treadmillstresstestingfortheprimarycarephysician初级保健医师用跑步机压力测试.pptx

会计学;The Electrocardiogram;;The Electrocardiographic Response ;Objectives;Exercise Test Terminology;Maximal Oxygen Uptake (VO2max);VO2max = (HRmax X SVmax) X (CaO2max - CvO2max);METS;Metabolic Equivalents (METs);Key MET Values (part 1);Key MET Values (part 2);Myocardial (MO2);Myocardial Oxygen Consumption;Performance of the Exercise Stress Test;ACSM’s Guidelines for Exercise Testing and Prescription;Indications for Exercise Testing;Class I Indications for Performing an Exercise Test;Class II Indications for Performing an Exercise Test;Class III Indications for Performing an Exercise Test;Pre Test Probability of Coronary Disease by Symptoms, Gender and Age;Contraindications to GXT Testing: Absolute;Contraindications to GXT Testing: Relative;So What Do You Do….;Comparison of Tests for Diagnosis of CAD;Which Protocol?;How to read an Exercise ECG;Symptom-Sign Limited Testing Endpoints – When to stop!;Problems with Age-Predicted Maximal Heart Rate;Heart Rate Recovery and Treadmill Exercise Score as Predictors of Mortality in Patients Referred for Exercise ECG;;Should Heart Rate Drop in Recovery be added to ET?;Heart Rate Drop in Recovery;Heart Rate Drop in Recovery vs METs;第34页/共51页;第35页/共51页;METS;Interpretation of the Exercise Stress Test;Positive vs Suggestive;Negative vs Inconclusive;DUKE Treadmill Score for Stable CAD; ;But Can Physicians do as well as the Scores?;Special Considerations in Athletes;Initial ACSM Risk Stratification ;Does the patient need a GXT?;ACSM Recommendations for Medical Examination and Exercise Testing Prior to Participation;ACSM Initial Risk Stratification by Age and Cardiac Risk;ACSM Initial Risk Stratification by Age and Cardiac Risk;Who Needs a GXT?;Questions???