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An Informative Editorial

By: Herb Williams

Most people at some point in their life will have to take a of some form or another. Armed with healthy information will help you to palliate any anxiety you may have at the mere idea of considering a stress test. This Editorial is devoted to explaining the many different types of stress testing and hopefully make you a more informed test subject. 

1. Ordinary Pen and Paper Stress Test. These tests are the least "stressful"! You'll simply need to answer a few questions about your life-style and general tastes. You will only help yourself by being honest and answering in as full detail as imaginable. What you are occupied about? What is going on in your life. These stress tests are a breeze. The results can oftentimes lead to a more unstrained and stress free life. While you may be surprised at the resolutions, only those who take corrective action will fully benefit from these varieties of stress tests.

2. Internet Stress Test. BEWARE!!! Many of these tests are configured to ultimately 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 definitely a buyer beware marketplace.

3. Exercise Stress Test. This is the most basic type of physical Stress Test. It is planned to give a doctor a basic understanding of cardiac function and pulmonary function. A cardiologist will hook you up to an EKG and have you bit by bit increase the speed and incline of the treadmill until you are at a lively jogging pace. With the latest technology available in nuclear stress testing, this test is considered a dinosaur. If you are experiencing 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 advanced physical stress test available. This test is typically dispensed to people who are having 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 difference is that there is imaging of the heart that is done as well after an shot is given of a minor dose of radioactive dye. This allows the cardiologist to view blood flow to the heart to see where inadequacies occur and thus a narrowing greater than 70% is taking place. This will suggest that end stage obstructive coronary artery disease is happening and a additional invasive procedure like cardiac catheterization is expected. In some cases where someone is unable to run on a treadmill, the doctor will induce stress pharmacologically.

Our location has a description of the several different varieties of thallium stress testing useable. 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 entirely undetected by any type of Stress Test. It has been easily 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 over 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 diverges widely, the best place to start is your mD. Particularly if you are feeling 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 aspects of medicine. If your worried about heart disease for any reason then you should have your primary care doctor refer you to a qualified cardiologist. A specialist should always have the best information available at his fingertips. If you are feeling 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 soundest cardiac care possible, 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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