Beacuse of the risks involved with treadmill testing, we avoid it and
instead opt to have the patient perform toe raises. If the patient is a
claudicator, toe raises will produce symtoms with less stress to the heart.
Legally, isn't a physician supposed to be present during treadmill testing
for cardiac evaluation?
Wouldn't you want to take the same precautions in the Vascular Lab setting?
>referring physician, I'm still not sure that alleviates the need for a
>release. I don't currently have patients sign release forms, I just
> I do know of a case where the patient said "no" to questioning about
>cardiac disease, indeed had no known history of any, he still arrested
>treadmill and died. In fact the only deaths I have ever heard of in
>Labs have been during treadmill exercise.
> Interesting considering how we have rarely seen a thrombus float off
>venous examination. I've seen 2 and there have been 1 or 2 others in
>last ten years here, all without associated symptoms curing the exam or
>From: mark kahn on Fri, Jun 27, 1997 1:55 PM
>Subject: Re: exercise testing
>To: [log in to unmask]
>>--- "Lee Nix@CARDIAC" wrote:
>>Does anyone routinely have patients sign a release before exercising
>>on the treadmill in a non-cardiac setting?
>>--- end of quoted material ---
>>Good point. We do not, but I think every vascular lab should ask the
>>"Do you have a history of heart disease?" before submitting a patient to
>>treadmill testing. If there is ever any question, the referring physician
>>should be called prior to testing.
>Exercise testing is not necessarily a cardiac stress test. In the
>lab we are asking patients to reproduce the exercise that they perform
>their every day activities. which is why they are being evaluated for
>claudication (presumably "disabling" claudication), rather than chest
>In a cardiac stress test they are being asked to perform at a level they
>may not ordinariy perform at.
>In the vascular lab, asking whether they get chest pain when walking
>suffice, but of course, when in doubt, ask the refering MD.
>Mark B. Kahn,MD