Looking for an interpretation on my stress results:
41 yr old male
Bruce protocol-final stage: 3
minutes into final stage: 1:30
Total minutes: 5:30
Baseline HR: 97 (I was very nervous and suffer panic disorder. My usual resting HR is 60.)
Maximal HR reached: 182 (102 % max predicted HR)
Reason test terminated: the Doctor wrote "Fatigue", although I could have gone longer, he said there is no need to and the test is negative.
I'm concerned that he did not allow me to continue on longer, and by not doing so, did not get a true reading. He said I worked high enough on METS and Max HR to convince him that all is negative. Your thoughts? Thank You. Jerry
There are multiple components to a stress test. For the purpose of risk stratifying coronary disease, we generally employ a cut off of 85% of your maximum age predicted heart rate (220-Age).
For general prognostic purposes, the longer you can go on a treadmill, the better your long term(meaning 5 years mortality, etc..) prognosis from any standpoint is.
As a 41 yo male, your short and long term mortality with a normal stress test are quite small. I wouldn't focus so much on the result of the test, only that it was adequate to risk stratify your coronary disease. Your true focus with respect to your coronary disease should be on maintaining a healthy lifestyle that incorporates a healthy diet, tobacco abstinence and aggressive risk factor modification.
With respect to the other mortality data that could have been gathered from your persevering longer on the treadmill; for a healthy 41 year old man, your risk of dying in an auto accident would most likely be higher than that information at your stage in life. So I would also say wear your seatbelts, stay away form guns, etc...
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.