Medical transcription Cardiology procedure notes

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EXERCISE STRESS TEST

PROCEDURE: The patient exercised according to Bruce protocol for 6 minutes and 30 seconds, achieving a maximum work level of 7.80 METs.

The resting heart rate was 99 beats per minute. The maximum heart rate was 169 beats per minute, which is 106% of maximum for the age.

The resting blood pressure was 144/80 and maximum blood pressure was 191/84 mmHg.

The test was stopped due to target heart rate achievement.

The resting electrocardiogram was normal. Functional capacity normal. Heart rate response to exercise appropriate. Blood pressure response to exercise normal. No arrhythmia. A depression of 1.85 mm ST depression in the peak of exercise that reverted to normal sinus rhythm without any significant chest pain.

IMPRESSION: Positive stress test suggestive of ischemia.

CONCLUSION: The patient has significant ST depression of 1.85 mm at the peak of exercise that returned to baseline after resting. This suggests ischemia. No chest pains. Recommend adenosine thallium test to exclude significant coronary artery disease.

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