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TESTS AFTER CORONARY ARTERY BYPASS SURGERY: EXERCISE TESTS
An exercise test on a treadmill or cycle ergometer is commonly performed to assess whether you have any remaining symptoms or limitations. If the test is undertaken soon after your operation, you may not think your performance is very good. Your performance is usually much better after a few weeks, simply because of the natural recovery of your physical function through mobilization and resumption of normal activities about the home.
The purpose of an exercise test is to determine whether chest pain, shortness of breath or electrocardiographic abnormality can be provoked by effort. Commonly, however, the test is terminated because of fatigue, leg weariness or some other factor not related to your heart.
To Assess the Safety of Exercise Training
In a light or moderate exercise program, an exercise test is not required before you enter the program. Here, activity is usually based on walking and other exercises. Heart rate may be controlled at a level up to about 20 beats per minute over your resting heart rate, or it may be controlled by activity to a level of slight shortness of breath. Such programs are quite safe and therefore no exercise testing is required beforehand.
High intensity exercise training programs are not common in Australia and New Zealand. However, if you do attend a high intensity aerobic exercise program, a symptom-limited maximal exercise test will first be performed. You will exercise to a level where you can do no more.
Your perceived level of shortness of breath and your maximum achieved heart rate are noted. From these, a target heart rate and a target level of perceived effort can be obtained. These targets refer to the upper limit of activity that is generally advised for you. That decision is made by your physician or cardiologist. Your doctor or the program coordinator will tell you what your target heart rate is.
To Assess Recovery and Fitness
In some exercise rehabilitation programs, the exercise test is deferred until near the end of the program. Here the test will give a clear guide to the degree of your recovery, and it will also give information about future activity requirements.
This later test, commonly performed six to nine weeks after your operation, is often very reassuring and you may be surprised at how well you have performed.
The test will also give a clue as to whether your blood pressure is returning to higher levels. If you have been hypertensive in the past, it is likely that your blood pressure will rise significantly during the test. At the time of this test, a comprehensive medical review may also be undertaken. However, an exercise test is not essential.
Most patients progress so rapidly and well after their operation that their level of physical performance and cardiac function can be reasonably predicted from their clinical state.
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