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An Intuitive Commentary

By: Rachael Bergman

Virtually all people at some point in their life will have to take a of some form or another. Armed with sound tools will help you to relieve any anxiety you may have at the mere thought of having a stress test. This Commentary is committed to explaining the many different types of stress testing and hopefully make you a more informed test subject. 

1. Average Pen and Paper Stress Test. These tests are the least "stressful"! You'll only need to answer several questions about your modus vivendi and general orientations. You will only help yourself by being honest and replying in as full detail as conceivable. What you are concerned about? What is going on in your life. These stress tests are a breeze. The final result can frequently lead to a more decompressed and stress free life. While you may be surprised at the results, only those who take disciplinary action will fully profit from these forms of stress tests.

2. Internet Stress Test. BEWARE!!! Many of these tests are contrived to finally sell you something. Make sure the test is designed by a legitimate organization with no ulterior motives. While these tests can actually be humorous at times, it is decidedly a buyer beware marketplace.

3. Exercise Stress Test. This is the most introductory type of physical Stress Test. It is designed to give a doc a basic understanding of cardiac function and pulmonary function. A cardiologist will hook you up to an EKG and have you gradually increment the velocity and slope of the treadmill till you are at a energising jogging pace. With the latest engineering available in nuclear stress testing, this test is considered a dinosaur. If you are going through any symptoms like chest pain, shortness of breath, radiating arm pain or persistent shoulder blade pain then this test is going to very inadequate.

4. Thallium Stress Test. This is the most sophisticated physical stress test available. This test is normally dispensed to people who are getting chest pain, shortness of breath or other symptoms linked to end stage coronary artery disease. Thallium Stress tests are just like an exercise test in that your heart is "stressed" through exercise. The big divergence is that there is visualising of the heart that is done as well after an shot is given of a minor dose of radioactive dye. This permits the cardiologist to view blood flow to the heart to see where insufficiencies occur and therefore a narrowing greater than 70% is taking place. This will show that end stage obstructive coronary artery disease is occurring and a more invasive procedure like cardiac catheterization is needed. In some cases where someone is unable to run on a treadmill, the doctor will induce stress pharmacologically.

Our web site has a description of the numerous different kinds of thallium stress testing available. They include the following: Adenosine Thallium Stress test, Bruce Protocol Stress Test, Persantine Thallium Stress Test, Dobutamine Thallium Stress Test, Cardiolite Thallium Stress Test and Cardiac Stress Test.

Stress Testing is an excellent test in the APPROPRIATE patient. Virtually all people do not understand that 68% of all heart attacks occur in early stage heart disease that will go altogether undetected by any type of Stress Test. It has been well proven that 56% of all people who have a NORMAL Nuclear Stress Test have enough early stage heart disease to warrant caring for that patient as if they have already had their first Heart Attack. That is why all men above the age of 35 and all women above the age of 45 should have a EBT Heart Scan. An Excellent source of information on this test can be found at Inner Imaging, P.C.

While stress testing deviates widely, the best place to start is your doctor. Particularly if you are experiencing any types of symptoms like chest pain or shortness of breath.  While most doctors are informed about heart disease in general, it is very difficult for them to keep up on all facets of medicine. If your worried about heart disease for any reason then you had better have your primary care doctor refer you to a qualified cardiologist. A specialist should always have the best tools available at his fingertips. If you are getting sudden onset of chest pain or shortness of breath; DO NOT HESITATE! CALL AN AMBULANCE AT 911 IMMEDIATELY! These first symptoms may be your last.

If you live in the New York City area an would like to find the finest cardiac care imaginable, call 212-777-8900. This is the Center for Preventive Cardiology affiliated with the Heart Institute at Beth Israel Medical Center. They have all the latest technologies available to help you with you cardiac care. Help Your Heart Stay Healthy!

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