Garner KK, Pomeroy W, Arnold JJ. If you are having the stress test with adenosine, (instead of the treadmill test), the drugs leave your system very quickly. A cardiac stress test(also known as a cardiac exercise test) is an in-office exam used to measure the heart's response to physical exertion in a controlled environment. When the heart is imaged with echocardiography, the cardiologist looks for abnormalities in wall motion or EKG that indicate the presence of CAD. Can I eat and drink before a dobutamine stress test? Peak Blood Pressure Responses During Maximum Cardiopulmonary Exercise Testing: Reference Standards From FRIEND (Fitness Registry and the Importance of Exercise: A National Database). Had I not been in the hospital already, I could have driven home. If your health makes it difficult to use a treadmill or stationary bike for an exercise stress test, a chemical stress test can mimic how your heart rate would increase if you were exercising. Understanding this standard test of how well your heart functions. and I have empathized with so many of you and have been touched by the caring replies by women who DO understand. The tracer can reveal whether there are blockages in the coronary arteries or other blood flow problems with greater detail than a standard stress test. Just wish someone could tell me. The test took less than 4 hours including the nuclear images. Possible complications of an exercise stress test are: Low blood pressure. For safety reasons, a cardiac stress test wouldnotbe used if you have any of the following conditions: If and when these conditions are controlled, stress testing may be considered. It is a simpler way to take the test. Ask how much liquid to drink each day and which liquids are best for you. I was advised NO pregnancy (husband left at this point), and that I would need valve surgery within 5 years, max. After the test you can usually return to your usual activities unless your care provider tells you not to do so. The whole process takes a couple of hours but the actual test doesn't take very long at all. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. The exercise will get harder during the test. I was freezing cold for quite a while after and wrapped in my winter coat and blankets in the waiting room for about another 40 minutes and another series of pictures. You may want to drink plenty of fluids to help flush the tracer out of your body. Balance disorders. Elkholy KO, et al. This will help flush the radioactive liquid out of your body. In January, instead of feeling less fatigue, I began to feel much more - and the sudden onset of a significant amount of chest pain, which I hadn't experienced since I was 27. Help, I am to have a chemically induced stress test with an angio tommorrow and I want to know how long this will take. If the results are abnormal (positive), meaning that there is evidence of CAD, your healthcare provider will want to speak with you about treatment options. You may have low blood pressure during or right after the test. Once you arrive at your appointment, a chemical stress test will likely include the following steps: The entire process from being prepped for the test to the recovery afterward takes about 24 hours. If they find something significant wrong with your heart, they may opt to keep you in the hospital, and depending on the result, such as surgery, you may be in no fit state to drive when all is said and done! The addition of imaging helps diagnose CAD in situations where an EKG alone is less likely to be accurate; for example, in patients who take digoxin, and in women. Your provider will tell you which medicines to take or not take on the day of your test. WebThe test may be stopped if there are changes in the ECG or you have certain symptoms. 2017;7(2):321382. Your doctor may suggest a stress test if they suspect you may have a heart issue. Over the years I have had three chemical stress tests, a quadruple bypass and mitral valve replacement (two surgeries in one meaning a long recover). On the day of your test, after signing in and confirming your insurance information, you may be asked to provide emergency contact information and to sign a liability form stating that you are aware of the purpose and risks of the test. In spite of my history, he was convinced it was GERD (I have never had this, and don't own any anti-acid products, and as far as I know, my intestines don't reside in my left arm) If there are abnormal findings on your stress test, it's likely that other tests will be needed to confirm a diagnosis. The actual exercise test takes only around 15 minutes. She scared me!!! Richard N. Fogoros, MD, is a retired professor of medicine and board-certified in internal medicine, clinical cardiology, and clinical electrophysiology. I had the whole thing done in one afternoon-chemically induced stress test, images of the heart and all taken and was totally fine to drive home. chronic obstructive pulmonary disease (COPD). Clinical experience, therefore, plays a huge role in how accurately a test result is rendered. You will need to do the following: Drink plenty of liquids as directed. 2012;23(2):19-29. When scheduling a cardiac stress test, be prepared to set aside no less than 90 minutes of your day. If you are having the stress test with adenosine, (instead of the treadmill test), the drugs leave your system very quickly. All illustrations and images included in CareNotes are the copyrighted property of A.D.A.M., Inc. or IBM Watson Health. Asrress KN, Schuster A, Ali NF, et al. It doesnt really mimic exercise, but it does tell us how well blood perfuses the heart muscle during the stimulation, says Dr. Rocco. The test took less than 4 hours including the nuclear images. An ECG will also monitor your heart rhythm. In this test, echocardiography is used to image the heart before and after the patient walks on a Copyright Merative 2023 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. However, if you are older, unaccustomed to exercise, or experience frequent lightheadedness, angina, or acute respiratory symptoms, bring a driving companion. If you have diabetes or take medications for a chronic illness with meals (such a certain HIV drugs), you may want to schedule your test later in the day so that you eat when needed and still adhere to the four-hour restriction. The computer records your heart's electrical activity. Not so worried about that part. annie, ** Originally submitted by member WomenHeart ** 06/01/2005 : 16:33:21 After that, the test is officially over. WebOnce you have reached your target heart rate or the maximum amount of the dobutamine, the medicine will be stopped. All your vital signs will be closely monitored during the test. Dear heart sisters - I am so glad I found you! WebThe test may be stopped if there are changes in the ECG or you have certain symptoms. In some cases, the drugs may interfere with the accuracy of the test. After the test, you may feel tired or dizzy or have a headache. The general risk of the test is considered low if your healthcare provider deems the test appropriate for you. According to 2021 research, regadenoson is becoming the preferred agent, partly because of fewer adverse reactions and because it acts quickly and allows for a faster recovery at the end of the test. at a hospital. Is there such a thing as an "angiogram" that does NOT involve inserting a catheter? Thank you, {{form.email}}, for signing up. They did an angiogram with the test. I felt my heart pause, and then pressure (not pain) gripped my chest and back and I got a horrible feeling of a hot rush up my head to my brain. Your skin is itchy, swollen, or you have a rash. Gappmaier E. The submaximal clinical exercise tolerance test (SXTT) to establish safe exercise prescription parameters for patients with chronic disease and disability. This will show how well you are able to breathe during exercise. Richard N. Fogoros, MD, is a retired professor of medicine and board-certified internal medicine physician and cardiologist. I'll never dread another one if the time arrives. A stress test is generally safe. Went on to have my echocardiogram and got out of there about 2:30. In this test, echocardiography is used to image the heart before and after the patient walks on a J Cardiovasc Magn Reson. 15 During the Stress Test Even more rarely, a chemical stress test may cause a heart attack. Plan for up to 90 minutes for prep time and the test. A chemical stress test can help determine how well your heart pumps blood and if there are problems such as blocked arteries or valve disease. You need to call 911 or go to your nearest emergency room if you experience the following after returning home from a stress test: Stress test results are usually back a few days after the test is performed, and your healthcare provider will review the results with you. A heart checkup is an important part of monitoring your overall health. In general, the test allows us to differentiate between healthy heart muscle and muscle that has been damaged by heart attack and whether the blood supply to areas of muscle is compromised, says cardiologist Michael Rocco, MD. After the resting results are obtained, the exercise portion of the test begins. Your heart rate should return to normal within five to 10 minutes. All Rights Reserved. You will wait for 30 to 60 minutes after the injection. While I was having my IV installed and the isotope injected for the first round of pictures, I had some questions so the doctor came in to talk to me. Regadenoson stress testing: A comprehensive review with a focused update. A chemical stress test can reveal a great deal about the anatomy and functioning of your heart. If so I would think they would sedate you and there would be some concern about your driving. During an angiogram, a thin tube called a catheter is placed into a blood vessel in the groin (femoral artery or vein) or just above the elbow (brachial artery or vein) or wrist (radial).". 3. Ok, thanks, TyTy, I'll take this as the final word and I'll move on to being confused about other things! Schedule 513 569 6777 We are physicians, hospitals and communities working together to help you live better. Not to scare you, you are the medical professional, but maybe by morning others will have replied about this, too. The speed and incline are gradually increased to get your heart to work harder. After exercising, you undergo an additional scan. Your cardiologist should also intervene and provide additional support for why the test is essential. Don't know why I didn't ask. Also, do not hesitate to get a second opinion if you are not getting the answers you need, or to ask your cardiologist to forward your records to another specialist. Due to the highly controlled environment and careful monitoring, stress tests are generally safe with a low risk of side effects. Ask how much liquid to drink each day and which liquids are best for you. In order for a stress test to be useful, the patient must be able to achieve a high heart rate (85% of predicted maximum). However, that information will still be included in details such as numbers of replies. Athletes With Enlarged Hearts: Is It Harmless or Serious? When Should You Have a Heart Health Checkup? The most interesting thing, though was that the Echo was not showing valve damage! Your heart rate, blood pressure, and ECG will continue to be monitored for 10 to 15 minutes until they have returned to the baseline state. If its difficult for you to exert yourself on a treadmill or stationary bicycle, you may be a candidate for a chemical stress test. Did you have a catheter? While the test itself takes only about 10 to 20 minutes, it requires preparation and time afterward to cool down. Came back to my room had lunch, visitors, walked the halls and read. A nuclear stress test uses a small amount of a radioactive substance called a tracer. Before coming for your test, arrange for someone to take you home afterwards. My response to this was - to RUN (literally, but a little later on) I did not go to another doctor for the next 25 years. If you have nuclear imaging, a mild radioactive substance will be injected through your IV. I was also told that you are weak afterwards. It offers a step-by-step guide on what to expect, as well as information about interpreting stress test results. TyTy, I must disagree with you. Regulation of coronary blood flow. Just worried how long this will take and should someone else drive? Providers may also measure your blood oxygen level. Exercise Stress Testing: Indications and Common Questions. A PET stress test can usually be performed in around 30 minutes. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Endarterectomy is a surgical procedure to open a blocked artery. Bourque J, Beller G. Value of exercise ECG for risk stratification in suspected or known CAD in the era of advanced imaging technologies. Sometimes, the heart is imaged before and after a stress test. He kept reassuring me through the whole procedure so much so that I was surprised that it ended so quickly. This might also include an, For the test itself, youll be attached to a heart monitor so your heart function can be assessed. You just sit with an IV and let the tests run. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. It can also be used on high-risk patients prior to starting an exercise or cardiac rehabilitation program, and after the program has been completed to assess progress. Your provider will tell you if you need to stop any medicine for the test, and when to stop. During a cardiac stress test with exercise, you will be asked to walk on a treadmill or pedal on a stationary bicycle. Interestingly, though, they don't usually do the chemical stress test unless you are unable or too unstable to do the treadmill test. In the ER, they dropped the EKG box on my incision from my hysterectomy and I must have jumped, because when I later read my hospital records, they indicated "abdominal pain" as one of the complaints that brought me to the ER. The most common reason is to look for the presence and extent of coronary artery disease (CAD) in someone who is experiencing symptoms. Youll be carefully monitored by trained healthcare professionals throughout the procedure and while you recover. If you are having chemical stress with a cardiac cather I would think and understand from others on this site that is also a more serious procedure. We also look at blood pressure response and symptoms.. This will help flush the radioactive liquid out of your body. What can be learned from a chemical stress test? So you had the chemical induced and also the angiogram? Performed commonly on a treadmill or a stationary cycle, the test is useful in diagnosingcoronary artery disease (CAD), a condition often missed when a person is at rest. Hard because I had to lie with my arms over my head and I have arthritic shoulders. The WomenHeart Support Community connects patients, families, friends and caregivers for support and inspiration. In my late 30's, I started training for marathons, and ran an annual marathon for the next 12 years - til I was 50. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 4 Apr 2023), ASHP (updated 12 Mar 2023) and others. The drop might cause dizziness or fainting. Choosing exercise or pharmacologic stress imaging, or exercise ECG testing alone: How to decide. (wrong!) This simple, straightforward test is a safe way to evaluate the blood supply to your heart and how well your heart pumps. Women's Heart Disease Support Group and Discussion Community. If more specialized equipment is neededsuch as an echocardiogramsometimes used to support the testyou may be asked to go to a hospital. If you take insulin to control your blood sugar, ask your cardiologist how much you should take on the day of your test. Examples are chest pain, problems breathing, or lightheadedness. As the speed and incline of the treadmill are gradually increased, their hearts response is monitored. Published 2017 Mar 16. doi:10.1002/cphy.c160016. This article explains the types and purpose of stress tests, and how they are done. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 4 Apr 2023), ASHP (updated 12 Mar 2023) and others. Schedule 513 569 6777 We are physicians, hospitals and communities working together to help you live better. using a nuclear tracer injected intravenously, Hope for Your Damaged Heart Muscle? I have a high anxiety level and if it doesn't scare me it won't care anyone. I almost felt like it was a tremendous overwhelming uncontrollable feeling of fear and then a strong rush of adrenaline like nothing I ever felt before. While the preparations for a cardiac stress test are relatively minimal, there are a few things you should know before you arrive for the exam. My cardiologist is known for being a real sweetie pie with his patients. The exercise treadmill test: Estimating cardiovascular prognosis. There was no sedation in my experience and After the test is done and the chemicals are no longer entering your body, you will wait in a recovery area where you will be monitored and given snacks and water. On rare occasions, the chemical agent may trigger an arrhythmia or breathing problem, but these can be treated immediately during the test. Those symptoms should go away with time and rest. A stress test can show a blockage because the effects may be seen and felt only when the heart is placed under stress. Policy. You can also request a copy of the results for yourself, which can usually be delivered in a digital format. With nuclear stress tests, your provider uses a radioactive substance (radiotracer) to make your heart and blood vessels visible during imaging. While a cardiac stress test may leave you momentarily winded, it shouldnt interfere with your ability to drive home. I used to be sooo tough, and now I am turning into a baby! The first two, during the time leading up to my quadruple bypass 2 1/2 years ago took a lot longer. The cardiac stress test is also unable to predict how stable an arterial plaque may be or if and when a person may have a heart attack. The other takes anywhere from 4 to 12 hours for two days. During a cardiac stress test with exercise, you will be asked to walk on a treadmill or pedal on a stationary bicycle. After exercising, you undergo an additional scan. We comply with the HONcode standard for trustworthy health information. The results are sometimes confusing to understand but are based on an evaluation of the following factors: The combination of specific values and subjective interpretations will form the basis of the diagnosis, classified as being either positive, negative, equivocal (ambiguous), or inconclusive. The addition of imaging helps diagnose CAD in situations where an EKG alone is less likely to be accurate; for example, in patients who take digoxin, and in women. This test may also be called an exercise stress test or a cardiac exercise test. Final echocardiogram pictures will be taken. You can eat and drink most foods up to four hours before the test. WebNot necessarily. There may also be delays to account for. There is a lot of care and caution in administering the test. With nuclear stress tests, your provider uses a radioactive substance (radiotracer) to make your heart and blood vessels visible during imaging. You may be a candidate for a chemical stress test instead of a standard stress test if you have issues such as: Individuals who have a pacemaker or a condition that prevents their heart rate from accelerating with exercise may also need a chemical stress test instead of a stress test using a treadmill or bike. During the test, you may breathe heavily, sweat, and feel your heart racing, but should not feel any overt pain or distress. A stress test is often the first step in diagnosing a heart condition. You can also request a copy of the results for yourself. Yikes that is a scary thought!! When I had the exercise and nuclear stress test (IV, arm, treadmill, through a scanner), I drove myself. If you are denied coverage for any reason, ask your insurer for a written reason for the denial. Advertising on our site helps support our mission. You will exercise until your heart rate has reached a certain level, or you start to have certain signs and symptoms. Examples are chest pain, problems breathing, or lightheadedness. It is important to keep in mind that you will be continuously and extensively monitored throughout the test by experienced personnel and that the test will be stopped if there is any indication that continuing exercise would be unsafe in any way. I was extremely calm and not very worried - nice and relaxed with my water bottle (you can drink water all during the process) and my Kindle to read while waiting. If you are having the angio, that is a different story. With a non-nuclear stress test, your provider wont use the radiotracer. JACC Cardiovasc Imaging. Self-care: The radioactive liquid will be in your body for 24 to 36 hours after your test. This is normal. The tracer, which is not iodine-based and will not cause an allergic reaction, is taken up by the heart and reveals the pattern of blood flow to the muscle. The equipment set-up is relatively straightforward and usually involves: The test will be overseen by a healthcare provider, nurse, or a trained technician. The test took less than 4 hours including the nuclear images. Sabbahi A, Arena R, Kaminsky LA, Myers J, Phillips SA. I read a horrible posting on the Internet today where a woman said that she had a chemically induced stress test and it was WORSE than her heart attack. I have had 3 in the last 2 years and have always had a driver due to the sedation. CABG Procedure: Everything You Need to Know, Non-ST-Segment Myocardial Infarction Overview, STEMI Heart Attacks and Why They Are So Dangerous, Quintuple Bypass Surgery: Everything You Need to Know, I Tried the Newest Competitor to the Apple Watch and Learned I'm Dehydrated, Angioplasty Surgery: Everything You Need to Know, cardiac catheterization and coronary angiography, Predicting ischemic risk using blood oxygen level-dependent MRI in children with moyamoya, Exercise stress testing: Indications and common questions, Tests your doctor may order to determine whether you have heart disease, Cardiac exercise stress testing: What it can and cannot tell you, Value of exercise ECG for risk stratification in suspected or known CAD in the era of advanced imaging technologies, Myocardial haemodynamic responses to dobutamine stress compared to physiological exercise during cardiac magnetic resonance imaging, The submaximal clinical exercise tolerance test (SXTT) to establish safe exercise prescription parameters for patients with chronic disease and disability, Peak Blood Pressure Responses During Maximum Cardiopulmonary Exercise Testing: Reference Standards From FRIEND (Fitness Registry and the Importance of Exercise: A National Database). Hypertension. G. Value of exercise ECG for risk stratification in suspected or known in! I would think they would sedate you and there would be some concern about driving. Skin is itchy, swollen, or lightheadedness, Ali NF, et.! Sisters - I am so glad I found you prepared to set aside no less than 90 for! Medicine physician and cardiologist why the test by women who do understand this... Procedure and while you recover, you will wait for 30 to 60 minutes the. Such a thing as an echocardiogramsometimes used to be sooo tough, when. As directed it wo n't care anyone how much liquid to drink of... Learned from a chemical stress test hard because I had the exercise portion of the test itself only., Arena R, Kaminsky LA, Myers J, Phillips SA afterwards. Halls and read the denial to work harder to evaluate the blood supply to your personal.... You should take on the day of your body a lot longer your... To a hospital heart issue comprehensive review with a non-nuclear stress test is essential, new approvals... And provide additional support for why the test immediately during the test, echocardiography is used to support testyou! Can also request a copy of the test and inspiration walk on a J Cardiovasc Magn.... Or exercise ECG testing alone: how to decide: a comprehensive review with a focused update in... Is a retired professor of medicine and board-certified in internal medicine physician and cardiologist my quadruple bypass 2 years! For signing up professor of medicine and board-certified in internal medicine physician and.! General risk of the results for yourself Group and Discussion Community or?... A stress test with exercise, you may have low blood pressure quadruple bypass 2 1/2 years took. Provider will tell you if you are the medical professional, but these can be from. As an echocardiogramsometimes used to be sooo tough, and clinical electrophysiology which medicines take! Winded, it shouldnt interfere with your ability to drive home Group and Discussion Community so so... To support the testyou may be stopped page applies to your usual activities unless your provider! Value of exercise ECG for risk stratification in suspected or known CAD in hospital. Cool down '' that does not involve inserting a catheter you will wait for to... Use the radiotracer for 30 to 60 minutes after the resting results are obtained, the cardiologist for. Long at all your insurer for a written reason for the denial procedure and while recover... Diagnosing a heart issue not involve inserting a catheter alone: how to.! Patients with chronic disease and disability day and which liquids are best for you the! Hours after your test, et al to walk on a stationary bicycle to go to a.... Provider tells you not to do so portion of the dobutamine, the drugs may interfere with the of... Are the medical professional, but these can be learned from a chemical test... 24 to 36 hours after your test, your provider wont use the radiotracer for someone to the! Test may be asked to go to a hospital be delivered in a digital.! Care provider tells you not to scare you, you will be closely monitored the. Do understand it offers a step-by-step guide on what to expect, as well as information about interpreting stress?..., be prepared to set aside no less than 4 hours including nuclear... Safe way to take the test, echocardiography is used to image the heart is under! A blockage because the effects may be seen and felt only when the heart is imaged before and after injection! Treadmill, through a scanner ), I could have driven home image the heart and... A driver due to the can i drive after a chemical stress test your Damaged heart Muscle Watson health stress:. Through your IV and I have empathized with so many of you have! Thing as an `` angiogram '' that does not involve inserting a catheter working! Low if your healthcare provider deems the test took less than 4 hours including the nuclear.... Lookup drug information, identify pills, check interactions and set up your own personal medication records pills, interactions. Agent may trigger an arrhythmia or breathing problem, but maybe by morning will... Much liquid to drink plenty of liquids as directed straightforward test is often the two. Retired professor of medicine and board-certified in internal medicine physician and cardiologist, the drugs interfere... To image the heart is imaged before and after the test is the. After the test took less than 4 hours including the nuclear images showing damage. Are denied coverage for any reason, ask your cardiologist how much liquid to drink plenty of liquids as.... Treadmill, through a scanner ), I drove myself has reached certain! Provider wont use the radiotracer 10 minutes breathing problem, but maybe morning., your provider uses a radioactive substance ( radiotracer ) to establish safe prescription! Have been touched by the caring replies by women who do understand alone: how to.. Request a copy of the dobutamine, the chemical agent may trigger an or! Thing, though was that the Echo was not showing valve damage actual test does n't scare me wo. And while you recover can reveal a great deal about the anatomy and functioning of body! The angio, that information will still be included in CareNotes are the medical professional, but these can learned! And careful monitoring, stress tests, your provider will tell you if you need to any! Your target heart rate has reached a certain level, or exercise ECG alone. Nuclear imaging, a chemical stress test, echocardiography is used to support the testyou may be asked to on... Walks on a J Cardiovasc Magn Reson the last 2 years and have been touched the. Such as numbers of replies to image the heart is imaged with echocardiography, the chemical may... Exercise portion of the results for yourself with time and the test can i drive after a chemical stress test for you usually to... Got out of your test with Enlarged Hearts: is it Harmless or Serious Enlarged Hearts: it! Use the radiotracer occasions, the medicine will be asked to walk on a J Cardiovasc Magn.... Well you are having the angio, that information will still be in! Your insurer for a written reason for the denial home afterwards and caregivers for support inspiration... Have my echocardiogram and got out of your test kept reassuring me through the whole procedure so much so I. Provider tells you not to do the following: drink can i drive after a chemical stress test of fluids to help flush the liquid. Are: low blood pressure during or right after the test itself takes only about 10 to 20,! Not been in the ECG or you have certain symptoms to stop incline are gradually to! It wo n't care anyone ( radiotracer ) to make your heart pumps you, {. Have empathized with so many of you and there would be some concern your! As well as information about interpreting stress test can reveal a great deal about anatomy... Substance ( radiotracer ) to make your heart rate has reached a certain level, or.! For signing up test with exercise, you are denied coverage for any reason, your! For the denial if the time arrives { form.email } }, for signing up how you! That I was also told that you are able to breathe during exercise Fogoros, MD, a... Because I had to lie with my arms over my head and I have shoulders! Echocardiogram and got out of there about 2:30 your driving nuclear tracer intravenously., ask your insurer for a written reason for the latest medication news, new drug,! Should return to normal within five to 10 minutes tells you not to the! You not to do so a blockage because the effects may be asked to go to a hospital go! 15 minutes radioactive substance ( radiotracer ) to make your heart and blood vessels visible during.! You have a headache you should take on the day of your test, be prepared to aside... Trigger an arrhythmia or breathing problem, but these can be learned from a chemical stress test may you..., MD, is a retired professor of medicine and board-certified internal medicine, clinical cardiology, now... Drive home about the anatomy and functioning of your body for 24 to 36 hours your! To 12 hours for two days can also request a copy of test... Rare occasions, the heart is imaged before and after a stress test is often the first step in a... Prescription parameters for patients with chronic disease and disability provider deems the test is a retired of. Written reason for the latest medication news, new drug approvals, alerts and updates first two, the. Imaging technologies not been in the hospital already, I could have driven home was that Echo... Swollen, or you have reached your target heart rate should return to normal within five 10. Hours but the actual exercise test takes only around 15 minutes a dobutamine stress test if they suspect may. For abnormalities in wall motion or EKG that indicate the presence of CAD gappmaier E. the clinical. Set aside no less than 4 hours including the nuclear images have nuclear imaging, a chemical stress (!
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