduction
2. Treadmill test
3. Purpose
4. Type of exercise
5. Procedure
6. When to stop
7. Indication
8. Conditions that can be detected
9. Contra indication
 Exercise tolerance test (ETT) is a non invasive technique used to evaluate the
cardio vascular system response to exercise .
 It involve monitoring of HR,BP and ECG.
 During ETT, a patient exercise’ s either on treadmill or a stationary bike & the
intensity of exercise is gradually increased untill the patient become fatigue.
 This test is used in medicine to measure the heart ability to respond to external
stress.
 Treadmill test is also known as stress test.
 This test involve walking on a treadmill and by increasing the level of difficulty.
 This test provide information how the Heart respond to exertion.
 ECG ,HR and BP is monitor
 First switch ON the treadmill with initial Settings to 0.
 Now ask the patient to stand on treadmill with both hand support .
 Now change the setting progressive after 3 min.( Speed, slope)
 Initial the patient will be in walking than with progress he will be in
running state.
 During this period monitor HR,BP and ECG
 Detection of CAD ( coronary artery disease)
 Identification of abnormal heart rhythm.
 Help in develop of safe ex program.
 Assess the response to medical intervention.
 Evaluation of ex related symptoms.
 Evaluation of physical capacity.
 3 types of exercise used to stress Cardio vascular system.
1. Isometric
2. Dynamic
3. Combination of both.
 Explain the procedure to the patient.
 Instrct the patient not to eat ,drink or smoke for atleast 3 hrs before the
treatment.
 Brief medical history should be taken before the test.
 Walking should be demonstrated to the patient.
 HR,BP AND ECG should be recorded.
 Connect a 12 Lead ECG to Monitor the condition.
 Area of electrode application should be shaved and rub it with alcohol saturated
pad to remove oil to reduce skin resistance .
1. Moderate to Severe angina
2. Increase chest pain
3. Dizziness
4. Trachy cardiac
5. Drop BP
6. ST elevation ( >= 1.0mm)
7. ST depression (<2mm)
8. Hypertensive responses
9. SBP Drop ( >=10mmHg)
1. Heart failure
2. Estimate functional capacity
3. Estimate prognosis of CAD
4. Extend of CVD
5. Effect of treadmill
1. Heart failure
2. Myocardial ischemia
3. CVD
4. Deconditioning
5. Muscle metabolic disorder
1. Acute myocardial infarction
2. High risk unstable angina
3. Symptomatic severe aortic stenosis
4. Symptomatic heart failure.
5. Acute myocarditis
6. Trachy and Brady arrhythmias
7. Hypertension
8. Acute pulmonary embolism
exercise tolerance test.pptx

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exercise tolerance test.pptx

  • 2. 1. Introduction 2. Treadmill test 3. Purpose 4. Type of exercise 5. Procedure 6. When to stop 7. Indication 8. Conditions that can be detected 9. Contra indication
  • 3.  Exercise tolerance test (ETT) is a non invasive technique used to evaluate the cardio vascular system response to exercise .  It involve monitoring of HR,BP and ECG.  During ETT, a patient exercise’ s either on treadmill or a stationary bike & the intensity of exercise is gradually increased untill the patient become fatigue.  This test is used in medicine to measure the heart ability to respond to external stress.
  • 4.
  • 5.  Treadmill test is also known as stress test.  This test involve walking on a treadmill and by increasing the level of difficulty.  This test provide information how the Heart respond to exertion.  ECG ,HR and BP is monitor
  • 6.  First switch ON the treadmill with initial Settings to 0.  Now ask the patient to stand on treadmill with both hand support .  Now change the setting progressive after 3 min.( Speed, slope)  Initial the patient will be in walking than with progress he will be in running state.  During this period monitor HR,BP and ECG
  • 7.  Detection of CAD ( coronary artery disease)  Identification of abnormal heart rhythm.  Help in develop of safe ex program.  Assess the response to medical intervention.  Evaluation of ex related symptoms.  Evaluation of physical capacity.
  • 8.  3 types of exercise used to stress Cardio vascular system. 1. Isometric 2. Dynamic 3. Combination of both.
  • 9.  Explain the procedure to the patient.  Instrct the patient not to eat ,drink or smoke for atleast 3 hrs before the treatment.  Brief medical history should be taken before the test.  Walking should be demonstrated to the patient.  HR,BP AND ECG should be recorded.  Connect a 12 Lead ECG to Monitor the condition.  Area of electrode application should be shaved and rub it with alcohol saturated pad to remove oil to reduce skin resistance .
  • 10.
  • 11.
  • 12. 1. Moderate to Severe angina 2. Increase chest pain 3. Dizziness 4. Trachy cardiac 5. Drop BP 6. ST elevation ( >= 1.0mm) 7. ST depression (<2mm) 8. Hypertensive responses 9. SBP Drop ( >=10mmHg)
  • 13. 1. Heart failure 2. Estimate functional capacity 3. Estimate prognosis of CAD 4. Extend of CVD 5. Effect of treadmill
  • 14. 1. Heart failure 2. Myocardial ischemia 3. CVD 4. Deconditioning 5. Muscle metabolic disorder
  • 15. 1. Acute myocardial infarction 2. High risk unstable angina 3. Symptomatic severe aortic stenosis 4. Symptomatic heart failure. 5. Acute myocarditis 6. Trachy and Brady arrhythmias 7. Hypertension 8. Acute pulmonary embolism