Cardiac exercise stress test: What you can and can't tell | Alberta Cardiology 2022
A cardiac stress test can determine your risk for heart disease, but often requires a follow-up evaluation.
What can a cardiac stress test show about my heart? Usually middle-aged or older men have an annual stress test to make sure their heart is still beating like a good clock. But expert advice now advises against taking such "just in case" stress tests. Is This Stress Fighting Trend Healthy For Older Men?
We had Dr. Sunrinder Khinda of cardiology at the Calgary, asking for an idea of what stress tests can and can't tell you about your heart. With a caveat, this procedure still plays an important role in diagnosing anxiety symptoms like chest pain — especially in older men with risk factors for heart disease. "Exercise stress tests aren't 100% accurate — there's no medical test," says Dr. Sunrinder Khinda. "But it helps in deciding what the next steps should be."
What is a stress test? During a stress test, you walk on a treadmill which makes your heart work harder and harder. An electrocardiogram (ECG) monitors the electrical rhythm of your heart. Your doctor will also measure your blood pressure and monitor you for symptoms such as chest discomfort or fatigue. Abnormalities in blood pressure, heart rate, or EKG, or worsening physical symptoms may indicate coronary artery disease (CAD): fatty deposits (plaques) that reduce the flow of oxygen-rich blood to the heart muscle.
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