Physical exercise stress test to detect post exercise cardiac arrhythmias

R, and Hanafi, Azis (2002) Physical exercise stress test to detect post exercise cardiac arrhythmias.

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Abstract

When disturbances in cardiac rhythm occur continously, the resting ECG recording is recommended to be used as a practical tool to show and identify exactly the abnormalities in cardiac rhythm. But when cardiac arrhythmias occur transiently as a sudden episode, it is difficult to predict precisely the time the disturbances in cardiac rhythm may really occur. The appearance of isolated transient cardiac arrhythmias are indeed not so dangerous, but sometimes misinterpretated, so that causing individual subjective complain and disabilities in various degrees from dizziness, palpitation and syncope.In some other aspects the problems of asymptomatic ventricular arrhythmias are more revalent, since it may be regarded as underlying cause of cardiac sudden death.The most important technical approach especially to detect the appearance of post exercise cardiac arrhythmias is the physical exercise stress test, since there are physiological and clinical reasons that exercise test is arrhythmogenic.A total of 385 Indonesian middle age people consisting of 295 male (76,62%) and 90 female (23,38%) subjects from medium social level, ranging in age from 45 to 59 years old without any contra indication were subjected to completely comprehensive medical check up in 1996 to 1999 including Treadmill exercise stress test with modified Bruce protocol to detect and identify particularly the occurrence of post exercise cardiac arrhythmias, to determine: ischemic, arrhythmic, hypertensive or hypothensive responses and to establish :functional classification, aerobic capacity and physical fitness of each individual subject.The results obtained were : 230 (59,74%) subjects showing no post exercise cardiac arrhythmias, 95 (24,68%) subjects showing post exercise cardiac arrhythhmias, 24 (6,23%) subjects showing cardiac arrhythmias in resting ECG recording, but disappear in post exercise ECG tracing, and side result 36 (9,35%) subjects showing cardiac conduction disturbances. From the results of this study, it could be concluded that the potential post exercise cardiac arrhythmias must be observed cautiously for further medical treatment to overcome a sudden occurrence of dangerous major cardiac dysrhythmias as the precursor of acute episode of cardiac sudden death.

Item Type: Article
Subjects: Collections > Koleksi Perpustakaan Di Indonesia > Perpustakaan Di Indonesia > JKPTYARSI > Journal > Kedokteran > Jurnal Kedokteran YARSI > Tahun 2001
Divisions: Universitas Komputer Indonesia > Perpustakaan UNIKOM
Depositing User: M.Kom Taryana Suryana
Date Deposited: 16 Nov 2016 07:38
Last Modified: 16 Nov 2016 07:38
URI: https://repository.unikom.ac.id/id/eprint/3196

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