I agree with you about asking about cardiac disease and asking the
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