Wan Adenosine Stress Test fɔ lan bɔt di blɔd we de flɔ na di at! Nɔ fred, lɛ wi tɔk.

Yu kin de wɔnda wetin na di Adenosine Stress Test. Sɔntɛm dɔktɔ dɔn ivin tɛl yu fɔ du dis tɛst. Wɛl, nɔ wɔri! I rili simpul. Tide wi go tɔk bɔt dis tɛst, wetin i de du, aw dɛn kin du am, ɛn ɔl wetin yu nid fɔ no. Fɔ tɔk am simpul wan, na tɛst we de sho aw yu at de gɛt blɔd fayn fayn wan.

Wetin mek dɛn de du dis adenosine strɛs tɛst?

Imajin, we yu de du tin, lɛk we yu de du ɛksasaiz, yu at nid mɔ blɔd pas aw i nid we yu de rɛst. Wit dis adenosine strɛs tɛst, dɔktɔ dɛn kin chɛk if yu at de gɛt inof blɔd di tɛm we yu de wok ɛn di tɛm we yu de rɛst. Fɔ dis, dɛn kin injɛkt smɔl smɔl mɛrɛsin we dɛn kɔl adenosin. Dɔn, di blɔd vesel dɛn (arteries) na yu at kin biev jɔs lɛk aw dɛn bin de biev we yu bin de du ɛksɛsayz.

Dis tɛst de ɛp di dɔktɔ fɔ no bɔt:

• Yu tink se yu at mɔsul dɔn pwɛl fɔ ɔltɛm ?
• Yu tink se naf blɔd ɛn ɔksijɛn de flɔ na di at?
• Yu gɛt korona at sik (CAD) ? Dis na we di blɔd we de go na di at mɔsul de ridyus.

Udat kin tek dis tɛst?

Nɔto ɔlman go nid dis tɛst. Dɔktɔ kin aks yu fɔ mek dɛn du adenosine strɛs tɛst fɔ dɛn rizin ya:

• If yu nɔ ebul fɔ du di ɛgzampul dɛn we yu nid fɔ du fɔ tɛst yu strɛs ɔltɛm, lɛk fɔ waka pan tredmil.
• If yu nɔ ebul fɔ mek yu at rit ɔp inof pan ɔl we yu de du ɛksɛsayz.
• If yu de tek sɔm mɛrɛsin dɛn lɛk beta-blɔka .
• If yu gɛt ventricular pacemaker we dɛn put insay yu bɔdi .
• If yu gɛt wan kɔndishɔn we dɛn kɔl lɛft bɔndɛl branch blɔk .

Aw di adenosine strɛs tɛst de wok?

I rili simpul. Insay adenosin strɛs tɛst, dɔktɔ kin gi yu smɔl pan di mɛrɛsin we dɛn kɔl adenosine. Dis kin mek yu korona at, di men blɔd vesel dɛm we de gi blɔd to yu at, opin (dilate), jɔs lɛk aw dɛn kin du we yu de ɛksesaiz. Dis kin mek blɔd flɔ to yu at mɔ ɛn mɔ. Dis na aw ɛksɛsayz kin wok fɔ pipul dɛn we nɔ ebul fɔ rɔn pan tredmil.

Dɔn, we yu de rɛst ɛn afta i dɔn gi yu di mɛrɛsin we dɛn kɔl adenosine, dɔktɔ go injɛkt smɔl kɔntrast mɛdiɔm ɔ redioaktiv mak insay wan pan yu vein dɛn. Di kayn tin we dɛn go yuz go dipen pan di kayn skan we dɛn de du. Dɛn kin yuz spɛshal imej skan fɔ tek pikchɔ dɛn bɔt di tin we i de travul tru yu blɔd vesel dɛn to yu at mɔsul.

Sɔntɛnde dis skan kin bi Magnɛtik Rizɔnans Imej (MRI) skan, ɔ spɛshal kɔmpyuta tomografi (CT) skan. Dis kin mek kɔmpyuta pikchɔ dɛn bɔt di at, ɛn afta dat di dɔktɔ kin yuz fɔ no if i gɛt di sik.

Imajin, dis tan lɛk fɔ put kamɛra insay di at ɛn luk, bɔt i nɔ rili tan lɛk dat, dɛn tek dɛn pikchɔ ya yuz spɛshal skan teknɔlɔji.

Insay dis tɛst, dɔktɔ kin tek pikchɔ dɛn fɔ dɛn tin ya:

• Di sayz ɛn di wok we yu at de du .
• Di we aw blɔd de flɔ na yu at we i de rɛst .
• Di we aw blɔd kin pas na yu at we i strɛs .

Aw wi fɔ rɛdi bifo di tɛst?

Dis rili impɔtant. I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud di mɛrɛsin dɛn we yu kin tek na kɔt, ɛbul sɔpɔtmɛnt, ɛn ɔda mɛrɛsin dɛn) ɛn bɔt ɛni mɛrɛsin we yu gɛt. If yu gɛt sɔm tin dɛn lɛk we yu gɛt siriɔs asma ɔ yu at nɔ de wok fayn we yu nɔ de manej, dɛn nɔ fɔ gi yu adenosin.

• If yu de tek tiofilin fɔ asma, yu fɔ stɔp fɔ tek am tu dez bifo di tɛst . Bɔt, kam wit yu asma inhala fɔ di tɛst.
• Nɔ it ɛnitin we gɛt kafin fɔ 24 awa bifo yu du di tɛst. Dis inklud kɔfi, ti, sɔft drink, ɛn chɔklɛt. Ivin tin dɛm we dɛn rayt "decaffeinated" kin stil gɛt smɔl smɔl kafin, so dɛn nɔ kin advays dɛn.
• Dɔn bak, nɔ tek mɛrɛsin dɛn we yu kin bay na kɔt we gɛt kafin (e.g. Excedrin®, Anacin®, weight loss pills, NoDoz®) fɔ 24 awa bifo yu apɔntin .

Wetin wi fɔ du di de we dɛn go tɛst wi?

Yu fɔ mɛmba dɛn tin ya di de we di tɛst go apin:

• Nɔ it ɔ drink ɛni ɔda tin pas tu-tri wata fɔ tek yu mɛrɛsin.
• Nɔ smok .
• Bring wan list fɔ ɔl di mɛrɛsin dɛn we yu de tek ɔltɛm. Dis fɔ inklud mɛrɛsin dɛn we dɛn nɔ kin bay na kɔt, vaytamɛn dɛn, ɛn ɛbul sɔpɔtmɛnt dɛn.
• If yu de tek mɛrɛsin fɔ dayabitis, kam wit da mɛrɛsin de.. Yu kin tek am afta di tɛst dɔn. Nɔ skip fɔ it we yu de tek yu dayabitis mɛrɛsin. If yu du dat, dat kin mek yu blɔd shuga go dɔŋ tumɔs.
• If yu de yuz insulin , tek di amount we yu dɔktɔ tɛl yu fɔ tek fɔ kɔntrol yu blɔd shuga. I kin tɛl yu fɔ tek af pan di doz we yu kin tek na mɔnin ɛn it layt it 4 awa bifo di tɛst.
• If yu de tek ɛni kayn pil fɔ kɔntrol yu blɔd shuga, nɔ tek am te afta di tɛst dɔn .
• If yu gɛt glukɔs monita, kam wit am . Chek yu blɔd shuga lɛvɛl bifo ɛn afta di tɛst. If yu tink se yu blɔd shuga nɔ bɔku, tɛl di dɔktɔ dɛn wantɛm wantɛm. Plan fɔ it ɛn tek shuga pils afta di tɛst.
• Di de we yu go du di tɛst , na di at mɛrɛsin nɔmɔ we yu dɔktɔ dɔn tɛl yu fɔ tek . If yu gɛt ɛni kwɛstyɔn bɔt us mɛrɛsin dɛn we sef fɔ tek di de we dɛn de du di tɛst, aks yu dɔktɔ bifo di tɛst.

Wetin kin apin we dɛn de du di tɛst?

We dɛn de du adenosine strɛs tɛst, di mɛdikal wokman dɛn go:

• Bifo di skan bigin, dɛn go put tu IV layn dɛn na wan vein na yu an (fɔ gi yu mɛrɛsin ɛn ɔda tin dɛn if nid de).
• Dɛn kin put ilɛktrɔd (smɔl pat dɛn we kin stika) na yu chɛst. Dɛn kin yuz dɛn tin ya fɔ wach yu at bay we dɛn de yuz ilɛktrokardiogram (EKG).
• Dɛn go put blɔd prɛshɔn kɔf na yu an. Dis go mek yu no yu blɔd prɛshɔn.
• Dɛn go de wach yu at rit, EKG, ɛn blɔd prɛshɔn ɔl di tɛm we dɛn de du di tɛst.
• Dɛn go aks yu fɔ stil de insay di skan. Dis kin tek 45 minit.
• Dɛn go aks yu fɔ ol yu briz fɔ sɔm tɛm we di skan mashin de tek pikchɔ fɔ yu at.
• Bifo yu gi di mɛrɛsin tru di IV, dɛn go ɛksplen yu di bad tin dɛn we di mɛrɛsin kin du .

Aw lɔng di tɛst kin tek?

Di skan nɔmɔ kin tek lɛk 45 minit , bɔt di wan ol apɔntinmɛnt kin tek lɛk tu awa so.

Wetin kin apin afta di tɛst?

Afta di adenosine strɛs tɛst, di mɛdikal wokman dɛm go wet fɔ sɔm tɛm fɔ si if yu gɛt ɛni sayd ɛfɛkt. If yu fil fayn, yu kin go na os insay sɔm minit.

Wetin na di sayd ɛfɛkt dɛm we dis tɛst kin du?

Adenosin kin de na yu bɔdi fɔ shɔt tɛm nɔmɔ, we na lɛk fayv minit. Afta tɛn sɛkɔn, af pan di mɛrɛsin nɔ de igen. Na dat mek bɔku pipul dɛn kin gɛt sayd ɛfɛkt, bɔt dɛn kin go insay sɔm sɛkɔn afta dɛn dɔn stɔp di mɛrɛsin.

Na lɛk 80% pan di pipul dɛm we de du di adenosine strɛs tɛst kin gɛt smɔl smɔl sayd ɛfɛkt dɛm.Di wan dɛn we bɔku pipul dɛn kin gɛt na:

• Fɔ fil wam ɛn flash (flɔsh) .
• Chɛst pen .
• Di shɔt we aw yu de blo .

Sɔntɛnde, sayd ɛfɛkt lɛk dis kin apin:

• At blɔk .
• Bronchospasm (di at fɔ blo).

If yu gɛt sayd ɛfɛkt frɔm di adenosine strɛs tɛst, yu dɔktɔ kin gi yu kafinɛ fɔ trit dɛn. Sɔm pipul dɛn kin nid bak fɔ tek wan mɛrɛsin we dɛn kɔl aminophylline .

Aw di tin dɛn we kin apin kin tan lɛk? Wetin dɛn de tɛl wi?

Di dɔktɔ we de luk yu tɛst rizɔlt go put yu na wan grup we nɔ gɛt bɔku prɔblɛm, we nɔ gɛt bɔku prɔblɛm, ɔ we gɛt bɔku prɔblɛm . Dɛn de luk aw yu go gɛt hat atak bikɔs yu nɔr gɛt ɔksijɛn, ɔr if yu sik na bikɔs blɔd nɔr de flɔ fayn fayn wan na yu at.

Dɔktɔ kin se sɔm pat dɛn na yu at nɔ de gɛt inof blɔd . Dat min se dɛn eria dɛn de nɔ de gɛt inof ɔksijɛn. Sɔntɛm dɛn go nid fɔ luk dɛn say dɛn de mɔ.

If yu blɔd flɔ fayn ɛn yu de na grup we nɔ gɛt bɔku prɔblɛm, yu kin jɔs nid mɛrɛsin lɛk beta-blɔka ɔ kalsiɔm chanɛl blɔk . Antikoagulant ɛn statin, we de stɔp kɔlɔstrel, de ɛp bak fɔ mek di at ɛn di blɔd gɛt prɔblɛm.

Aw lɔng i kin tek fɔ no di tin dɛn we kin apin?

I jɔs tek sɔm dez fɔ mek dɔktɔ dɔn fɔ rivyu di tɛst rizɔlt. We yu dɔktɔ gɛt di rizɔlt, i go kɔl yu ɛn tɛl yu bɔt dɛn.

Wetin fɔ du nɛks if di rizɔlt nɔ nɔmal?

Yu dɔktɔ kin want fɔ du mɔ tɛst fɔ luk fɔ say dɛn we blɔd nɔ de flɔ fayn. Wan tɛst we dɛn kɔl korona angiografi kin ɛp dɛn fɔ no di rayt tin we mek di prɔblɛm kam. If yu gɛt blɔk na wan pan yu korona at, yu kin nid fɔ mek dɛn put stent na di at ɔ yu fɔ gɛt korona at baypas graft (CABG) ɔpreshɔn .

Ustɛm a fɔ kɔntak mi dɔktɔ?

Mek shɔ se yu kɔntak yu dɔktɔ pan dɛn kayn tin ya:

• If yu nɔ shɔ wetin fɔ du nɛks afta di Adenosine Stress Test.
• If yu nɔ yɛri bak frɔm di tɛst rizɔlt insay wan wik ...

Wetin mek dɛn kin yuz adenosine fɔ tɛst pɔsin we gɛt strɛs?

Fɔ tɔk am simpul wan, adenosine de mek yu korona at dɛn opin (dilate) mɔ, jɔs lɛk we yu de ɛksesaiz. Dis kin sɛn mɔ blɔd to yu at mɔsul. Dis mɛrɛsin kin mek di blɔd flɔ to yu at tri to fayv tɛm pas di blɔd we i kin gɛt we yu de rɛst.

Yu tink se di Adenosine Stress Test sef?

Yɛs, di adenosin strɛs tɛst kin jɔs sef . I nɔ gɛt bɔku smɔl smɔl sayd ɛfɛkt dɛn, we kin go kwik kwik wan. Risach pipul dɛn dɔn pruv se i sef fɔ yuz adenosine fɔ tɛst strɛs pan stɔdi dɛn we dɛn du lɛk 15,000 pipul dɛn.

Aw adenosine kin afɛkt yu at rit?

Adenosine kin mek yu hat rit slo ɔ inkri . Yu blɔd prɛshɔn kin go dɔŋ smɔl bak.

Wetin na di difrɛns bitwin Lexiscan® ɛn di Adenosine Stress Test?

Lexiscan® (regadenoson) ɛn adenosine na ɔl tu mɛrɛsin dɛn we de opin (dilate) yu blɔd vesel dɛn. Regadenoson (as Lexiscan kɔl am) na di mɛrɛsin we dɔktɔ dɛn kin yuz mɔ fɔ tɛst strɛs pas ɛni ɔda wan. Regadenoson de tek onli 10 sekond fo injekt. Adenosine kin tek lɛk fayv minit so.

Stɔdi dɔn sho se pipul dɛn kin telɛ regadenoson bɛtɛ pas adenosine ɛn dɛn nɔ kin gɛt bɛtɛ sayd ɛfɛkt. Pipul dɛm wae de tek regadenoson kin ripɔt smɔl sayd ɛfɛkt dɛm, lɛk fɔ flush ɛn chɛst pen, bɔt dɛn kin gɛt ed pen ɛn sik.

I bɛtɛ fɔ tɔk to yu dɔktɔ ɛn disayd us mɛrɛsin go fayn fɔ yu.

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl we wi fɔ mɛmba

Na nɔmal tin fɔ fil smɔl fɔ fred fɔ du tɛst we de chɛk aw yu at de wok fayn. Di at na wan ɔgan we rili impɔtant na wi bɔdi. Bɔt yu kin abop pan dis: If yu dɔktɔ si prɔblɛm wit yu at, i go kam wit di bɛst plan fɔ ɛp yu. Nɔ fred fɔ aks kwɛstyɔn bɔt ɛnitin we nɔ klia to yu. Aks yu dɔktɔ ɔ di wan dɛn we de wok na di dɔktɔ. Dɔn yu go ebul fɔ lɛf fɔ fred dis tɛst.

` Adenosine Stress Test, At Test, Coronary Artery Disease, At Hɛlth, Blɔd Sakyuleshɔn, Mɛdikal Tɛst, CAD