EXERCISE STRESS TESTING : WHEN, HOW, AND WHAT IT MEANS?

Budi Arief Waskito

doi:10.30742/jikw.v1i1.52

Authors

Budi Arief Waskito Bagian Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Wijaya Kusuma Surabaya

DOI:

https://doi.org/10.30742/jikw.v1i1.52

Keywords:

exercise stress testing, cardiovascular response

Abstract

Exercise stress testing (EST) is a sensitive and informative examination of the cardiovascular response to exercise. Exercise is a common physiological stress used to elicit cardiovascular abnormalities not present at rest and to determine the adequacy of cardiac function. The electrocardiogram is the most common parameter used to evaluate the ischemic response during exercise. Exercise electrocardiography is one of the most frequent noninvasive modalities used to determine the likelihood and extent of coronary artery disease. The test is also used to estimate prognosis, to determine functional capacity, and to evaluate the effects of therapy. The indications, contraindications, protocol, when to terminate, interpretation of the result, and spesific clinical applications will be reviewed in this paper.

References

Chaitman BR: Exercise Stress Testing: Braunwald's Heart Diasease, 8th ed. Philadelphia, Saunders Elservier, 2008. 195-226.

Fletcher GE, Balady GJ, Amsterdam EA et al: Exercise standards for testing and training: A statement for healthcare professionals from the American Heart A s s o c i a t i o n . C i r c u l a t i o n . 2001;104:1694-709.

Gibbon RJ, Balady GJ, Bricker JT, et al: ACC/AHA 2002 guideline update for exercise testing. Summary article: A report of the ACC/AHA Task Force on Practice Guidelines. Circulation. 2002;106:1883-92.

Kusmana D, Herwanto B, Soepangadi at all: Tatalaksana Uji Latih Jantung, Pedoman Tatalaksana Penyakit Kardiovaskuler di Indonesia. Perki, 2003. 19-60

Wasserman K: Principles of Exercise Testing and Intrpretation, 4th ed. Philadelphia, Lippincott Williams & Wilkins, 2005.

Whales MH, Brubaker PH, Otto RM, Amstrong LE : ACSM's Guidelines for Exercise Testing and Prescription. 7th ed. Philadelphia. Lippincott Williams & Wilkins, 2006.