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Treadmill Stress Test - Stimulating the Heart to Search for Heart Problems & Degree of Complications

Author: Saurya Ghosal

Article source: http://www.treadmill-walking.com/. Used with author's permission.

Treadmill stress test is performed to search for abnormal heart beat, decrease supply of oxygen/blood to heart, indicate coronary artery disease, detect irregular heart rhythms and overall cardiovascular conditioning of the person undergoing a treadmill stress test.

Treadmill stress test is useful to screen people who desire to start an exercise program and help to make plans accordingly.

During a treadmill stress test, electrical activity during exercise or during physical exertion on a treadmill is recorded. Treadmill stress test mainly monitors the heart rate and heart rhythm while the patient is walking on a treadmill. A treadmill stress test also is known as an exercise electrocardiogram. Treadmill stress test is performed on doctor request/prescription. A treadmill stress test is very safe, reliable, non-invasive and not too expensive to do.

In a treadmill stress test the patient is connected to an electrocardiogram (ECG/EKG) machine and a blood pressure cuff is placed on the arm. Electrodes will be placed on the patient during the treadmill stress test at different locations on the arms and chest. A sensor may be attached to the finger of the patient to measure the level of oxygen in the blood during the treadmill stress test. EKG and blood pressure records will be taken before and during the treadmill stress test. Initially during the treadmill stress test the patient is made to walk on the treadmill at a slow speed. The pace of the treadmill increases and the incline is raised during the course of the treadmill stress test. The test lasts about 10-15 or sometimes 60 minutes depending upon the level of recovery and cardiovascular conditioning of the person during the treadmill stress test.

The speed and incline of the treadmill during the treadmill stress test is increased gradually or in intervals .A Cardiologist and a technician are present during the treadmill stress test. Blood pressure rates and breathing rates are recorded and measured during the test.

During the treadmill stress test the electrodes detect the electrical impulses generated by the heart, and transmit them to the ECG/EKG machine. The ECG/EKG machine produces a graph (ECG tracing) of those cardiac electrical impulses. The doctor monitors changes in ECG/EKG patterns during the treadmill stress test. Symptoms experienced by the patient during the treadmill stress test will be looked at and recorded by the doctor. If the patient feels tired, has chest pains or is exhausted then the treadmill stress test is stopped.

Treadmill stress tests help to determine if the blood and oxygen flow to the heart is sufficient when it is under an increased workload. Treadmill stress test also indicates coronary artery disease or abnormal heart rhythms during workload or exertion. Cardiac condition relating to irregular heart rhythms can be evaluated during treadmill stress test. Treadmill stress test helps doctor to detect how hard the heart can work before symptoms develop, the recovery pace of the heart after exertion, and the overall level of cardiovascular conditioning. Doctors can detect the severity of coronary artery disease during the treadmill stress test. Whether or not drugs which are prescribed to treat patients are working can be also detected during the treadmill stress test.

During the treadmill stress test the purpose of increasing to higher levels of exertion in stages is because problems occur as the person performs certain activities. During the treadmill stress test as the person starts increasing the level of exertion, the heart requires more blood and energy and if the heart doesn't get it then there is chest pain, breathing problems or dizziness. If these symptoms appear during the treadmill stress test, then the problem is recognized and treatment is started.

Risk involved in the treadmill stress test is very small. Treadmill stress test is similar to jogging, running a flight of stairs, etc. However, treadmill stress test is required to be performed in attendance of technician and medical staff to manage complications like sustained irregular heart beats, unrelieved chest pain, heart attack, etc. Treadmill stress test is an effective way to detect and evaluate problems relating to the heart and to follow and plan treatment depending upon the severity of symptoms detected during the treadmill stress test.

Saurya Ghosal for http://www.treadmill-walking.com. Read more about Treadmills http://www.treadmill-walking.com/treadmill-maintenance.html Copyright 2005 http://www.treadmill-walking.com


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Erectile dysfunction

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Erectile dysfunction (ED) affects the lives of many middle-aged men and their partners. The term erectile dysfunction covers a range of disorders, but usually refers to the inability to obtain an adequate erection for satisfactory sexual activity. Although erectile dysfunction, formerly called impotence, is more common in men older than 65, it can occur at any age. An occasional episode of erectile dysfunction happens to most men and is normal. As men age, it's also normal to experience changes in erectile function. Erections may take longer to develop, may not be as rigid or may require more direct stimulation to be achieved. Men may also notice that orgasms are less intense, the volume of ejaculate is reduced and recovery time increases between erections. Erectile dysfunction may also be a sign of a physical or emotional problem that requires treatment.

Erectile dysfunction was once a taboo subject, but more men are seeking help. Doctors are gaining a better understanding of what causes erectile dysfunction and are finding new and better treatments.

This Website discusses all about erectile dysfunction, physiology of the normal erection and the pathophysiology, and treatment of ED.

What is Erectile Dysfunction?

Erectile dysfunction or impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. There are various underlying causes, such as diabetes, many of which are medically reversible.

The causes may be physiological or psychological. Psychological impotence can often be helped by almost anything that the patient believes in; there is a very strong placebo effect.

Due to its embarrassing nature and the shame felt by sufferers, the subject was taboo for a long time, and is the subject of many urban legends. Folk remedies have long been advocated, with some being advertised widely since the 1930s. The introduction of perhaps the first pharmacologically effective remedy for impotence, sildenafil (trade name Viagra), in the 1990s caused a wave of public attention, propelled in part by the news-worthiness of stories about it and heavy advertising.

The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina. It is now mostly replaced by more precise terms.

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Erectile dysfunction is characterized by the inability to maintain erection. Normal erections during sleep and in the early morning suggest a psychogenic cause, while loss of these erections may signify underlying disease, often cardiovascular in origin. Other things leading to erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels due to disease affecting the testicles or the pituitary gland).

Here are some causes of Erectile Dysfunction:

* Arousal: The first step is sexual arousal, which men obtain from the senses of sight, touch, hearing and smell, and from thoughts.

* Nervous system response: The brain communicates the sexual excitation to the body's nervous system, which activates increased blood flow to the penis.

* Blood vessel response:. A relaxing action occurs in the blood vessels that supply the penis, allowing more blood to flow into the shafts that produce the erection.

Physiology of normal erections:

Penile erections involve an integration of complex physiologic processes involving the CNS, peripheral nervous system, and hormonal and vascular systems. Any abnormality involving these systems, whether from medication or disease, has a significant impact on the ability to develop and sustain an erection, ejaculate, and experience orgasm. Tumescence, the vascular filling of the cavernous bodies, relies on neural and hormonal mechanisms operating at various levels of the neural axis. This is unique among visceral functions because it requires central neurological input.

Andersson et al summarized some of the information related to the pathways involved in erectile function. The degree of contraction of corpus cavernosal smooth muscle determines the functional state of the penis. The balance between contraction and relaxation is controlled by central and peripheral factors that involve many transmitters and transmitter systems. At the cellular level, smooth muscle relaxation occurs following the release of acetylcholine from the parasympathetic nerves.

Pathophysiology of erectile dysfunction:

Erectile Dysfunction is essentially a vascular disease. It is often associated with other vascular diseases and conditions such as diabetes, hypertension, and coronary artery disease. Other conditions associated with Erectile Dysfunction include neurologic disorders, endocrinopathies, benign prostatic hyperplasia, and depression. Conditions associated with reduced nerve and endothelium function, such as aging, hypertension, smoking, hypercholesterolemia, and diabetes, alter the balance between contraction and relaxation factors. These conditions cause circulatory and structural changes in penile tissues, resulting in arterial insufficiency and defective smooth muscle relaxation. In some patients, sexual dysfunction may be the presenting symptom of these disorders.

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