Real-Time Treadmill Stress Test Can you Do It?
Video taken from the channel: Nevada Cardiology
VO2 Max Test What to Expect
Video taken from the channel: Memorial Hermann
tread mill testinterpretation
Video taken from the channel: Prof Dr Sarma Rachakonda
How Far Can you Go? Push Yourself in the Maximal Fitness Test
Video taken from the channel: UFHealth
What happens during a cardiac stress test?
Video taken from the channel: Providence Health Vancouver
Bruce Protocol Test 2012
Video taken from the channel: YSUMediaAcademicComp
Bruce Protocol Stress Test
Video taken from the channel: YSUMediaAcademicComp
The Bruce protocol is a maximal exercise test where the athlete works to complete exhaustion as the treadmill speed and incline is increased every three minutes. The length of time on the treadmill is the test score and can be used to estimate the VO2 max value.The Bruce Protocol test is one of the simpler methods of estimating VO2 max.
During the Bruce Protocol Test, you will be working to exhaustion to see how long you can last on the treadmill as your speed and incline will increase every three minutes. Each stage below represents a three-minute interval. Stage 1 = 1.7 mph at 10% Grade.Bruce Protocol Stress Test The Bruce Test is commonly used treadmill exercise stress test. It was developed as a clinical test to evaluate patients with suspected coronary heart disease, though it can also be used to estimate cardiovascular fitness.
See also a general description of Exercise Stress Tests.The bruce protocol stress test or the Bruce Treadmill test protocol was first designed in 1963, by Robert A. Bruce. Bruce protocol stress test was a non-invasive stress test to assess patients with probable or suspected weak heart conditions.
Other than a stress test it is also called as the exercise tolerance test.According to the original Bruce protocol, the patient walks on an uphill treadmill in a graded exercise test with electrodes on the chest to monitor the EKG. Every 3 minutes, the speed and incline of the treadmill are increased. There are 7 such stages and only very fit athletes can complete all 7.Following the warm up period, the Bruce Treadmill Test actually starts.
To perform the test, an individual should start jogging on a treadmill set to a pace of 1.7mph and an incline of 10%. This is the first stage of the test and should be kept up for a total of 3 minutes. Every following stage of the test should also be kept for 3 minutes.
A Bruce exercise test involved walking on a treadmill while the heart was monitored by an electrocardiograph with various electrodes attached to the body. Ventilation volumes and respiratory gas exchanges were also monitored, before, during and after exercise.THE BRUCE SUBMAXIMAL TREADMILL TEST IS PERHAPS THE MOST common test used to assess cardiorespiratory fitness, especially in clinical settings. The test is administered in three-minute stages until the client achieves 85% of his or her age-predicted maximum heart rate (MHR).
The Bruce protocol is a standard test in cardiology and is comprised of multiple exercise stages of three minutes each. At each stage, the gradient and speed of the treadmill are elevated to increase work output, called METS. Stage 1 of the Bruce protocol is performed at 1.7 miles per hour and a 10% gradient.
An inability to exercise >6 minutes on the Bruce protocol, or an inability to increase heart rate (HR) to >85% of maximum predicted heart rate (MPHR) are significant indicators of increased risk of coronary events with a 5-year survival ranging from 50% to 72%.It is worth emphasizing that in the most heavily trained athletes, a standard Bruce graded exercise protocol may not be sufficient and other more aggressive exercise studies may be needed. 27 More aggressive graded exercise protocols such as the Astrand and Astrand-Saltin are done at increased speed and incline to help accommodate the greater aerobic capacity of an athlete.Bruce test is considered a maximal exercise test where the athlete or client runs to complete fatigue as the treadmill speed and incline are increased every three minutes.
Record total running time.A variety of treadmill fitness and stress tests are available, but the commonly used treadmill ramp test is the Bruce protocol. It is the easiest to administer and is widely available in clinical and fitness locations. This is the amount of oxygen in milliliters your body can use per kilogram of body weight per minute.Participants were asked to complete two maximal treadmill running tests (using the Bruce and the Athlete-led protocol) to volitional failure in a randomised cross-over trial 1 week apart.
The participants were asked to refrain from intense exercise and alcohol for 24 h prior, and caffeine from 4 h prior to each main trial.The Bruce Protocol is a maximal exercise test where the athlete works to complete exhaustion as the treadmill speed and incline is increased every three minutes (See chart). The length of time on the treadmill is the test score and can be used to estimate the VO2 max value.
List of related literature:
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| from Encyclopedia of Sports Medicine |
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| from Total Burn Care: Expert Consult Online |
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| from Cardiovascular and Pulmonary Physical Therapy E-Book: A Clinical Manual |
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| from Laboratory Manual for Exercise Physiology |
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| from Exercise Physiology: Nutrition, Energy, and Human Performance |
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| from Sport and Exercise Physiology Testing Guidelines: Volume I – Sport Testing: The British Association of Sport and Exercise Sciences Guide |
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| from Braunwald’s Heart Disease E-Book: A Textbook of Cardiovascular Medicine |
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| from Adapted Physical Education and Sport |
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| from Nuclear Medicine and Molecular Imaging: The Requisites E-Book |
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| from NSCA’s Guide to Tests and Assessments |
68 comments
Had a stress test 4-20-17 thought they was going to kill me wasn’t a walk in the park.
I have a question? So do you fail the test if you are unable to get to your max HR? My max HR is 191, but when I do my test I find that I can only get to about 175-180 BPM, before I tire, however once I quit the test I do recover within 60-90 sec’s.
This was nice to see and have a heads up on the process, I am going to have one done shortly and was a bit anxious. Thank you.
Well explained in detailed order.. Thanks for sharing your knowledge. Its very helpful!
What happens in a cardiac stress test? I’ll tell you what happensthe person placing the V1 and V2 electrodes has no idea where the 4th intercostal space is and hasn’t heard of the sternal edges ��
my doctor wants me to get one but i refuse, i have asthma and it would kill me
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Please run this through video editing software that includes graphic equalizer. There’s too much echo chamber effect, and I can’t understand what you’re saying. Usually, there’s 1 or 2 narrow frequency ranges that, when dropped about 20 decibels, make voice much clearer.
What was his time? I assume around 13 minutes as i take the same test
Would two male techs be able to perform this test on a female patient? Double standards “alive & well” in American medicine.
guy is fucking crazy i collapsed onto my left arm at 8 mins and couldnt hold myself up after that so the guy had to support me to get to the bed was fucking crazy fucking exhausting
Thank you I’m scheduled for my test and was a bit concerned about what to expect, this helps to ease my worries.
Sorry sweetheart, how do you do a VO2 max test without any pulmonary testing equipment (Y)
can you tell me where you bought the mesh shirt? I am looking for those for my lab….
4 limb leads and 5?? chest leads (V1 to V6) how does your machine achieve this?
Excellent information.. Thank you! and Blessings all the way from Monterrey Mex!
WHAT IS THAT “FISH NET” TYPE THING HE IS WEARING? THAT WOULD BE HOT TO WEAR OUT TO A CLUB AS A SHIRT lol
what does the grade mean? the one you are referring to as percentage?
Is there a rule whether or not you are allowed to hold onto the rails? Also, does it make a difference whether you do or not? I recently had one at UC Davis and they did not let me use the hand rails saying that the moment I touch the rails, the test is over. at 8.5 METS I had to hold, requiring a 12 METS minumum for a law enforcement job. I thought it was unfair because I have done them before for another agency and I was allowed to hold on.
Thanks for providing helpful info, however,It’s better for the patients to let the techs know that they are feeling uncomfortable or feeling chest pain anytime during the test or while running
I had this test but had to stop,when I started to see dead relatives….
I have never got v02 max but I got close I got aerobic which is only 2 off
im taking exercise phisiology right now and they linked me to this video. I’m just trying to figure out wtf this has to do with ANYTHING
i am an athlete, and was diagnosed cardiac arrhythmia.. i’ve done this 4years ago when i was 19. i have no idea what really is stress test so when i saw it and then they explained it to me.. me and the doctors didnt even expect i got to the maximum.. lol..
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My last stress test put me in the hospital, it is no joke! The techs took it way too casual as they would NOT stop when I was feeling dizzy with massive chest pain. Told them to stop but they pushed on for over a minute later. Then…. cardiac arrest! be careful.
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What a rough bitch notice she is causing re d marks on his skin up herself with her own self importance never mind his wellbeing.
Just for equallity, how many guys get to practice on females?
Hello, I’d like to ask permission to use this in a YouTube video of my own. I will give the appropriate person credit.
I have to do this but how do I do it with a mask on since it’s covid 19
I am required to get a stress test after my open heart surgery, to return to work. How hard is 8.5 mets? Cardio rehab has been canceled due to covid 19. Ive seen 6.5 mets in rehab before. I`m 61
@gcot29 Are you familiar with the type of exercise you were doing? If it was a bike then your muscles may become fatigued before you reach your max cardiac output. Is your max HR predicted? did you do the 220-age formula? If so then that is just guess. If you do the stress test and it comes out to 180 then your Max HR is 180. As long as ur within 12 of your predicted HR it’s okay. AND you have to put MAX effort when you do the exercise test, suck it up if you want an accurate measurement.
I’m going to get mine tomorrow, and I’m going to nail it. I won’t last more than 2 3 mins. My heart rate will go over 185 in that time frame. They will be floored how fast my heart beat jumps. I can probably keep that up for a whopping 30 seconds when it gets to that level. Finally, someone is going to believe me that I’m not joking when I say I can’t run more than quarter of mile.
This is an ABSOLUTELY FANTASTIC instructional and educational video! Every time I teach stress testing to my nursing and allied health students, I show them this video. Great job!!!!
Horrible chest leads placement plus you switched the RA lead with the LA leads. Priceless!!
I just did mine. I had to achieve 100% of my maximum predictive heart rate. 165 bps. I’ve done 140-150 bps on a gym treadmill, but 165 was a whole different ballgame. I’m in decent shape but I’m no athlete…..and I’m 55. It was without a doubt the hardest physical exercise I’ve ever done. I understand most ppl just have to go to 85%….which I could do easily.
I wanted to see what happened when something is wrong, (graphics normal vs wrong) not watch 3 min a dude walking!!!
Trash video!!
What about that gold chain? Would it not cause problems to the recording?
Can anyone tell me what this means? Was on my sisters stress test
Exercise EKG stress test was 1 millimeter upsloping ST depression inferolateral leads
It’s not bad when I did mines my legs just got tired af after the 4th stage
For AHA accurate BP readings require the arm be supported & cuff be level with atria, neither of which is demonstrated in this video. Student should be supporting his elbow so that he is not holding up is arm for her. Yes his hand is resting on her shoulder, but he’s keeping it from falling off, using isometric contraction around the brachial artery which elevates BP slightly. Because the upper arm is lower than atrial level, this also increases BP slightly. The patient/student position is better in this video (she is not pulling his arm behind him to obtain the BP as she did in the other video).
RA to the left shoulder? that’s why your ECG was incorrect d1->d3 avR->avL
I AM REALLY LOVING THAT SHIRT LOL or maybe its how nice his man boobs look IN that shirt….
What was his time? I am wondering as i take the same test every 2 years due to open heart surgery [a 4x bypass] in 2002, it’s a tough test running at such a grade My VO2 max seems to be 51 and i am in the superior category for my age [56] when i am at the gym and on the treadmill i keep the angle high to simulate the test, i start at 10 and 1.7 and follow the protocol
…. what is this? 6mph and exhausted?? I worry that i might have a heartproblem but I ran 15mph for one hour for months on keto. Quit it todau because swedisg doctors are morons and refuse to chech for vitals. Drinking beer instead. Cheers.
HRmax = 205.8 (age x 0.685) is a much more accurate formula than using the standard 220 age for predicting HR max…
i got one yesterday and oh my i slowly died because im super out of shape
What is 22% grade incline? On treadmills it’s not by percentage
How can I roughly check my heart status on home treadmill at which speed and time? Anyone plz guide
Good and well explained… but why is she taking his B.P.? it should be taken automatically by the machine?if not what is the value of the cuff on his limb?
Theres only 3 stages not 7….in a normal test……3 mins each
I had this test, which was normal, has several pvc’s which doctor said was normal. However, he said I have a poor fitness level. On what criteria was this based, does anyone know? He didn’t explain further, other than I should exericse more. I bike at an aerobic level for 40 min to 1 hour 2x a week 6-10 miles each time, ballet 1-2 times a week and lift weights. What more am I supposed to do? How can I have a poor fitness level?
I took a stress test thought they were going to kill me couldn’t finish all the levels ended up with four blockages had open surgery next day.
I did this with Ease… I had one done today. I found it simple I didn’t even breath heavy at all after I was done it was like I didn’t work out at all didn’t even sweat �� but the guy in the video did good no doubt about it 18mins is very good the norm for most people is 8 mins
You scrubbed his flesh off �� if a patient saw those bruises, they will run away in the middle of the test at the speed of 5.5 MPH (just so that you may not be able to catch them)
Very helpful, but surely she should be using her fingers to actually locate where the electrodes go rather than just rough guessing? I know we’re always under time constraints but it seriously affects results, especially when exercise testing. Also there’s no need to leave such red marks on his skin when abrasing. It’s just unpleasant for the patient and not necessary.
I had a health scare in 2011 (spot on my lung that turned out to be a calcium deposit). I drank lots of water, ate healthier and exercised regularly by using the pool, walking and dumbbells at home. When I had my stress test, I was supposed to get to 140, but couldn’t get past 122. They were amazed by what I was doing to keep in shape (I was 55 then).
Fast froward to 2019..I’m having a nuclear test done on 12-5-19 due to my hip replacement back in January. Even if I could do the treadmill, the nuclear one would still be better for me since I’m so out of shape. Even though it’s 8 years later, I need to get back into my old habits.
Not a VO2 max test! A 12-lead EKG stress test is used to diagnose cardiac conduction problems. No mention of the function of the various leads. If you just need heart rate, use a simple heart rate monitor.
What if I know that I ain’t going to make the stress test should I tell my doctor or cuz I got to do a stress test on my heart and I’m worried about running hopefully I won’t have to run cuz I’m overweight everything in and they hopefully I won’t have to run because I don’t think I can run so walk and yeah maybe that my back could give out so I don’t know maybe the doctor see everything so maybe he’ll write it down and and thanks come out the truth to come out so let me know if how the doctor will tell me about my heart everything that come out what’s wrong with me about my back and stuff and being overweight okay thank you and I’m a former former smoker so okay bye
I am wondering why did you do this test. Did Brent have issues?
Going for a stress test in a few weeks… got access to a treadmill in a few days, can someone please tell me how it goes?.. just walk and eventually running? Whats the goal you need to get to when testing
Nice to see an actual doctor undergoing a test he orders for his patients
My understanding is that you alcohol first than exfoliate to minimize patient discomfort. Also there was no immediate BP taken when the patient stopped the test. Overall pretty good quick tutoral. Would have been nice to see all the steps leading up to the actual test i.e. heart axis, hypervent etc.
You’re really supposed to be wearing gloves when handling a patient
What if you are told by the Cardiologist that you don’t need a stress test after a Echocardiogram???
thought i was getting run to death but i dident get no results just told i had thick heart walls my doctor told me it was incompleat ben to er 2s chest pains after this test er sed nothing rong ive demanded to be seen by speshulist this is scary i took this test to get results the person doing the test told me more then my doctore i ran for a long time i now being fat dont help 515 now 361 i think im a dead duck torn rotore cup hernya and now heart rains all the time i felt so good past 5 years rideing a bike walking but after this test im just not the same to all yung people take care of your selfs life is short and please dont let your kids over eat dibeetes sucks meds suck take care of your babys make them eat right i know my spelling sucks good job doc 52 hpoe i see 53
how the hell can you take blood pressure when someone moving
did u mean, Vo2 max test if to measuring oxygen consumption? if want to know about cardiovaskular, so we need to check Vo2 max not the heart rate max