Cardiology Exercise Tolerance Testing
Scenario:
Cardiology Exercise Tolerance Testing. Your patient is a 73 year old female (height 5 feet 5 inches weight 150lbs) who takes Advair and Salbutamol daily to prevent and treat her asthma attacks as well as Ramipril for HTN. She was diagnosed by echo with moderate aortic stenosis 3 months ago. She comes into the cardiology department for a treadmill stress test, Bruce protocol with nuclear imaging. Upon further investigation, using the CHARM method, she reveals that starting about 2 weeks ago, shortly after starting walking on an inclined level, she develops severe shortness of breath, dizziness and needs to pause for few minutes.
What concerns might you have? What type of stress test, with imaging would you use? Why would you not choose other options?
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