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- $Unique_ID{BRK00236}
- $Pretitle{}
- $Title{Can Older People Profit From Exercise Testing?}
- $Subject{exercise testing heart elderly test Tests exercising stress coronary
- arteries attack surgery damage rehabilitation program cardiac age older
- elderly treadmill bicycle ergometer stationery bike electrocardiogram ECG
- special procedure procedures}
- $Volume{P-3}
- $Log{
- Exercise Strengthens the Heart*0003202.scf
- The Heart's Blood Supply*0008901.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Can Older People Profit From Exercise Testing?
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- QUESTION: I'm ready to start but cautious. Can older people profit from
- exercise testing?
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- ANSWER: Exercise testing, the evaluation of how well a person can deal with
- the stress of exercise, is a valuable test of the health of your heart. This
- test is used to help diagnose arrhythmias and to assess the condition of the
- coronary arteries and muscles of the heart. If you have had a heart attack or
- heart surgery, an exercise test will help determine how much damage your heart
- has sustained and will help you and your physician choose an exercise
- rehabilitation program for you.
- Because the incidence of cardiac problems increases with age, exercise
- testing is done more often on older individuals that those under age 35, but
- special considerations do have to be taken with elderly (over age 65)
- patients.
- In general, exercise testing is done in a physician's office or clinic
- using a treadmill, although sometimes a bicycle ergometer (a form of
- stationery bicycle) is also used. Before the test begins, you will be asked
- about your normal exercise habits so that the technicians can determine what
- speeds to start you out on. Your physician will probably take an
- electrocardiogram (ECG) before the test begins, a step that may be skipped in
- younger individuals.
- Most elderly people have never been on a treadmill before. Your
- physician or the technicians will show you how to walk on it to make sure you
- are comfortable with it and allow you to warm up a bit before starting the
- test. While using the treadmill, walk in a relaxed manner and look straight
- ahead. Don't lean on the front handrail, because this can throw off the ECG
- readings; use the side rails if you need to keep your balance.
- To make sure a reliable reading is obtained, your physician may ask you
- to stop taking certain heart medications, such as beta-blockers or calcium
- blockers, a day or two before the test. He or she will give you instruction
- on tapering down your medication and then restarting it.
- When the test begins, you will simply be walking on the treadmill at a
- speed of about 2 miles an hour. This is a speed most elderly people walk at
- normally. At different stages in the test, the front elevation of the
- treadmill will be increased, which will make it seem like you are walking up a
- gradually steepening hill. If you have any trouble keeping up with the
- treadmill or feel you cannot cope with the elevation, tell the technicians.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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