Your Exercise ECG Report: Key Insights for Heart Health - Cardiology

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Hello Dr.
Wu, here are the contents of my exercise electrocardiogram report! I would like to ask if there are any abnormalities in this report.
Thank you.
Baseline HR: 97
Height: 159 cm
Target HR: 158
Weight: 45.3 kg
Max HR: 190
% of Predicted Max HR achieved: > 90%
Standing Sys./Dia.
BP: 122/70
Exercise Protocol: Bruce
Max Sys./Dia.
BP: 134/69
Exercise Duration: 09 minutes
Workload: > 9 Mets
Risk of CAD:
Age: 30-39
Smoke: No
DM: No
Hypertension: No
Obesity: No
Hyperlipidemia: No
1.
High-risk fall patient assessment
Assessment Timing: Before Examination / After Examination
a.
Age >= 65 years (1 point): 0 / 0
b.
Consciousness state: GCS: 7-14 (1 point): 0 / 0
c.
Hb value ≤ 8 gm/dl or Hct ≤ 24% (1 point): 0 / 0
d.
Dizziness or lightheadedness (1 point): 0 / 0
e.
History of falls in the past six months (1 point): 0 / 0
f.
Presence of indwelling lines (IV, O2 catheter, drainage tube) (1 point): 0 / 0
g.
Complaints of poor vision (2 points): 0 / 0
h.
Use of assistive devices: walker or wheelchair (2 points): 0 / 0
i.
No accompanying person (3 points): 0 / 0
j.
Elimination issues: incontinence, frequent urination, diarrhea, or need assistance with toileting (3 points): 0 / 0
k.
Use of medications that increase fall risk (3 points): 0 / 0
l.
Unsteady gait or limb mobility impairment (3 points): 0 / 0
Total Score: Before Examination: 0 / After Examination: 0
2.
Clinical Diagnosis (Indication):
3.
Reason for terminating exercise test: Reached target HR, SOB
4.
Result: Negative
5.
ECG diagnostic principles: No significant ST-T shift at adequate target
6.
Other ECG/blood pressure rhythm changes (i.e., BBB or arrhythmia):

Xiao Ru, 30~39 year old female. Ask Date: 2022/09/03

Dr. Wu Xueming reply Cardiology


The test result is negative.

Reply Date: 2022/09/03

More Info


Understanding your exercise ECG report is crucial for assessing your heart health, especially if you have concerns about cardiovascular disease. Based on the details you've provided, let's break down the key components of your report and what they mean for your heart health.


Key Components of Your Report
1. Baseline Heart Rate (HR): Your baseline HR is 97 beats per minute (bpm), which is slightly elevated but can be influenced by various factors such as anxiety or physical fitness level.

2. Target Heart Rate (THR): Your target HR was set at 158 bpm, which is appropriate for your age group (30-39 years). Achieving a maximum HR of 190 bpm indicates that you reached over 90% of your predicted maximum HR during the exercise test, which is a good sign of cardiovascular fitness.

3. Blood Pressure (BP): Your standing BP was 122/70 mmHg, which is within a normal range. During exercise, your BP increased to 134/69 mmHg, indicating a normal physiological response to exercise.

4. Exercise Duration and Workload: You completed 9 minutes of exercise at a workload greater than 9 METs (Metabolic Equivalent of Task), which is indicative of good exercise capacity.

5. Risk Factors for Coronary Artery Disease (CAD): You reported no significant risk factors such as smoking, diabetes, hypertension, obesity, or hyperlipidemia, which is very positive for your cardiovascular health.

6. Termination of Exercise Test: The test was terminated due to reaching your target HR and experiencing shortness of breath (SOB). While SOB can be a normal response to intense exercise, it is important to monitor this symptom, especially if it occurs frequently.

7. Results: The report concludes as "Negative," indicating no significant abnormalities were detected during the exercise ECG. Specifically, there were no significant ST-T shifts, which are often indicative of ischemia (reduced blood flow to the heart muscle).


Interpretation of Findings
The overall findings from your exercise ECG report suggest that your heart is functioning well under stress. The fact that you achieved a high workload and maintained a normal blood pressure response is encouraging. Additionally, the absence of significant ST-T changes during the test indicates that there is no evidence of ischemic heart disease at this time.


Recommendations
1. Continued Monitoring: While your results are positive, it is essential to continue monitoring your heart health, especially if you experience any new symptoms such as chest pain, persistent shortness of breath, or unusual fatigue during physical activity.

2. Regular Check-ups: Regular cardiovascular check-ups, including blood pressure and cholesterol monitoring, are advisable, especially as you age or if your lifestyle changes.

3. Lifestyle Choices: Maintaining a healthy lifestyle through regular exercise, a balanced diet, and avoiding smoking will further reduce your risk of developing cardiovascular disease.

4. Consultation with a Specialist: If you have any concerns or if symptoms persist, consider consulting a cardiologist for a more detailed evaluation and possibly further testing.


Conclusion
In summary, your exercise ECG report appears to be normal, showing good heart function and no immediate concerns regarding coronary artery disease. However, it is always wise to stay proactive about your heart health through lifestyle choices and regular medical evaluations. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice.

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