“The important thing here is that this group of diseases that can be fatal; early diagnosis and treatment. Many diagnostic methods offered by today’s medicine are expensive and can harm patients. However, what we have done; Istanbul Okan University Hospital Cardiology Specialist Prof. Dr. Nihat Özer explained!

What is an exercise stress echocardiography (SE) test?

Exercise Stress Echocardiography is a test that combines cardiac ultrasonography (echocardiography), which makes the structural evaluation of the heart, and the effort test that makes its functional evaluation. Your heart; It can detect existing and future diseases of its lids, membranes, muscles and vessels with an accuracy rate of 90-95 percent. It is a high value test in terms of predicting the probabilities that cause bad results about the heart (heart attack, death, etc.). Other important advantages of stress echocardiography are; It is not to use intravenous substances such as radiation and contrast material that may be harmful to the patient. In cases where exercise ECG test cannot be performed (leg vascular disease, muscle and bone structure limitation), “Medicated Stress Echocardiography” is performed.

What should be done before the test?

An average of 4-6 hours of fasting is required for SE. In addition, during this 6-hour period, smoking and caffeine-containing foods or drugs should not be taken. Before this test, some medications that will prevent blood supply disorder in the heart should be stopped 48 hours before. The doctor requesting the test will decide this. It is permissible to swallow the drugs that are allowed to be taken with a small amount of water 3-4 hours before the test.

How is stress echocardiography applied?

Test preparation; It consists of attaching electrodes to the chest and opening the vascular access, if the test is to be performed with medication. Test time is approximately 30-60 minutes. This examination is done by recording from certain points on the chest. Images of the heart are recorded. Depending on the preferred stress method; exercise test or medication is applied. Rather in daily practice, for those without disabilities; A short-term, drug-free, non-vascular effort test is used. Exercise images are taken. The recovery period images are then recorded.

Heart rhythm and blood pressure are monitored and ECG records are taken. During the test, rapid and strong heart beat is perceived as palpitations. This situation is normal. During the medicated test; Symptoms such as a feeling of warmth and redness in the cheeks, and tingling in the scalp are also normal. During the process; When pain and discomfort is felt in the chest, arm and jaw, dizziness, blackout and shortness of breath, the doctor should be informed immediately. The patient is rested for a while after the procedure. The interpretation of the test is made by comparing the contraction force of the heart in the images taken in different phases. The findings of the stress echocardiographic examination are explained to the patient by the doctor and given immediately in the form of a written report.

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