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Types of testing & procedures. Diagnostic testing Invasive: Blood tests, Cardiac catherization, TEE, Electrophysiologic tests, Thallium stress test Non-invasive: ECG/EKG, Ambulatory ECG/EKG, Chest x-ray, echocardiograhpy, computer imagining, exercise stress test. Invasive tests.
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Types of testing & procedures • Diagnostic testing • Invasive: • Blood tests, Cardiac catherization, TEE, Electrophysiologic tests, Thallium stress test • Non-invasive: • ECG/EKG, Ambulatory ECG/EKG, Chest x-ray, echocardiograhpy, computer imagining, exercise stress test
Invasive tests • Blood tests - blood draw • Test for: cardiac enzymes, proteins, triglycerides, peptides • Why?: • Who:
Cardiac Catherization • Also called: angiography, ateriography • Use • Test for: • Inside of heart’s blood vessels • Why?: Who?
Electrophysiological tests Looks for __________________ - maps electrical of heart Catheters/electrodes threaded through blood vessels in heart Can __________________________ More detailed than EKG Helps to determine where abnormal rhythms develop Takes 2-4 hrs Who:
TEE (transesophageal echocardiography) • Use • Go in through __________ - sedative, numb, swallow the tube • Takes 10-30 min • Why? • Closely positioned ribs, obesity, emphysema • Evaluate function and small structures of heart and blood vessels • Help find abnormalities in heart • Info about abnormal rhythms Who:
Exercise Stress Test • Also known as treadmill test, exercise test, exercise cardiac stress test (ECST) • Many functions can be checked:_____ • How different from Thallium Stress Test? • Who:
Non-invasive: ambulatory EKG/ECG (Holter Monitoring) Who: • Determine if heart attack has occurred, or may in ________ • Monitor changes in ____________ • Ambulatory - means ______________ • Record electrical activity during activity day/night • Help determine condition of heart &best treatment
Chest x-ray • Picture of heart and lungs & bones of chest • Determine • Shows • Who:
Echocardiography • Handheld device that uses sound waves (ultrasound) to produce image of heart • Shows ______________ • Who:
Computer imaging - several • Also called: tomography (CT, CAT scan, EBCT, PET, DCA, DSA, MRI, SPECT) • Evaluate • Who:
Arteriovision • Uses ultrasound technology to measure • Can indicated vascular disease, stroke, heart attack. • Noninvasive, 15-20 minute outpatient procedure • Ultrasound equipment • Who:
Coronary bypass • Arteries or veins from elsewhere in body grafted around blockage • ________ atherosclerotic narrowing and improve the blood supply to the __________ (heart muscle). • Performed with the heart stopped, necessitating the usage of ________ • Who: