HEALTHCARE/ALLIANCE NAME
____________________________________________
HOSPITAL MEDICAL
CENTER NAME
ECHOCARDIOGRAPHY REPORT
PATIENT INFO:
Patient: ECHO PATIENT Patient
ID #: 12345678-EH
Exam date: 5-28-02 Echo
#: 02-321
Sex: Male DOB:
01-02-1947 Age:
55
Height: 66.0 inches Weight: 166 lbs. BSA: 2.23
Billing modifier: (distinctive procedure (-59) Study location: Noninvasive Cardiology
Referring
M.D.: Dr.
Echo Ref.
Site: Cardiology Associates
STUDY:
Treadmill Stress Test Study
Quality: Excellent
PATIENT
HISTORY:
Cardiac: Transient Ischemia attack
Non-Cardiac: COPD
INDICATIONS/REASON FOR
STRESS TEST:
The
patient was referred to the Echocardiography Department for evaluation of
transient ischemia attack.
STUDY SUMMARY
A
treadmill exercise test was performed utilizing the Bruce protocol for 12 minutes. Heart rate changed from 73 beats per
minute to 173 beats per minute, which is 100% of the maximum predicted heart rate.
The blood pressure changed from 104/70 mm/Hg at baseline to 160/90 mm/Hg at
peak exercise.
Maximum
stage achieved was 4 at a speed of 6 mph and a grade of 12%.
Reason
for ending test: Fatigue.
Maximum
workload attained was 13 METS.
