Exercise and the heart by Froelicher V., Myers J.

By Froelicher V., Myers J.

The hot version of workout and the center bargains the fundamental scientific and clinical details on workout checking out and interpretation. Balancing the fundamental body structure with an issue dependent method of cardiac challenge administration, this new version offers the clinician with a source for prognosis and therapy with workout. New fabric on workout treatment and the impression of persistent workout at the middle offer a scientific aide to the heart specialist and internist.

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Additional resources for Exercise and the heart

Example text

The first agent used for perfusion imaging was thallium, an isotopic analog of potassium that is taken up at variable rates by metabolically active tissue. When taken up at rest, images of metabolically active muscle, such as the heart, are possible. With the nuclear camera placed over the heart after intravenous injection of this isotope, images were initially viewed using x-ray film. The normal complete donut-shaped images gathered in multiple views would be broken by “cold” spots where scar was present.

The supine position after exercise is less important when the test is not being performed for diagnostic purposes. 5 mph) or continue cycling against zero or minimal resistance (0 to 25 W when testing with a cycle ergometer) for several minutes following the test. Monitoring should continue for at least 6 to 8 minutes after exercise or until changes stabilize. An abnormal response occurring only in the recovery period is not unusual, and these responses are important to consider for optimizing the diagnostic performance of the test.

Just prior to a treadmill test, each patient had 12-lead ECGs recorded with lead placements as illustrated in Figure 2-6. The four electrode placements were as follows: USD exercise * * * * Misplace (Located on back) Ground for all except standard limb placement Limb Umbilicus * * * * In addition, the Frank X, Y, Z leads were recorded at the same time as the exercise-supine and exercise-standing ECGs. The tracings were read by two blinded observers looking for definite diagnostic changes that might be clinically important (including “new” Q waves in aVL or III) and other obvious changes.

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