As ALWAYS, your doctor(s) is/are obligated first and foremost to fully explain the results/findings from any diagnostic test(s). "Bruce Stage 3 Achieved 85% Max. HR"
General info -
US Library of Medicine
National Institutes of Health
The Bruce Protocol is the most-widely adopted protocol and has been extensively validated. The protocol has 7 stages, each lasting 3 minutes, resulting in 21 minutes of exercise for a complete test.
In clinical practice, patients rarely exercise for the full duration 21 minutes of the Bruce Protocol, However completion of 9-12 minutes of exercise while reaching 85% of the maximum predicted changes in heart rate is usually satisfactory.
An exercise test should end when diagnostic criteria have been reached or when the patient's symptoms and signs dictate.
Heart info, cardiac tests info, actual diagnostic images
The treadmill is stopped when the patient achieves a target heart rate (this is 85% of the maximal heart rate predicted for the patient's age). However, if the patient is doing extremely well at peak exercise, the treadmill test may be continued further. The test may be stopped prior to achievement of the target heart rate if the patient develops......
The treadmill is then started at a relatively slow "warm-up" speed. The treadmill speed and it's slope or inclination are increased every three minutes according to a preprogrammed protocol (Bruce is the commonest protocol in the USA, but several other protocols are perfectly acceptable). The protocol dictates the precise speed and slope. Each three minute interval is known as a Stage (Stage 1, Stage 2, Stage 3, etc. Thus a patient completing Stage 3 has exercised for 3 x 3 = 9 minutes). ..... http://www.heartsite.com/html/regular_stress.html
As applicable to the patient, some hospitals and medical centers have equipment that is specifically designed to remove (at a controlled and predictable rate, safer than using powerful and dangerous drugs) excess fluid from those who have fluid overload due to congestive heart failure (CHF).
Aquapheresis, a device-based therapy, is intended to remove extra salt and water from the blood and body, using a simple filtration technique.
Aquapheresis Therapy: A Better Way to Treat Fluid Overload
Nothing complicated, just plain and simple AVOID foods high in saturated fat and cholesterol. CHOOSE skim or low-fat milk, low-fat yogurt and reduced-fat cheeses. Eat more fish and poultry. LIMIT servings to five to seven ounces a day. TRIM visible fat. Limit egg yolks. SUBSTITUTE two egg whites for one whole egg or use an egg-substitute. Eat more fruits and vegetables, whole grains, breads and cereals. USE LESS salt and fat. SEASON WITH herbs and spices rather than with sauces, gravies and butter
Originally posted by Dr. Beckerman
Mediterranean Diet Olive Oil Nuts = Happy Heart
Important new study today that may have you rethink that low fat diet.
Being overweight is just one factor that puts people at risk for heart disease and stroke. A heart-healthy diet can help you lose weight or lower cholesterol, blood pressure, or triglycerides. According to experts who rated the 29 diets listed, the Ornish Diet is the most heart-healthy......
Granted, some individuals have come up with their own or "customized" diet, which works well for them, and that is great.
Good to know, for the primary and secondary prevention of heart attack and brain attack/stroke
Epidemiologic studies (EDS) have revealed risk factors (encompasses some new, novel or emerging) for atherosclerosis, typically affecting the carotid, coronary and peripheral arteries, which includes age, gender, genetics (gene deletion, malfunction or mutation) , diabetes (considered as being the highest risk factor), smoking (includes second and thirdhand), inactivity, obesity (a global epidemic, "globesity"), high blood pressure (hypertension), Low HDL (now questionable, according to recent studies) high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).
"Be a questioning patient. TALK to your DOCTOR questions and ASK QUESTIONS. Studies show that patients who and ASK the mostQUESTIONS, and are most assertive, get the best results. Be vigilant and speak up!"
- Charles Inlander, People's Medical Society
It's your future....be there.
WebMD/WebMD forums DOES NOT provide medical advice, diagnosis or treatment.
NEVER delay or disregard seeking professional medical advice from your physician or other qualified health provider because of something you have read on WebMD.
And while on the subject of smoking in general, male/female, as reported, smoking increases the circulating levels of catecholamines and free fatty acids, which may contribute to the increased level of total cholesterol and decreased levels of high-density lipoprotein ("good" cholesterol) that are found in habitual cigarette smokers.
The effects on platelets may enhance coagulation (blood clotting). There can be accelerated coronary and peripheral vascular disease, and occurrence of a dreaded stroke and complications from hypertension.
The greatest concern is the acceleration or aggravation of cardiovascular disease. Smoking can promote atherosclerotic vascular disease by contributing to high cholesterol, endothelial injury (damaging the sensitive inner lining of the walls of the arteries), or both.
Complications of hypertension are more severe in those who smoke cigarettes. Smoking can also aggravate hypertension by causing vasoconstriction (tightening of the vessels).
After You Quit Smoking - The First 2 Days
Quit Smoking Benefits - the Healing Begins...When you quit smoking, the benefits begin within minutes of your last...
The whole disease is poorly understood in women, from the expression of the symptoms all the way down to some of the basic mechanisms. The disease has a very broad spectrum, and more men are at one side and more women are at the other side.
WOMEN and Coronary Artery Dsease (CAD)
60% of women who die suddenly (sudden cardiac death) from CAD have no previous symptoms. Women are less likely to notice they have a heart problem. Women with heart disease often have symptoms different from men, instead of classic chest pain or pressure (angina pectoris), they may report dyspnea, fatigue, indigestion and anxiety. Making an accurate diagnosis of heart disease in women is often more challenging than it is in men. _ . _
It is reported that many females experience warning signs/symptoms a month or two in advance. In descending order of occurrence, they are unusual tiredness or fatigue, sleep disturbance, dyspnea, indigestion, anxiety, racing heart and weak/heavy arms. During actual heart attacks, symptoms reported in females, in descending order were dyspnea, weakness, unusual fatigue, cold sweat, dizziness, nausea and weak/heavy arms.
Physicians Rank Diabetes as Higher Risk Factor for Cardiovascular Disease Than Smoking, New Survey Finds; Disconnect in Knowledge Between Physicians and Diabetes Patients
Physicians believe that having diabetes is the highest risk factor for cardiovascular disease (CVD), ranking diabetes higher than smoking, high blood pressure, elevated cholesterol or obesity, according to......
In general only here, and on an individualized case-by-case basis, some patients have to take (regardless whether a heart attack occurred or not) the anti-platelet drug Plavix indefinitely, while others only for a limited amount of time, as directed by his/her doctor.
Unlike the so-called "blood thinner" drug Coumadin (anticoagulant, which can interact with some green leafy veggies), Plavix is an anti-platelet drug, which prevents platelets (a component of blood) from clumping together and causing a blood clot (thrombosis). Platelets (thrombocytes), manufactured in the bone marrow, are small cells in the bloodstream that are part of the blood clotting process.
Though it has a different mechanism of action, aspirin-alone may be applicable in some cases, and usually continues indefinitely after Plavix is stopped.
Bottom line: You can always seek, in-person, a second or third professional medical opinion to see if you really need to stay on this drug or not.
Most important, communicate/interact well with your doctor(s).
Best of luck down the road of life.
WebMD member (since 8/99)
Be a questioning patient. Talk to your doctor and ask questions. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"
- Charles Inlander, People's Medical Society
It's your future......be there.
WebMD/WebMD Health Exchanges DOES NOT provide medical advice, diagnosis, or treatment.
WebMD DOES NOT endorse any specific product, service, or treatment.
Chest/thoracic area pain, stationary or radiating elsewhere, with or without accompanying symptoms, has various causes, cardiac and non-cardiac, which includes, but not limited to, pulmonary, gastrointestinal, musculoskeletal, and psychological/psychogenic.
Additionally, of the different types of heart conditions, some which can occur at any age, various symptoms may/can be acute (occurring suddenly), be chronic (occurring over a long period of time), come and go (be transient, fleeting or episodic) or even be silent.
ALWAYS be proactive in your health care and treatment. Best of luck down the road of life.
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