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Old 11-15-2007, 10:38 AM
 
783 posts, read 2,384,734 times
Reputation: 336

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A 31 years old gentleman's performance on an exercise treadmill test (ETT)
  1. good echo scans of the heart prior to and after ETT.
  2. normal ECG scan.
  3. normal blood pressure.
  4. exerts no symptoms such as SOB, chest pain or high blood pressure
  5. but performs only 3 minutes and 50 seconds on treadmill.


Is this poor health style or what?
What is the least amount of time he should have performed?
He isn't sick because he just did a general check up last month and everything was okay. His complains include back pain and poor vision, but he volunteered for me to take the exam just to see how his heart was.
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Old 11-15-2007, 05:39 PM
 
13,138 posts, read 37,324,951 times
Reputation: 12153
Quote:
Originally Posted by npumcrisz View Post
A 31 years old gentleman's performance on an exercise treadmill test (ETT)
  1. good echo scans of the heart prior to and after ETT.
  2. normal ECG scan.
  3. normal blood pressure.
  4. exerts no symptoms such as SOB, chest pain or high blood pressure
  5. but performs only 3 minutes and 50 seconds on treadmill.


Is this poor health style or what?
What is the least amount of time he should have performed?
He isn't sick because he just did a general check up last month and everything was okay. His complains include back pain and poor vision, but he volunteered for me to take the exam just to see how his heart was.
Whats the least amount of time on this test is hard to answer as many factors can come into play. What was the intensity level (VO2) of this test.

I think i would have done an full blood test to check his blood parameters and if his poor vision is a recient phenomenon then i'd check for Insulin Resistance (fasting blood sugar/insulin and A1c tests) since he's only 31 and diabetes is an epidemic.
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Old 11-26-2007, 07:16 AM
 
33 posts, read 96,086 times
Reputation: 24
Poor health definitely.
He should have performed 6 -9 minutes the least.
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Old 11-26-2007, 09:55 AM
 
942 posts, read 1,112,531 times
Reputation: 224
The intensity level would come into play on this test. Does this person exercise on a regular basis and is cardio part of the program. 6 to 9 or 10 minutes would be a much better outcome for this test. Back pain and poor vision after only a few minutes at age 31, I wonder about his physical conditions.
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Old 11-26-2007, 10:16 AM
 
Location: A Valley in Oregon
610 posts, read 3,033,038 times
Reputation: 393
Is this person a smoker?
Does this person take walks on a regular basis? At speed or at loll?
Does this person have a PlayStation or home gaming-system? (In other words, is this person a couch-potato?)
It is the brain which usually decides physical limitations - is there a firing or mis-firing going on that is chemical?
Is sudden exhaustion a symptom of Angina? With quick recovery?
I would make sure those questions are answered to satisfaction ... and then perhaps call in a PT.
But I digress - no medical practicioner experience here - but had similar symptoms myself at one point.
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Old 11-26-2007, 10:49 AM
 
Location: All around the world.....
2,886 posts, read 7,626,076 times
Reputation: 1049
Quote:
Originally Posted by npumcrisz View Post
A 31 years old gentleman's performance on an exercise treadmill test (ETT)
  1. good echo scans of the heart prior to and after ETT.
  2. normal ECG scan.
  3. normal blood pressure.
  4. exerts no symptoms such as SOB, chest pain or high blood pressure
  5. but performs only 3 minutes and 50 seconds on treadmill.


Is this poor health style or what?
What is the least amount of time he should have performed?
He isn't sick because he just did a general check up last month and everything was okay. His complains include back pain and poor vision, but he volunteered for me to take the exam just to see how his heart was.
You answered your own question:
31 yo c/o back pain and poor vision.
So shouldn't you be further evaluating him ? for his back pain at least (since you didn't mention what type of health practitioner you were) or referring him to Opthamologist; this is hardly a Medical practice Forum; and I believe you should already know what to do since you practice medicine.
Sorry this thread (Just doesn't add up)
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Old 11-26-2007, 10:53 AM
 
33 posts, read 96,086 times
Reputation: 24
I agree with Oregonrain and Rockymtnr , he definitely needs some major help.
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Old 11-26-2007, 10:55 AM
 
Location: All around the world.....
2,886 posts, read 7,626,076 times
Reputation: 1049
Quote:
Originally Posted by Tuemibay View Post
No exercise regiment as documented.



Not a smoker but I bet a couch-potato since he is always on the computer.
No exhaustion but he reached his PHR in only 3 minutes. Physician's discretion to stop exercise.
How did you know that he's always on the computer?
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Old 11-26-2007, 03:50 PM
 
19 posts, read 64,272 times
Reputation: 16
Quote:
Originally Posted by yhwhshalomjr View Post
How did you know that he's always on the computer?
Where did you get tuemibay's quote from?
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Old 11-26-2007, 03:53 PM
 
19 posts, read 64,272 times
Reputation: 16
Quote:
Originally Posted by npumcrisz View Post
A 31 years old gentleman's performance on an exercise treadmill test (ETT)
  1. good echo scans of the heart prior to and after ETT.
  2. normal ECG scan.
  3. normal blood pressure.
  4. exerts no symptoms such as SOB, chest pain or high blood pressure
  5. but performs only 3 minutes and 50 seconds on treadmill.

Is this poor health style or what?
What is the least amount of time he should have performed?
He isn't sick because he just did a general check up last month and everything was okay. His complains include back pain and poor vision, but he volunteered for me to take the exam just to see how his heart was.
I don't get it, why would he volunteer?

He definitely needs some major help if he underwent a non-modified protocol if you ask me.
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