Adam Lenskyj 2017.08.02 -t- 10h30 health exercise stress test on treadmill at cardiac ECG-Stress Lab. (my patient's COPY):


St Michael's Hospital

ECG-Stress Laboratory                                                                                                                                     Telephone 16-864-5075

30 Bond Street                                                                                                                                                   Facsimile: 416-864-5368

Toronto, ON MSB 1W8


EXERCISE STRESS TEST REPORT


Patient Name: LENSKYJ, ADAM DOB: 12/02/1940

Patient ID: 002031473 Age: 76yrs

Height: Gender: Male

Weight: Race:


Study Date: 08/02/2017 Referring Physician: CHENG-TAO WANG

Test Type: Treadmill Stress Test Attending Physician: CHENG-TAO WANG

Protocol: BRUCE Technician: MARY ALTOMARE


Medications:

CLOPIDOGREL, ECASA, METFORMIN, FOROSEMIDE, ROSUVASTATIN, IRBESARTAN, NITRO PATCH, AMLODIPINE


Medical History:


Reason for Exercise Test:

REHAB F/U


Exercise Test Summary


Phase Name

Stage Name

Time

Speed

Grace

HR BP

Comment



in Stage

(mph)

(%) '

(bpm) (mmHg)


PRETEST

SUPINE

11:21

0.00

0.00

60 100/60


EXERCISE

STAGE 1

03:00

1.70

10.00

70

112/62


STAGE 2

00:05

2.50

12.00

71


RECOVERY


04:03

0.00

0.00

59

118/62


The patient exercised according to the BRUCE for 3:05 min:s, achieving a work level of Max. METS: 4.60.
The resting heart rate of 54 bpm rose to a maximal heart rate of 73 bpm. This value represents 50 % of the maximal, age-predicted heart rate.
The resting blood pressure of 100/60 mmHg , rose to a maximum blood pressure of 120/70 mmHg. The exercise test was stopped due to Fatigue.


Interpretation


Summary: Resting ECG: sinus bradycardia, T wave inversion.


  Functional Capacity: markedly decreased (by >40%).

HR Response to Exercise: attenuated secondary to medication.

BP Response to Exercise: normal resting BP - appropriate response. Chest Pain: none.

Arrhythmias: ventricular premature beats-isolated, ventricular premature beats-pairs.

ST Changes: Depression upsloping.

Overall impression: -Rehab GXT: non-diagnostic as patient on med., -Negative for symptoms, Negative ECG.. Conclusions

RESTING ECG: SINUS BRADY WITH PVCs. T WAVE INVERSIONS I, Ill, III. PROLONGED QT


ON BISOPROLOL. NO ST SEGMENT CHANG ES. NO CP. ISOLATED PVCs AND VENTRICULAR BIGEMINIES.


{Adam Lenskyj wrote:
- 2019.05.16T11h30pm (z-4h) Thursday: This is my patient's COPY.
... URL & filename is:

http://lenskyj.ca/health-Consults.Discharge-reports/Adam.Lenskyj-2017.08.02-health-exercise.stress.test-treadmill-cardiac-ECG-Stress-Lab%28COPY%29.html
}